Saeed Rabeeya, Usmani Maaha, Durrani Noureen, Javaid Hamna, Tahir Haya
Family Medicine Department, Liaquat National Hospital, Karachi, Pakistan.
Department of Publication, Liaquat National Hospital, Karachi, Pakistan.
J Family Med Prim Care. 2025 Feb;14(2):637-642. doi: 10.4103/jfmpc.jfmpc_1044_24. Epub 2025 Feb 21.
Of all the cancers in the world, breast carcinoma claims to be the deadliest for women in the world. It is of key importance that early detection of breast cancer is made possible through awareness programs targeting the general population. However, this solution is fraught with obstacles. Noteworthy of these obstacles are lack of education.
To determine knowledge, perception, and utilization of breast cancer screening among women visiting primary care centers in Karachi, Pakistan.
This cross-sectional study was conducted in community-based primary care centers at Liaquat National Hospital Karachi from September 2021 to February 2022.
The data was collected by using a semi-structured questionnaire. The questions were derived from the Cancer Awareness Measure (CAM) scale, the most frequently used and validated tool to assess awareness of cancer risk factors and screening.
Data were analyzed using the Statistical Package for the Social Sciences (SPSS) version 21.
A total of 386 participants were enrolled in the study. The median age of study participants was 32 (IQR=) years. Only a few had correct knowledge regarding the breast cancer screening method (n = 118, 30.6%). However, 114 (29.5%) correctly responded that after 40 years, yearly mammography screening should be conducted (n = 114, 29.5%). The majority considered performing breast self-examination important for health (n = 273, 70.7%). 187 (48.4%) women responded that they once performed a self-examination of their breasts.
The study highlighted a significant gap in knowledge regarding breast cancer screening among women. There is a need to emphasize the integration of health education interventions at the primary care level keeping in mind the health literacy level of our population.
在全球所有癌症中，乳腺癌堪称对全球女性最致命的癌症。通过针对普通人群的宣传项目实现乳腺癌的早期检测至关重要。然而，这一解决方案充满障碍。这些障碍中值得注意的是教育缺失。
确定在巴基斯坦卡拉奇初级保健中心就诊的女性对乳腺癌筛查的知识、认知和利用情况。
本横断面研究于2021年9月至2022年2月在卡拉奇利亚卡特国家医院的社区初级保健中心进行。
使用半结构化问卷收集数据。问题源自癌症认知测量（CAM）量表，这是评估癌症风险因素和筛查认知最常用且经过验证的工具。
使用社会科学统计软件包（SPSS）21版对数据进行分析。
共有386名参与者纳入研究。研究参与者的中位年龄为32岁（四分位间距=）。只有少数人对乳腺癌筛查方法有正确认识（n = 118，30.6%）。然而，114人（29.5%）正确回答40岁后应每年进行乳房X光检查（n = 114，29.5%）。大多数人认为进行乳房自我检查对健康很重要（n = 273，70.7%）。187名（48.4%）女性回答她们曾进行过乳房自我检查。
该研究凸显了女性在乳腺癌筛查知识方面存在重大差距。有必要考虑到我们人群的健康素养水平，强调在初级保健层面整合健康教育干预措施。
