Identifying Women's Knowledge about Risk Factors of Breast Cancer and Reasons for Having Mammography

  • Guvenc, Inanc (Department of Radiology, Gulhane Military Medical Academy) ;
  • Guvenc, Gulten (School of Nursing, Gulhane Military Medical Academy) ;
  • Tastan, Sevinc (School of Nursing, Gulhane Military Medical Academy) ;
  • Akyuz, Aygul (School of Nursing, Gulhane Military Medical Academy)
  • Published : 2012.08.31


The aim of this study was to identify breast cancer risk factors and reasons for having mammography of the women who applied for mammography, as well as to determine their level of knowledge about risk factors and level of risk perception, and anxiety concerning breast cancer. This cross-sectional descriptive study was conducted from June 15, 2010 through September 10, 2010, in a university hospital in Ankara, Turkey. A questionnaire prepared by the researchers was used to collect the data. The mean age of the women was $52.1{\pm}9.98$ years. Sixteen percent of the women had a family history of breast cancer. The majority of participants had mammograms (75.8%) before and had gained knowledge about breast cancer and its screening (73.7%). The leading source of information about breast cancer was physicians (46.2%). Physician recommendations, having breast-related complaints, and family history of breast cancer were important reasons to obtain mammography. The mean knowledge score about risk factors of breast cancer was $4.15{\pm}2.73$ and the mean anxiety score was $1.65{\pm}1.61$. It was found that some socio-demographic and obstetrical characteristics of women, their family history, and risk perceptions about breast cancer affect their knowledge and anxiety scores about breast cancer. In conclusion, the present study identified a number of factors affecting mammography participation for women. The results of this study can be helpful in promoting screening for breast cancer.


Breast cancer;risk factors;breast cancer knowledge;mammography;risk perception;Turkey


