Have a personal or library account? Click to login

Breast cancer awareness in reproductive women in the low- and middle-income countries: a scoping review

Open Access
|Jun 2024

Figures & Tables

Figure 1.

PRISMA 2020 flow diagram for searching process.
PRISMA 2020 flow diagram for searching process.

Figure 2.

Mapping of awareness and knowledge prevalence of included studies (n = 33).
Mapping of awareness and knowledge prevalence of included studies (n = 33).

Figure 3.

The influential factors for knowledge and awareness in reproductive women.
The influential factors for knowledge and awareness in reproductive women.

Figure 4.

Recommendations for future interventions and programs.
Recommendations for future interventions and programs.

Characteristic of included studies_

No.Author (year)CountryStudy designStudy population (n)Age M (SD)/% (years)Observed variablesOther characteristics
1.Sarker et al. (2022)32BangladeshCross-sectional studyFemale students (400)35.3% (18–20)31.0% (21–23)33.8% (24–26)BE knowledge, BSE practice and barrier86.0% unmarried, 18.3% had family history of BC
2.Assfa Mossa (2022)34CameroonCross-sectional studyYoung adult women (392)21.25 (1.32)BSE knowledge, practice and perception92.23% single, 62.73% live in rural area, 54.42% of them attended primary to secondary school.
3.Prakash et al. (2022)44NepalCross-sectional studyFemale adolescents (120)16.7 (0.92)BC and BSE knowledge66.7% science faculty, 33.3% commerce faculty
4.Hussain et al. (2022)26PakistanCross-sectional studyFemale university students (774)23.06 (4.35)BC awareness87.4% were single, 74.9% at the undergraduate level, 76.7% had rural residency
5.Calbayram and Guven (2021)39TurkeyQuasi-experimental designAdolescent girls (133)15.77 (0.61)BC and BSE awareness ánd pratice, champion’s health belief model10.5% had high income, 82% middle income, 7.5% had low income; 58.6% age (10–12)of menarche, 41.4% in age 13 and older menarche
6.Igiraneza et al. (2021)47RwandaCross-sectional studyWomen (246)28.5% (16–19)30.9% (20–29)32.9% (30–39)7.7% (40–49)Knowledge about BSE, CBE, breast ultrasound scan61.8% only primary education, 14.2% did not have basic education, 24% attended secondary or university education.
7.Labrague et al. (2021)46PhilippineRandomized controlled trialReproductive women (128)CG: 29.51 (7.90)EG: 30.56 (8.99)BSE knowledge29.69% of the control group were high school graduates. 32.81% of the experimental group were college undergraduates.
8.Rachna (2021)13IndiaCross-sectional studyFemale nursing students (60)65% (18–22)28% (23–30)7% (31–40)BSE knowledge83% of nursing students had 10 + 2 qualification (education degree) and 17% of them had graduated.
9.Osei-Afriyie et al. (2021)36GhanaCross-sectional studyFemale undergraduate students (385)22 (2.78)BC awareness and risk perception83.1% were single; 74.0% were Christians and 18.9% were Muslims
10.Altunkurek and Mohamed (2022)48SomaliaCross-sectional studyWomen (413)22 (11.21)champion health belief model, BC knowledge, and BSE practice72.2% had a university education level, and 58.1% had a medium economic status, 61.5% were single
11.Alam et al. (2021)25PakistanCross-sectional studyWomen (1007)33.47 (12.37)BC awareness, knowledge, and attitude79.3% married, 19.3% undergraduate, 42.9% had socio economic status
12.Akter and Ullah (2021)31BangladeshCross-sectional studyFemale university students (567)21.61 (1.56)BC awareness97.32% were single
13.Baburajan et al. (2021)21IndiaCross-sectional studyAdult women (416)31.60 (13.7)BC and BSE awareness92.3% Hindu, 85.1% housewives, 92.5% were unmarried
14.Dinegde et al. (2020)29EthiopiaCross-sectional studyFemale students (358)20.84 (2)BSE knowledge and practice85.2% single, 67% Christian, 77.7% grew up in urban setting
15.Ifediora and Azuike (2018)18NigeriaCross-sectional studyReproductive-age women (810)33.42 (7.81)Likelihood of performing BSE55.9% Can’t read and write, 44.1% had educational background
16.Dadzi and Adam (2019)35GhanaCross-sectional studyWomen (385)24.54 (7.19)Awareness and practice of BSE59% single, 39.5% married, 1.5% divorced
