Attitudes and knowledge towards breast cancer among non-healthcare workers at an educational institution
Journal
JCO Oncology Practice
ISSN
2688-1527
2688-1535
Publisher
American Society of Clinical Oncology (ASCO)
Date Issued
2025
Author(s)
Esparza-Orozco, Maria Fernanda
Esparza Orozco, Raúl Emiliano
Cruz-Zermeño, Mayte
Mendez-Bribiesca, Sofia Alejandra
Lagunas-Medina, Alex
Rivas-Ayala, Lourdes
Aguilar-Ortega, Diana Alejandra
Type
text::journal::journal article
Abstract
Background: Breast cancer (BC) is the leading cause of cancer-related death among Mexican women. Knowledge about BC is limited and often restricted to healthcare workers. Evaluating knowledge among non-healthcare workers (non-HCWs) allows us to depict a more realistic view of the general population's awareness. This study aimed to evaluate knowledge and attitudes towards BC among non-HCWs in a private educational institution. Methods: A validated and translated 32-item electronic questionnaire was administered to non-HCWs of an educational institution with or without personal/family history of cancer, teachers and medical staff were excluded. It assessed BC warning signs, breast self-examination (BSE), and screening practices. Sociodemographic data were collected. Descriptive statistics and Pearson’s test were used for analysis. Results: Of 119 eligible participants, 102 (60% women, median age 43 [range 21–62]) completed the survey; 47% were maintenance and 32% security staff. Most were married (44%) and had completed high school (31%); 13% had a university degree. 97% had no personal history of cancer, and 50% reported a family history of cancer. An average of 8.1 (SD ±2.2) out of 11. BC warning signs were identified. Women identified more than men (8.5 vs. 7.6, p = 0.02). The most recognized sign was a breast lump (85.2%); the least was nipple inversion (54.9%). Family (59%) and personal (57%) history of BC were the most commonly identified risk factors; late menopause was the least (9.8%). Regarding BSE, 38% rarely or never performed it, especially men (65%), individuals < 40 years (41%), and those without family history (41%). Women performed BSE more frequently, 30.6% reported weekly practice. BSE was more common among women (80%), > 40yo (65%), and those with family history (84%). While 86% felt confident detecting breast changes, confidence was lower in men and < 40yo (both 15%). Most (90.1%) would consult a physician when detecting a change. For BC screening, 81% were aware of screening tests, 43.3% knew the correct starting age and none knew the stopping age (p < 0.05). Misreporting the starting age was more common among men (80%), < 40yo (63%), and those without family history (60%). Women (58%), > 40yo (46%), and those with family history (47%) responded more accurately. 53.2% of women reported being invited to a BC detection program, and 74% had undergone screening. 10.7% of screening-eligible women had not yet started it. No other significant association was found. Conclusions: While BC signs were widely recognized, knowledge of risk factors and screening was limited, particularly among men and younger participants. Findings highlight the need for targeted education strategies to improve BC awareness among non-HCWs. ©The authors ©American Society of Clinical Oncology.
How to cite
Esparza-Orozco, M. F., Esparza Orozco, R. E., Cruz-Zermeño, M., Mendez-Bribiesca, S. A., Lagunas-Medina, A., Rivas-Ayala, L., & Aguilar-Ortega, D. A. (2025). Attitudes and knowledge towards breast cancer among non-healthcare workers at an educational institution. JCO Oncology Practice, 21(10_suppl), 149–149. https://doi.org/10.1200/op.2025.21.10_suppl.149