THE AWARENESS AND PRACTICE OF BREAST SELF-EXAMINATION (BSE) AMONG FEMALE UNIVERSITY STUDENTS IN SELANGOR, MALAYSIA: A CROSS-SECTIONAL STUDY

Authors

  • Nurul Syaherah Binti Mohd Shukur Faculty of Medicine, University of Cyberjaya, Persiaran Bestari, Cyber 11, 63000 Cyberjaya, Selangor, Malaysia.
  • Thirbashini A/P Nadarajan Faculty of Medicine, University of Cyberjaya, Persiaran Bestari, Cyber 11, 63000 Cyberjaya, Selangor, Malaysia.
  • Najaa Dhaniah Binti Kamarazaman Faculty of Medicine, University of Cyberjaya, Persiaran Bestari, Cyber 11, 63000 Cyberjaya, Selangor, Malaysia.
  • Kaswina A/P Narasimma Faculty of Medicine, University of Cyberjaya, Persiaran Bestari, Cyber 11, 63000 Cyberjaya, Selangor, Malaysia.
  • Altaaf Bin Ahmad Faizal Faculty of Medicine, University of Cyberjaya, Persiaran Bestari, Cyber 11, 63000 Cyberjaya, Selangor, Malaysia.
  • G M Kibria Faculty of Medicine, University of Cyberjaya, Persiaran Bestari, Cyber 11, 63000 Cyberjaya, Selangor, Malaysia.

DOI:

https://doi.org/10.37268/mjphm/vol.25/no.2/art.2880

Abstract

Breast cancer, the most prevalent cancer among women worldwide and in Malaysia, has an escalating incidence, underscoring the critical importance of early detection through breast self-examination (BSE) to enhance survival rates. This study aimed to evaluate the awareness and practice of BSE among female university students in Selangor, Malaysia. Conducted over five months, a cross-sectional study gathered data from 359 female university students aged 18-30 years, utilizing snowball and convenience sampling methods. Data were collected using a validated and structured online questionnaire. The findings revealed that only 32.9% of respondents were aware of and effectively practiced BSE, with 38.7% lacking awareness and engagement, and 28.4% being aware but not practicing. Although respondents demonstrated high awareness of breast cancer symptoms (55.7%) and treatment (56.8%), a notable majority exhibited low awareness of risk factors (49.9%) and BSE knowledge (52.6%). Among those with low awareness, 40.11% did not perform BSE, while 12.53% did. In contrast, among those with moderate awareness, 23.4% performed BSE, while 15.04% did not. Remarkably, among respondents with high awareness, 5.01% engage in BSE, surpassing the 3.90% who do not, highlighting a discrepancy between awareness and practice. This study highlights a concerning gap between awareness and practice attitudes regarding breast self-examination (BSE) among female university students in Selangor, Malaysia. A significant portion of the participants exhibited low awareness and practice of BSE despite high awareness of breast cancer symptoms and treatment. This indicates a critical need for targeted interventions to bridge this disparity and improve breast health outcomes in this demographic.

References

Lee MS, Ma’ruf AAC, Izhar NDP, et al. Awareness on breast cancer screening in Malaysia: a cross sectional study. BioMedicine 2019 Aug 27;9(3):18.

Momenimovahed Z, Salehiniya H. Epidemiological Characteristics of and Risk Factors for Breast Cancer in the World. Breast Cancer: Targets and Therapy 2019;11(11):151–64.

Institut Kanser Negara. THE MALAYSIA SUMMARY OF NATIONAL CANCER [Internet]. 2017. Available from: https://nci.moh.gov.my/images/pdf_folder/SUMMARY-OF-MALAYSIA-NATIONAL-CANCER-REGISTRY-REPORT-2017-2021.pdf

Ismail SNA, Nor Azman ND, Thomas Sudin AEL, et al. Evaluation of Knowledge, Practice, and Barriers Towards Breast Self-Examination (BSE). HEALTH AND WELLNESS II 2022;18(s15):190–6.

