Impact of a Breast Health Awareness Activity on the Knowledge Level of the Participants and its Association with Socio-Demographic Features

  • Published : 2015.09.02


The developing countries have higher mortality rates for breast cancer. A reason for this is presentation at advanced stages due to low levels of public awareness. Activities are arranged by health authorities of developing countries to increase the knowledge of women but their effectiveness has not been evaluated in detail. A multiple choice questionnaire with questions about socio-demographic profile and questions about breast cancer knowledge was designed in local language Urdu, to evaluate the knowledge of the participants before and after an audio visual educational activity in Lahore, Pakistan. Scores of 0-2, 3-5 and 6-8 were ranked as poor, fair and good, respectively. Among 146 participants these scores were achieved by 1%, 55% and 45% before activity and 0%, 16% and 84% after the activity. Overall 66% of participants increased their knowledge score. Younger age, higher education, reliance on television as source of information and being a housewife were associated with better impact of the awareness activity. For the six knowledge related questions 3%, 5%, 11%, 23%, 33% and 44% more participants gave correct answers after the activity. However 6% and 7% fewer participants answered correctly for 2 questions related to the cause and the best prevention for breast cancer. The study indicated that awareness activities are effective to increase the knowledge of women and better impact is associated with higher education and younger age of women. The component analysis showed that the questions and related presentations using medical terms have a negative impact and should not therefore be used. Analysis of activity therefore leads to identification of deficiencies which can be remedied in future.


