Knowledge of Breast Cancer and Practice of Breast Self-Examination Among Female Students at Federal College of Education (Technical) Asaba, Nigeria
Main Article Content
Abstract
Background: This study assessed the knowledge of breast cancer and practice of breast self-examination (BSE) among female undergraduate students at Federal College of Education (Technical), Asaba, Delta State, Nigeria.
Methods: This descriptive cross-sectional study utilized a structured, self-administered questionnaire for data collection. IBM SPSS version 26.0 was used for data analysis. Statistical significance was set at p-value less than 0.05.
Results: Four hundred students with a mean age of 23.0±4.2 years were studied. Majority 358 (89.4%) had heard of breast cancer with print/electronic media being the highest source of awareness 150 (41.9%). The students knew breast lump 163 (45.5%), breast pain/soreness 108 (30.2%) and discharge from the breast 29 (8.1%) as symptoms and signs of breast cancer, and BSE 207 (57.8%) and mammography 40 (11.2%) as early detection methods of breast cancer. Their knowledge of risk factors of breast cancer was poor, positive family history 159 (44.4%), exposure to ionizing radiation 153 (42.7%), smoking 141 (39.4%), oral contraceptives use 119 (31.8%), being a woman 114 (31.8%). Two hundred and fifteen (53.8%) had ever performed BSE, and 103 (47.9%) performed it monthly. The older students (p<0.0001), those in higher level of study (p<0.0001) and those with positive family history of breast cancer (p=0.042), statistically significantly practised BSE.
Conclusion: The overall knowledge of breast cancer and its associated risk factors were poor among the students, but their practice of BSE was fair. Massive awareness campaign and advocacy for health education on breast cancer and its early prevention measures is recommended.
Downloads
Article Details
Section

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The Journal is owned, published and copyrighted by the Nigerian Medical Association, River state Branch. The copyright of papers published are vested in the journal and the publisher. In line with our open access policy and the Creative Commons Attribution License policy authors are allowed to share their work with an acknowledgement of the work's authorship and initial publication in this journal.
This is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author.
The use of general descriptive names, trade names, trademarks, and so forth in this publication, even if not specifically identified, does not imply that these names are not protected by the relevant laws and regulations. While the advice and information in this journal are believed to be true and accurate on the date of its going to press, neither the authors, the editors, nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein.
TNHJ also supports open access archiving of articles published in the journal after three months of publication. Authors are permitted and encouraged to post their work online (e.g, in institutional repositories or on their website) within the stated period, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). All requests for permission for open access archiving outside this period should be sent to the editor via email to editor@tnhjph.com.
How to Cite
References
1.Arnold M, Morgan E, Rumgay H, Mafra A, Singh D, Laversanne M, et al. Current and future burden of breast cancer: Global statistics for 2020 and 2040. Breast. 2022; 66:15-23. Doi: 10.1016/j.breast.2022.08.010.
2.Singh D, Ferley J, Siegel RL, Laversanne M, Soerjomatarin I, Jemal A, et al. Global cancer statistics 2020: GLOBOCAN estimates of the incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021; 71:209-249. Doi: 10.3322/caac.21660.
3.World Health Organization. Fact Sheet on Breast Cancer. 2024. Available at https://www.who.int/news-room/fact-sheets/detail/breast-cancer. Accessed 28th July 2025.
4.American Cancer Society. Cancer Statistics Center. 2025. Available from https://cancerstatisticscenter.cancer.org/#/. Accessed 28th July 2025.
5.Makanjuola SBL, Popoola AO, Oludara MA. Radiation therapy: A major factor in the five-year survival analysis of women with breast cancer in Lagos, Nigeria. Radiotherapy and Oncology. 2014;111(2)321-326. Doi: 10.1016/j.radonc.2014.03.013.
6.Olayide A, Isiaka A, Ganiyu R, Samuel O, Halimat A, Olalekan O, et al. Breast Cancer Treatment and Outcomes in Nigeria: A Systematic Review and Meta-analysis. Asian Pacific Journal of Cancer Care. 2023;8(3):591-598. Doi: 10.31557/apjcc.2023.8.3.591-598.
7.Atoyebi SB, Awodutire PO, Igbalajobi MM, Anifowose OO. Survival Times of Breast Cancer Patients in Nigeria Asian J. Immunol. 2023;6(1):209-223.
8.Crosby D, Bhatia S, Brindle KM, Coussens LM, Dive C, Emberton M, et al. Early detection of cancer. Science. 2022;375(6586):eaay9040. Doi: 10.1126/science.aay9040.
