www.academicpublishingplatforms.com ISSN: 1804-1884 (Print) 1805-5014 (Online) Volume 7, 2011, pp. 49-56
© 2011 Prague Development Center
Breast cancer is the most common cancer affecting women in
most parts of the world including Malaysia. Even though breast
self examination (BSE) is not seen as a relevant cancer screening
tool anymore, it still plays an important role in the breast health
awareness programme. Aim of the study to determine the
knowledge of respondents on breast cancer regarding the risk
factors, symptoms, and to determine respondents’ practice of
breast self#examination. A cross sectional study was carried out in
University Putra Malaysia, data were collected using validated
questionnaire developed for this study. Among respondents
197(83.1%) were single, 100 were Malay (42.3%) and 49(20.7%) of
the respondents reported having a family history of breast cancer.
eighty#seven respondents (36.7%) claimed they had practice BSE.
There were statistically significant differences between those who
practice and did not practice BSE in term of knowledge regarding
risk factors, symptoms of breast cancer, total knowledge of breast
cancer and knowledge score of BSE (p#value <0.05). The findings
showed that knowledge of breast cancer and the practice of BSE
is inadequate among young Malaysian female.
MEHRNOOSH AKHTARI-ZAVARE
1
,
MUHAMAD HANAFIAH JUNI
1
,
ROSLIZA ABDUL MANAF
2
,
IRMI ZARINA ISMAIL
2
, SALMIAH MD. SAID
1
1
Department of Community Health,
Faculty of Medicine and Health
Science, University Putra Malaysia
2
Department of Family Medicine,
Faculty of Medicine and Health
Science, University Putra Malaysia
!"#"$%!"!&&!
Breast cancer appears to be a major global health problem of both the developing and
developed countries (World Health Organization, 2009). Similarly, in Malaysia breast
cancer was reported as the most common cancer among female and also the most
important cancer among population regardless of sex in Peninsular Malaysia by the
National Cancer Registry (NCR, 2006). There was 3525 female breast cancer cases
registered in the NCR for 2006, accounted for 16.5% of all cancer cases registered
(National Cancer Registry, 2006).
In Malaysia, 50#60% of women’s with breast cancer presenting at Stage 3 or Stage 4 with
little or no benefit to be derived from any form of therapy (Hisham and Yip, 2004). Also,
among the younger women breast cancer tend to be larger, at a more advanced stage and
more aggressive than those affecting older women (Brennan, 2005). Young women (aged
20#29 years) with breast cancer have a 72.4 per cent mortality rate (National Breast Cancer
Centre, 2004).
The social and cultural perceptions of breast cancer in Malaysia are the most important
contributors to the advanced stage of presentation. Women in Malaysia may seek
alternative and traditional medicine in a desperate effort to combat the disease (Hashim
and Yip, 2003). Breast cancer not only threatens the life of a woman but also affects her
gender identity and body image (Parsa, Kandiah, Mohd Zulkefli, Abdul Rahman, 2008).
There are reliable evidences in the literature which support the effectiveness of CBE and
mammography in reducing mortality due to early detection and treatment of breast cancer
(Larkin, 2001). On the other hand, the effectiveness of BSE in mortality reduction is
contentious which, some scholars argue that practicing BSE make women more “breast
aware” (Larkin, 2001). However, in developing countries like Malaysia where national