Hasan Md Mayin Uddin, Hoq Mohammad Injamul, Tanju Rijuana Ireen, Jakaria Md, Sayeed Mohammed Abu
Department of Pharmacy, International Islamic University Chittagong, Chittagong, Bangladesh.
Drug Insides and Disease Epidemiology (DIDE), Chittagong, Bangladesh.
Cancer Rep (Hoboken). 2025 Mar;8(3):e70187. doi: 10.1002/cnr2.70187.
Breast cancer is a significant worldwide public health issue that poses a substantial threat to the lives of countless people around the world. Increasing awareness and implementing screening for breast cancer are two of the crucial strategies for decreasing the burden of disease. The study assessed awareness, practice, and perceived barriers to breast cancer screening among university students.
An institution-based cross-sectional study was conducted from June 2023 to December 2023 at the International Islamic University Chittagong (IIUC), Bangladesh, where 387 students were randomly selected for this study.
Among 387 participants, the majority (25.06%) were from the faculty of business administration, whereas 23.51% were from the faculty of science and engineering. Most (80.41%) of respondents had sufficient awareness of breast cancer and its screening. While they were aware of breast cancer screening, majority (67.7%) did not practice it. Students of law faculty were about three times [AOR: 0.31 (95% CI: 0.118-0.828)] and students of business administration faculty were about five times [AOR: 0.21 (95% CI: 0.087-0.532)] less likely to be aware of breast cancer and Breast Self Examination (BSE) than faculty of science and engineering. Also, living in dormitory students were more than two times [AOR: 0.42 (95% CI: 0.189-0.940)] less likely to be aware of breast cancer and screening of breast than those living with family. The majority (52.2% to 79.33%) of the students did not correctly identify different warning signs of breast cancer. Perceptions of having "no signs & symptoms," not having "sufficient organization working on screening," and "lack of awareness program" were found to be leading barriers to breast screening among students.
Though better awareness about breast cancer and its screening was found among the students, low practices were observed in screening. Students of the science and engineering faculty demonstrated a sufficient level of breast cancer awareness than students from other faculties, and students with good screening practice habits of breast cancer were sufficiently aware of breast cancer than poorly practicing students. Still, warning signs of breast cancer are unfamiliar to female students among university students. Frequent awareness campaigns are essential to train the students at regular intervals.
乳腺癌是一个重大的全球公共卫生问题，对世界各地无数人的生命构成了重大威胁。提高对乳腺癌的认识并实施筛查是减轻疾病负担的两个关键策略。该研究评估了大学生对乳腺癌筛查的认识、实践情况以及感知到的障碍。
2023年6月至2023年12月在孟加拉国吉大港国际伊斯兰大学（IIUC）进行了一项基于机构的横断面研究，随机选择387名学生参与本研究。
在387名参与者中，大多数（25.06%）来自工商管理学院，而23.51%来自科学与工程学院。大多数（80.41%）受访者对乳腺癌及其筛查有足够的认识。虽然他们了解乳腺癌筛查，但大多数（67.7%）并未进行筛查。法律学院的学生知晓乳腺癌和乳房自我检查（BSE）的可能性约为科学与工程学院学生的三分之一 [调整后比值比（AOR）：0.31（95%置信区间：0.118 - 0.828）]，工商管理学院的学生知晓乳腺癌和乳房自我检查的可能性约为科学与工程学院学生的五分之一 [AOR：0.21（95%置信区间：0.087 - 0.532）]。此外，与家人同住的学生相比，住宿舍的学生知晓乳腺癌和乳房筛查的可能性降低了两倍多 [AOR：0.42（95%置信区间：0.189 - 0.940）]。大多数（52.2%至79.33%）学生不能正确识别乳腺癌的不同警示信号。认为“没有体征和症状”、“没有足够致力于筛查的组织”以及“缺乏宣传项目”是学生进行乳房筛查的主要障碍。
尽管学生对乳腺癌及其筛查有了更好的认识，但筛查实践情况较差。科学与工程学院的学生对乳腺癌的认识水平高于其他学院的学生，乳腺癌筛查实践良好的学生比实践较差的学生对乳腺癌有更充分的认识。然而，大学生中的女学生对乳腺癌的警示信号并不熟悉。定期开展宣传活动对于定期培训学生至关重要。
