Skip to main content
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 Cover

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.

Figure 2.

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

Figure 3.

The influential factors for knowledge and awareness in reproductive women.

Figure 4.

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
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues 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.