Ali Syed SK, Jalil H, Mri H. Breast cancer: breast self-examination (BSC) practice. Int Phys Med Rehabil J 2018;3(5).

Loh SY, Chew SL. Awareness and practice of breast self examination among malaysian women with breast cancer. Asian Pac J Cancer Prev 2011;12(1):199–202.

Hassan MR, Ghazi HF, Mohamed A, et al. Knowledge and practice of breast self-examination among female non-medical students in Universiti Kebangsaan Malaysia (UKM) in Bangi. Malaysian Public Health Physicians’ Association 2017;17(1):51-58.

Lamport L, Andre T. AIDS knowledge and responsibility. Youth Society, 1993;25, 38-62.

Facione NC, Giancarlo C, Chan L. Perceived risk and help-seeking behavior for breast cancer: A Chinese-American perspective. Cancer Nurs 2000;23(4):258–67.

Chee HL, Rashidah S, Shamsuddin K, et al. Knowledge and practice of breast self examination and Pap smear screening among a group of electronics women workers. Med J Malaysia 2003;58(3):320–9.

Nimir A, Sami, Al-Shagga M, et al. Knowledge and practice of breast self-examination among students in a private higher learning institution in malaysia. Malaysian Journal of Public Health Medicine 2014;14:47–53.

Paruchuri S, Sim S, Balasubramanian GP, et al. Knowledge Assessment on Breast Cancer and Breast Self-Examination Practice among Female University Students in Kedah, Malaysia. Malaysia Systematic Reviews in Pharmacy 2021;12:800–8.

Ali AN, Yuan FJ, Ying CH, et al. Effectiveness of Intervention on Awareness and Knowledge of Breast Self-Examination among the Potentially at Risk Population for Breast Cancer. Asian Oncol. Res. J. 2019 2(1):79-91.

Ali AN, Yuan FJ, Ying CH, et al. Awareness, Knowledge and Attitude towards Breast Self-examination: A Cross-sectional Study among Female Pharmacy Students in Malaysia. Int. Res. J. Oncol 2020;2(2):180-9.

Hussein DM, Alorf SH, Al-Sogaih YS, et al. Breast cancer awareness and breast self-examination in Northern Saudi Arabia: A preliminary survey. Saudi Medical Journal, 2013;34(7), 681-688.

Ossai EN, Azuogu BN, Ogaranya IO, et al. Predictors of practice of breast self-examination: A study among female undergraduates of Ebonyi State University, Abakaliki, Nigeria. Niger J Clin Pract 2019;22(3):361.

Rawashdeh M, Zaitoun M, McEntee MF, et al. Knowledge, attitude and practice regarding clinical and self breast examination among radiology professionals. Breast Cancer Manag 2018;7(3).

Akhtari-Zavare M, Juni MH, Abdul Manaf R, Md Said S. Knowledge on breast cancer and practice of breast self-examination among selected female university students in Malaysia. Med Health Sci J. 2011;7:49–56.

Gwarzo UMD, Sabitu K, Idris SH. Knowledge and practice of breast-self examination among female undergraduate students of Ahmadu Bello University Zaria, Northwestern Nigeria. Ann Afr Med 2009;8(1):55.

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Published

2025-08-28

How to Cite

Nurul Syaherah Binti Mohd Shukur, Thirbashini A/P Nadarajan, Najaa Dhaniah Binti Kamarazaman, Kaswina A/P Narasimma, Altaaf Bin Ahmad Faizal, & G M Kibria. (2025). THE AWARENESS AND PRACTICE OF BREAST SELF-EXAMINATION (BSE) AMONG FEMALE UNIVERSITY STUDENTS IN SELANGOR, MALAYSIA: A CROSS-SECTIONAL STUDY. Malaysian Journal of Public Health Medicine, 25(2), 91–99. https://doi.org/10.37268/mjphm/vol.25/no.2/art.2880