  1. Akpınar YY, Baykan Z, Nacar M, Gun İ, Cetinkaya F (2011) Knowledge, attitude about breast cancer and practice of breast cancer screening among female health care professionals: a study from Turkey. Asian Pac J Cancer Prev, 12, 3063-8.
  2. Boxwala FI, Bridgemohan A, Griffith DM, Soliman AS (2010). Factors associated with breast cancer screening in asian indian women in metro-detroit. J Immigrant Minority Health, 12, 534-43.
  3. Brain K, Henderson BJ, Tyndel S, et al (2008). PIMMS study management group. Predictors of breast cancer-related distress following mammography screening in younger women on a family history breast screening programme. Psychooncol, 17, 1180-8.
  4. Brower V (2010). Breast density gains acceptance as breast cancer risk factor. J Natl Cancer Inst, 102, 374-5.
  5. Dundar PE, Ozmen D, Ozturk B, et al (2006). The knowledge and attitudes of breast self examination and mammography in a group of women in a rural area in western Turkey. BMC Cancer, 6, 1-9.
  6. Eti Aslan F, Gurkan A (2007). Breast cancer risk in women. J Breast Health, 3, 63-8.
  7. Gotzsche PC, Nielsen M (2009). Screening for breast cancer with mammography. Cochrane Database Syst Rev, 7, 1877.
  8. Han HR, Lee H, Kim MT, Kim KB (2009). Tailored lay health worker intervention improves breast cancer screening outcomes in non-adherent Korean-American women. Health Education Res, 24, 318-29.
  9. Jones SC, Magee CA, Barrie LR, et al (2011). Australian women' s perceptions of breast cancer risk factors and the risk of developing breast cancer. Women's Health, 21, 353-60.
  10. Kearney AJ, Murray M (2009). Breast cancer screening recommendations: is mammography the only answer? J Midwifery Womens Health, 54, 393-400.
  11. Khatcheressian JL, Wolff AC, Smith TJ, et al (2006). American society of clinical oncology 2006 update of the breast cancer follow-up and management guidelines in the adjuvant setting. J Clin Oncol, 24, 5091-7.
  12. Kim JH, Menon U (2009). Pre-and post intervention differences in acculturation, knowledge, beliefs, and stages of readiness for mammograms among Korean American women. Oncol Nursing Forum, 36, 80-92.
  13. Lee S, Park J, Park H (2008). Breast cancer risk factors in Korean women: a literature review. Int Nursing Review, 55, 355-9.
  14. Lemone P, Burke MK, Bauldoff G (2011). Critical Thinking in Patient Care. Medical Surgical Nursing. 5th ed, Prentice Hall Press, New Jersey pp 1673-716.
  15. Lopez-de-Andres A, Martin-Lopez R, Hernandez-Barrera V, et al (2010). Carrasco-Garrido P, Gil-de-Miguel A, Esteban y Pena MM, et al. Predictors of breast and cervical cancer screening in a Spanish metropolitan area. J Womens Health (Larchmt), 19,1675-81.
  16. Magnus MC, Ping M, Shen MM, Bourgeois J, Magnus JH (2011). Effectiveness of mammography screening in reducing breast cancer mortality in women aged 39-49 years: a meta-analysis. J Womens Health (Larchmt), 20, 845-52.
  17. McPherson K, Steel CM, Dixon JM ( 2006). Breast cancer: epidemiology, risk factors and genetics. In Dixon JM (Ed) ABC of Breast Diseases. Third edition. London: Blackwell Publishing, pp 24-9.
  18. Meystre-Agustoni G, Paccaud F, Jeannin A, Dubois-Arber F (2001). Anxiety in a cohort of Swiss women participating in a mammographic screening programme. J Med Screen, 8, 213-9.
  19. Montgomery M, McCrone SH (2010). Psychological distress associated with the diagnostic phase for suspected breast cancer: systematic review. J Adv Nurs, 66, 2372-90.
  20. Nelson HD, Tyne K, Naik A (2009). Screening for Breast Cancer: Systematic Evidence Review Update for the U.S. Preventive Services Task Force. Evidence Review Update, (74). AHRQ Publication No.10-05142-EF-1. Rockville 2009, MD: Agency for Healthcare Research and Quality.
  21. Nur N (2010). Breast cancer knowledge and screening behaviors of the female teachers. Women & Health, 50, 37-52.
  22. O'Donnell S, Goldstein B, Dimatteo MR, et al (2010). Adherence to mammography and colorectal cancer screening in women 50-80 years of age the role of psychological distress. Womens Health, 20, 343-9.
  23. Oluwatosin OA, Oladepo O (2006). Knowledge of breast cancer and its early detection measures among rural women in Akinyele Local Government Area, Ibadan, Nigeria. BMC Cancer, 6, 1-6.
  24. Ozmen V, Ozcinar B, Karanlik H, et al (2009). Breast cancer risk factors in Turkish women--a University Hospital based nested case control study. World J Surg Oncol, 7, 37.
  25. Park MJ, Park EC, Choi KS, Jun JK, Lee HY (2011). Sociodemographic gradients in breast and cervical cancer screening in Korea: the Korean National Cancer Screening Survey (KNCSS) 2005-2009. BMC Cancer, 11, 257.
  26. Pohls UG, Renner SP, Fasching PA, et al (2004). Awareness of breast cancer incidence and risk factors among healthy women. Eur J Cancer Prev, 13, 249-56.
  27. Price MA, Butow PN, Charles M, et al (2010). Predictors of breast cancer screening behavior in women with a strong family history of the disease. Breast Cancer Res Treat, 124, 509-19.
  28. Rasu RS, Rianon NJ, Shahidullah SM, Faisel AJ, Selwyn BJ (2011). Effect of educational level on knowledge and use of breast cancer screening practices in Bangladeshi women. Health Care Women Int, 32, 177-89.
  29. Schreer I (2009). Dense breast tissue as an important risk factor for breast cancer and implications for early detection. Breast Care, 4, 89-92.
  30. Secginli S, Nahcivan NO (2011). The effectiveness of a nursedelivered breast health promotion program on breast cancer screening behaviours in non-adherent Turkish women: A randomized controlled trial International. J Nursing Studies, 48, 24-36.
  31. Sofair JB, Lehlbach M (2008). The role of anxiety in a mammography screening program, Psychosomatics, 49, 49-55.
  32. Somanchi M, Juon HS, Rimal R (2010). Predictors of screening mammography among Asian Indian American women: a cross-sectional study in the Baltimore-Washington metropolitan area. J Womens Health, 19, 433-41.
  33. Tastan S, Iyigun E, Kilic A, Unver V (2011). Health Beliefs Concerning Breast Self-examination of Nurses in Turkey. Asian Nursing Res, 5, 151-6.
  34. Todd L, Harvey E, Hoffman-Goetz L (2011). Predicting breast and colon cancer screening among English-as-a-secondlanguage older Chinese immigrant women to Canada. J Cancer Educ, 26, 161-9.
  35. Vahabi M (2011). Knowledge of breast cancer and screening practices among Iranian immigrant women in Toronto. J Community Health, 36, 265-73.
  36. World Health Organization (2008). World Health Statistics 2008. (ISBN 978 92 4 0682740) ( WHO Library Cataloguing-in-Publication Data France. p.21-23.
  37. Wu TY, Ronis D (2009). Correlates of recent and regular mammography screening among Asian-American women. J Adv Nursing, 65, 2434-46.
  38. Yavan T, Akyuz A, Tosun N, Iyigun E (2010). Women's breast cancer risk perception and attitudes toward screening tests. J Psychosocial Oncol, 28, 189-201.
  39. Yilmaz M, Guler G, Bekar M, Guler N (2011). Risk of breast cancer, health beliefs and screening behaviour among Turkish academic women and housewives. Asian Pacific J Cancer Prev, 12, 817-22.

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