9.Panieri E. Breast cancer screening in developing countries. Best Practice & Research Clinical Obstetrics & Gynaecology. 2012;26(2):283-290. Doi: org/10.1016/j.bpobgyn.2011.11.007.
10.Cochran WG. Sampling Techniques, 3rd ed., New York, John Wiley and Sons. 1977;223-34.
11.Ossai EN, Azuogu BN, Ogaranya IO, Ogenyi AI, Enemor DO, Nwafor MA. Predictors of practice of breast self-examination: A study among female undergraduates of Ebonyi State University, Abakaliki, Nigeria. Niger J Clin Pract. 2019;22(3);361-369. Doi: 10.4103/njcp.njcp_482_18.
12.Sama CB, Dzekem B, Kehbila J, Ekabe CJ, Vofo B, Abua NL, et al. Awareness of breast cancer and breast self-examination among female undergraduate students in a higher teacher training college in Cameroon. Pan Afr Med J. 2017; 28:91. Doi: 10.11604/pamj.2017.28.91.10986.
13.Alabrah PW, Eguvbe AO, Agbo J, Allagoa DO. Awareness of Breast Cancer and Practice of Breast Self-Examination Amongst Female Students of a Tertiary Institution in South-South Nigeria. Int J Cancer Clin Res. 2022; 8:175. Doi: 10.23937/2378-3419/1410175.
14.Isara AR, Ojedokun CI. Knowledge of breast cancer and practice of breast self-examination among female senior secondary school students in Abuja, Nigeria. J Prev Med Hyg. 2011; 52:186-190.
15.Peltzer K, Pengpid S. Awareness of breast cancer risk among female university students from 24 low, middle income and emerging economy countries. Asian Pac J Cancer Prev. 2014;15(18):7875-8. Doi: 10.7314/apjcp.2014.15.18.7875.
16.Karima B, Zineb S, Samir D, Mohamed BO. Awareness of Risk Factors for Breast Cancer among Casablanca Medical Students. Asian Pac J Cancer Care. 2023;8(2):311-317. Doi:10.31557/APJCC.2023.8.2.311-317.
17.Okolie UV. African Breast self-examination among female undergraduates in Enugu, Southeast, Nigeria. Journal of Medicine and Surgery 2020;7(7):001-007.
18.Al-Shiekh SSA, Ibrahim MA, Alajerami YS. Breast cancer knowledge and practice of breast self-examination among female university students, Gaza. The Scientific World Journal. 2021; 2021(1):1-7. Doi: 10.1155/2021/6640324.
19.Mehiret G, Molla A, Tesfaw A. Knowledge on risk factors and practice of early detection methods of breast cancer among graduating students of Debre Tabor University, Northcentral Ethiopia. BMC Women's Health. 2022;22:183. Doi: 10.1186/s12905-022-01768-0.
20.Ebirim CIC, Nwoke EA, Ibe SNO, Agwu ACO, Nwufo CR. Knowledge and practice of breast self-examination among female undergraduate in South-Eastern Nigeria. Health. 2015;7:1134-1141. Doi: 10.4236/health.2015.79129.
21.Haruna H, Chukwu EO, Ahmadu I, Teryila KR, Babaji M, Nelson L, Hamina D. Knowledge and Practice of Breast Self-Examination Among Female Nursing Students in University of Maiduguri, Borno State, Nigeria. International Journal of Clinical Oncology and Cancer Research. 2017;2(3): 57-64. Doi: 10.11648/j.ijcocr.20170203.12.
22.El Maouchi P, Fakhreddine O, Shmoury AH, El Zoghbi M, Chamseddine N, Abou Zeidane R, et al. Breast cancer knowledge in Lebanese females with positive family history. Medicine. 2023;102(7):e32973. Doi: 10.1097/MD.0000000000032973.
23.Uruntie RO, Oputa CH, Peters E, Otovwe A. Effect of educational intervention on the knowledge, attitude and practice of breast self-examination among female students at a private university in Southern Nigeria. BMC Cancer. 2024;24:355. Doi: 10.1186/s12885-024-12116-w.
24.Ameer K, Abdulie SM, Pal SK, Arebo K, Kassa GG. Breast Cancer Awareness and Practice of Breast Self-Examination among Female Medical Students in Haramaya University, Harar, Ethiopia. International Journal of Interdisciplinary and Multidisciplinary Studies (IJIMS). 2014;2(2)109-119.