  1. AbdelHadi M S A (2006). Breast Cancer Awareness Campaign, Will it make a difference? J Family Commun Med, 13, 115-19.
  2. 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.
  3. Ahmed F, Mahmud S, Hatcher J, Khan SM (2006) Breast cancer risk factor knowledge among nurses in teaching hospitals of Karachi, Pakistan: a cross sectional study. BMC Nurs, 5, 6.
  4. Al-Shammari A, A Al-Dahlawi A, A Nurhussen A, et al ( 2012). Effectiveness of an innovative community-based breast cancer awareness workshop. BMC Proceedings, 6, 25.
  5. Anderson BO, Shyyan R, Eniu Aet al., (2006) Breast Cancer in limited resource countries: An overview of the breast health Global Health Initiative guidelines 2005. Breast J, 12, 3-15.
  6. Bhurgri Y, Bhurgri A, Nishter S, et al (2006). Pakistan - Country Profile of Cancer and Cancer Control 1995-2004. J Pak Med Assoc, 56, 124-30.
  7. Burke W, Oslen AH, Pinsky LE, Reynolds SE,Press NA (2001). Misleading presentation of breast cancer in popular magazines. Eff Clin Pract, 4, 58-64.
  8. Dolen NC, Lee AM, McDemott MM (1997). Age related differences in breast cancer related knowledge , beliefs and perceived risk among women visiting an academic general medicine practice. Cancer, 80, 413-20.<413::AID-CNCR9>3.0.CO;2-S
  9. Gupta SK, Pal DK, Garg R, et al (2009). Impact of a Health Education Intervention Program Regarding Breast Self Examination by Women in a Semi-Urban Area of Madhya Pradesh, India. Asian Pac J Cancer Prev, 10, 1113-17.
  10. Gurdal SO, Saraçoğlu GV, Oran EŞ, Yankol Y, Soybir GR. (2012). The effects of educational level on breast cancer awareness: a cross sectional study in Turkey. Asian Pac J Cancer Prev, 12, 295-300.
  11. Hadi MA, Hassali MA, Shafie AA, Awaisu A (2010). Evaluation of breast cancer awareness among female university students in Malaysia. Pharmacy Practice (Internet), 8, 29-34.
  12. Hussain MM, Ansari AK, (1996), Late presentation of carcinoma breast in Pakistani women. Pak Armed Forces Med J, 46, 11-5.
  13. Austoker J, Bankhead C, Forbes LJL, et al (2009). Interventions to promote cancer awareness and early presentation: systemic review. Brit J Cancer, 101, 31-39.
  14. Aziz Z, Sara S, Akram M, Saeed A (2004). Socioeconomic status and breast cancer survival in Pakistani women. J Pak Med Assoc, 54, 448-53.
  15. Jaffary A, Mansuri F, Shamim S (2005). Knowledge attitudes and practices regarding breast cancer screening in women of various social strata. J Surg Pak, 10, 44-7.
  16. Jemal A, Bray F, Melissa M et al (2011). Global cancer statistics. Ca Cancer J Clin, 61, 69-90.
  17. Karayurt O, Ozmen D, Cetinkaya AC. (2008). Awareness of breast cancer risk factors and practice of breast self examination among high school students in Turkey. BMC Public Health, 8, 359.
  18. Khakbazan Z, Roudsari RB, Taghipour A, Mohammadi E, Pour RO (2014). Appraisal of Breast Cancer symptoms by Iranian women: Entangled cognitive, emotional and sociocultural responses. Asian Pac J Cancer Prev, 15, 8135-42.
  19. Khokher S, Qureshi MU, Riaz M, Akhtar N, Saleem A (2012). Clinicopathologic profile of breast cancer patients in Pakistan: Ten years data of a local cancer hospital. Asian Pac J Cancer Prev, 13, 693-8.
  20. Khokher S, Qureshi W, Mahmood S, et al (2011). Knowledge, Attitude and Preventive Practices of Women for Breast cancer in the Educational Institutions of Lahore, Pakistan. Asian Pac J Cancer Prev, 12, 2419-24.
  21. Kumar S, Imam AM, Manzoor NF, et al (2009). Knowledge attitude and preventive practices for breast cancer among health care professionals at Agha Khan Hospital Karachi. JPMA, 59, 474-8.
  22. Mena M, Wiafe-Addai B, Sauvaget C et al (2013). Evaluation of the impact of a breast cancer awareness program in rural Ghana: A cross-sectional survey. Int J Cancer.
  23. Moore MA, AriyaratneY, Badar F, et al (2009). Cancer epidemiology in South Asia- Past, present and future. Asian Pac J Cancer Prev, 10, 49-67.
  24. Naeem M, Khan N, Aman Z, et al (2008). Pattern of breast cancer experience at lady reading hospital, Peshawer. J Ayub Med Coll Abbottabad, 20, 22-5.
  25. Odusanya OO, Tayo OO (2001) Breast cancer knowledge attitudes and practice among nurses in Lagos, Nigeria. Acta Oncol, 40, 844-8.
  26. Okobia MN, Bunker CH, Okonofua FE, Osime U (2006). Knowledge, attitude and practice of Nigerian women towards breast cancer; a cross sectional study. World J Surg Oncol, 1, 4-11.
  27. Parsa P, Kandiah M (2005). Breast cancer knowledge, perception and breast self examination practices among Iranian women. Int Med J, 4, 17-24.
  28. Parvez T, Anwar M (2005). Knowledge attitude and preventive practices for breast cancer. JCPSP, 11, 363-6.
  29. Radi SM (2013). Breast cancer awareness among Saudi females in Jeddah. Asian Pac J Cancer Prev, 14, 4307-12.
  30. Rahman JA (2003). Knowledge attitude and practice on breast cancer among female population of Alur Batu village, Kuantan and its related factors in June 2003. Singapore Med J, 10, 90-4.
  31. Ranasinghe HM, Ranasinghe M, Rodrigo C, et al (2013). Awareness of breast cancer among adolescent girls in Colombo, Sri Lanka: a school based study. BMC Public Health, 13, 1209.
  32. Saeed RS, Bakir YY, Ali LM (2014). Are women in Kuwait aware of Breast Cancer and its diagnosticprocedures? Asian Pac J Cancer Prev, 15, 6307-13.
  33. Sathian B, Nagaraja SB, Banerjee I et al (2014). Awareness of breast cancer warning signs and screening methods among female residents of Pokhara valley, Nepal. Asian Pac J Cancer Prev, 15, 4723-6
  34. Somdatta P, Baridalyne N (2008). Awareness of breast cancer in women of an urban resettlement colony. Indian J Cancer, 45, 149-53.
  35. Wakefield MA, Loken B, Hornick RC (2010). Use of mass media campaigns to change health behaviour. Lancet, 376, 1261-71.
  36. Yavari P, Pourhoseingholi MA (2007). Socioeconomic factors association with knowledge and practice of breast self examination. Asian Pac J Cancer Prev, 8, 618- 22.
  37. Harirchi I, Azary S, Montazeri A et al (2012). Literacy and breast cancer prevention: a population-based study from Iran. Asian Pac J Cancer Prev, 13, 3927-30.