17.Solikhah et al. (2019)38IndonesiaCross-sectional studyIndonesian women (856)30 (11)BC knowledge and attitude49.8% single, 46.6% married, 3.6% divorced
18.Sari et al. (2019)37IndonesiaCross-sectional studyFemale students (118)16.13 (15-17)BC knowledge and perception11.9% had family history of cancer, 28% elementary graduated
19.Koc et al. (2018)40TurkeyCross-sectional studyFemale university students (161)20.53 (2.3)BSE knowledge and practice2.5% had low income, 50.3% middle income, 47.2% high income
20.Elshami et al. (2018)45PalestineCross-sectional studyWomen (3055)26.4 (12.8)BC awareness and practice57.2% adults, 42.8% adolescents
21.Kardan-Souraki et al. (2018)23IranCross-sectional studyWomen (1165)37.15 (8.84)BC screening44.5% had not earned their high school diploma.
22.Olufemi et al. (2017)12NigeriaCross-sectional studyUndergraduate female students (266)21.7 (5.9)BC knowledge and awareness87.6% are single, 12.4% are married, 79.7% are Christians and Islam 20.3%.
23.Birhane et al. (2017)30EthiopiaCross-sectional study420 Female students21.1 (1.65)BSE knowledge60% single, 84.5% had no family history of BC
24.Sama et al. (2017)33CameroonCross-sectional studyFemale undergraduate students (345)22.5 (3.2)BC awareness, knowledge, and attitude90.7% Christians, 64.6% first year of undergraduate, 18% were married
25.Akhtari-Zavare et al. (2016)42MalaysiaRandomized controlled trialFemale undergraduate students (370)21.79 (1.24)Knowledge, champion’s health belief model, BSE practice96.5% single, 3.5% married
26.Nwaneri et al. (2016)19NigeriaCross-sectional studyWomen (349)30.1% (20–30)19.2% (31–40)>50.7% (>40)BC awareness and knowledge52.4% married, 25.2% single; 37.0% had tertiary education, 4.3% had no formal education
27.Memon et al. (2015)27PakistanCross-sectional studyYoung women (300)21.5BSE knowledge and practice29.7% married, 70.3% single
28.Tazhibi and Feizi (2014)24IranCross-sectional studyYoung women (2250)36.8 (9.1)BE knowledge and awareness51.9% had university educational attainment and 81.9% were married
29.Ameer et al. (2014)28EthiopiaCross-sectional studyMedical female students (126)38.1% (18–19)36.5% (20–21)25.4% (>22)BSE knowledge, practice and perception94.44% single, 56.34% Christian, 43.7% Muslim
30.Suleiman (2014)41JordaniaCross-sectional studyFemale students (840)43.3% (18–22)25.1% (23–27)20.2% (28–32)11.4% (33–37)BC and BSE knowledge and awareness82.3% were single, 13.2% were married, 4.5% were divorced
31.Kratzke et al. (2013)43MexicoCross-sectional studyYoung women (544)23.3 (7.75)BC prevention mother’s advice, BSE practice, BE knowledge and attitude51% were non-Hispanic and 49% were Hispanic college women
32.Godshi et al. (2013)22IranCross-sectional studyWomen (755)29.9 (1.25)BC knowledge42.8% were not employed, 45.9% had a satisfied income
33.Doshi et al. (2012)20IndiaCross-sectional studyFemale dental students (203)19.6 (1.38)BC knowledge, attitudes, and practiceNo information

Inclusion and exclusion criteria_

ItemInclusion criteriaExclusion criteria
PopulationWomen of reproductive age (15–49 years) according to World Health OrganizationWomen with BC or history of BC
ConceptBC awareness; Knowledge; Perception; Attitude
ContextThe low- and middle-income countries (According to World Bank classification)Developed countries
LanguageEnglishNon-English—Literature
Study designObservational and intervention studiesLiterature review, secondary analysis, mixed methods, study protocol
Publication year10 years (2012–2022)
DOI: https://doi.org/10.2478/fon-2024-0015 | Journal eISSN: 2544-8994 | Journal ISSN: 2097-5368
Language: English
Page range: 139 - 151
Submitted on: Sep 6, 2023
Accepted on: Jan 24, 2024
Published on: Jun 26, 2024
Published by: Shanxi Medical Periodical Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 times per year

© 2024 Made Satya Nugraha Gautama, Saranya Pimolkatekul, Nguyen Ngoc Nhat Thanh, published by Shanxi Medical Periodical Press
This work is licensed under the Creative Commons Attribution 4.0 License.