Knowledge and Awareness about Breast Cancer and its Early Symptoms among Medical and Non-Medical Students of Southern Punjab, Pakistan

  • Published : 2015.03.04


Breast cancer is the leading cause of morbidity and mortality globally but has an even more significant impact in developing countries. Pakistan has the highest prevalence among Asian countries. A general lack of public awareness regarding the disease often results in late diagnosis and poor treatment outcomes. The literacy rate of the Southern Punjab (Pakistan) is low compared to its Northern part. It is therefore vital that university students and especially medical students develop a sound knowledge about the disease so that they can spread awareness to others who may be less educated. This study therefore considers current knowledge and understanding about the early signs of breast cancer amongst a study group of medical and non-medical university students of the Southern Punjab, Pakistan. A cross-sectional descriptive analysis of the university students was carried out using a self-administered questionnaire to assess their awareness of breast cancer from March to May 2014. A total of 566 students participated in this study, out of which 326 were non-medical and 240 were from a medical discipline. Statistical analysis was carried out using Graph Pad Prism Version 5 with a significance level set at p<0.05. The mean age of the non medical and medical participants was 23 (SD 2.1) and 22 (SD 1.3) years, respectively. Less than 35% students were aware of the early warning signs of the breast cancer development. Knowledge of medical students about risk factors was significantly better than the non medical ones, but on the whole was insufficient. Our study indicated that knowledge regarding breast cancer was generally insufficient amongst the majority of the university students (75% non-medical and 55% medical) of Southern Punjab, Pakistan. This study highlights the need to formulate an awareness campaign and to organize conferences to promote breast cancer awareness among students in this region.


Supported by : NUST


  1. Ahmed BA (2010). Awareness and practice of breast cancer and breast-self examination among university students in Yemen. Asian Pac J Cancer Prev, 11, 101-5.
  2. Bhurgri Y, Bhurgri A, Hassan SH, et al (2000). Cancer incidence in Karachi, Pakistan: first results from Karachi cancer registry. Int J Cancer, 85, 325-9.<325::AID-IJC5>3.0.CO;2-J
  3. Donnelly TT, Al-Khater AH, Al-Bader SB, et al (2013). Beliefs and attitudes about breast cancer and screening practices among Arab women living in Qatar: a cross-sectional study. BMC Womens Health, 13, 49.
  4. Dubsky PC, Gnant MF, Taucher S, et al (2002). Young age as an independent adverse prognostic factor in premenopausal patients with breast cancer. Clin Breast Cancer, 3, 65-72.
  5. Erbil N, Bolukbas N (2014). Health beliefs and breast selfexamination among female university nursing students in Turkey. Asian Pac J Cancer Prev, 15, 6525-9.
  6. Forouzanfar MH, Foreman KJ, Delossantos AM, et al (2011). Breast and cervical cancer in 187 countries between 1980 and 2010: a systematic analysis. Lancet, 378, 1461-84.
  7. Gilani GM, Kamal S, Akhter AS (2003). A differential study of breast cancer patients in Punjab, Pakistan. J Pak Med Assoc, 53, 478-81.
  8. Hunter CP (2000). Epidemiology, stage at diagnosis, and tumor biology of breast carcinoma in multiracial and multiethnic populations. Cancer, 88, 1193-202.<1193::AID-CNCR3>3.0.CO;2-D
  9. Jones SC, Gregory P, Nehill C, et al (2010). Australian women's awareness of breast cancer symptoms and responses to potential symptoms. Cancer Causes Control, 21, 945-58.
  10. Kurtuncu M, Akhan LU, Celik S, et al (2014). Cancer awareness among university students in Turkey. Asian Pac J Cancer Prev, 15, 4289-94.
  11. Lai FM, Chen P, Ku HC, et al (1996). A case-control study of parity, age at first full-term pregnancy, breast feeding and breast cancer in Taiwanese women. Proc Natl Sci Counc Repub China B, 20, 71-7.
  12. Montazeri A, Vahdaninia M, Harirchi I, et al (2008). Breast cancer in Iran: need for greater women awareness of warning signs and effective screening methods. Asia Pac Fam Med, 7, 6.
  13. Okobia MN, Bunker CH, Okonofua FE, et al (2006). Knowledge, attitude and practice of Nigerian women towards breast cancer: a cross-sectional study. World J Surg Oncol, 4, 11.
  14. Parkin DM (1994). Cancer in developing countries. Cancer Surv, 19-20, 519-61.
  15. Peacey V, Steptoe A, Davidsdottir S, et al (2006). Low levels of breast cancer risk awareness in young women: an international survey. Eur J Cancer, 42, 2585-9.
  16. Powe BD, Underwood S, Canales M, et al (2005). Perceptions about breast cancer among college students: implications for nursing education. J Nurs Educ, 44, 257-65.
  17. Radi SM (2013). Breast cancer awareness among Saudi females in Jeddah. Asian Pac J Cancer Prev, 14, 4307-12.
  18. Rasheed R (2013). Breast cancer. J Coll Physicians Surg Pak, 23, 766-7.
  19. Sait WA, Al-Amoudi SM, Tawtai DA, et al (2010). The knowledge of breast cancer among young Saudi females. Saudi Med J, 31, 1242-4.
  20. Sambanje MN, Mafuvadze B (2012). Breast cancer knowledge and awareness among university students in Angola. Pan Afr Med J, 11, 70.
  21. Talamini R, Franceschi S, La Vecchia C, et al (1996). The role of reproductive and menstrual factors in cancer of the breast before and after menopause. Eur J Cancer, 32A, 303-10.
  22. Ukwenya AY, Yusufu LM, Nmadu PT, et al (2008). Delayed treatment of symptomatic breast cancer: the experience from Kaduna, Nigeria. S Afr J Surg, 46, 106-10.
  23. Yadav P, Jaroli DP (2010). Breast cancer: awareness and risk factors in college-going younger age group women in Rajasthan. Asian Pac J Cancer Prev, 11, 319-22.

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