Do we need to improve breast cancer education? Attitude towards breast self‑examination and screening programmes among Polish women

Barbara Poniedziałek, Magdalena Rebelka, Kinga Makowska, Justyna Piotrowska, Jacek Karczewski, Piotr Rzymski


Introduction. Breast cancer is a global health threat which requires systematic basic health education and increasing the public attention and awareness. Therefore, breast self‑examination (BSE), however controversial, was largely promoted in many countries including Poland. Moreover, the national breast screening programmes (BSP) were made available to general public.
Aim. The study investigated the attitude towards BSE, BSP and breast cancer as a health threat among Polish women in relation to age, education, place of living and economical status.
Material and methods. An anonymous questionnaire was completed by 751 Polish women. The results were statistically elaborated.
Results. The majority of women declared to know how to perform BSE but only a small part (older females) practiced it regularly (once a month). National BSP were acknowledged by most of surveyed. The higher awareness of BSP was found for women with higher education and economical status whereas the lowest – for women inhabiting small villages and performing BSE rarely or never. Medical doctors and other medical staff were an insignificant source of BSP. Most of responders recognized breast cancer as a serious health threat in Poland.
Conclusion. The general awareness of BSP and BSE among Polish women is satisfactory, yet the percentage of females performing BSE on regular basis remains too low. There is a need to increase the contribution of medical staff in breast cancer education and control activities.


breast cancer; breast self‑examination; public awareness; cancer prevention

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World Health Organization. World Cancer Report. 2014.

Gorini G, Zappa M, Cortini B, Martini A, Mantellini P, Ventura L, Carreras G. Breast cancer mortality trends in Italy by region and screening programme, 1980–2008. J Med Screen. 2014;21:189–193.

Moutel G, Duchange N, Darquy S, de Montgolfier S, Papin‑Lefebvre F, Jullian O, Viguier J, Sancho‑Garnier H; GRED French National Cancer Institute. Women's participation in breast cancer screening in France – an ethical approach. BMC Med Ethics. 2014;15:64.

Jack RH, Møller H, Robson T, Davies EA. Breast cancer screening uptake among women from different ethnic groups in London: a population‑based cohort study. BMJ Open. 2014;4:e005586.

Nelson HD, Tyne K, Naik A, Bougatsos C, Chan BK, Humphrey L. U.S. Preventive Services Task Force. Screening for breast cancer: an update for the U.S. Preventive Services Task Force. Ann Intern Med. 2009;151(10):727–737.

Carney PA, Miglioretti DL, Yankaskas BC, Kerlikowske K, Rosenberg R, Rutter CM, et al. Individual and combined effects of age, breast density, and hormone replacement therapy use on the accuracy of screening mammography. Ann Intern Med. 2003;138(3):168–175.

Akbari Sari A, Mobinizadeh M, Azadbakht M. A systematic review of the effects of diffuse optical imaging in breast diseases. Iran J Cancer Prev. 2013;6:44–51.

Rzymski P, Wilczak M, Opala T. Breast elastography – new diagnostic quality or technologic bubble. Post Hig. 2014;68:1180–1183.

Gartlehner G, Thaler KJ, Chapman A, Kaminski A, Berzaczy D, Van Noord MG, Helbich TH. Adjunct ultrasonography for breast cancer screening in women at average risk: a systematic review. Int J Evid Based Healthc. 2013;11:87–93.

Baines CJ, Wall C, Risch HA, Kuin JK, Fan IJ. Changes in breast self‑examination behavior in a cohort of 8214 women in the Canadian National Breast Screening Study. Cancer. 1986;57(6):1209–16.

Kösters JP, Gøtzsche PC. Regular self‑examination or clinical examination for early detection of breast cancer. Cochrane Database Syst Rev. 2003;2:CD003373.

Thomas DB, Gao DL, Ray RM, Wang WW, Allison CJ, Chen FL, Porter P, Hu YW, Zhao GL, Pan LD, Li W, Wu C, Coriaty Z, Evans I, Lin MG, Stalsberg H, Self SG. Randomized trial of breast self‑examination in Shanghai: final results. J Natl Cancer Inst. 2002;94:1445–1457.

Spiegel TN, Hill KA, Warner E. The attitudes of women with BRCA1 and BRCA2 mutations toward clinical breast examinations and breast self‑examinations. J Womens Health (Larchmt). 2009;18:1019–1024.

Baxter N, Canadian Task Force on Preventive Health Care. Preventive health care, update: should women be routinely taught breast self‑examination to screen for breast cancer? CMAJ. 2001;164:1837–1846.

Kearney AJ, Murray M. Evidence against breast self examination is not conclusive: what policymakers and health professionals need to know. J Public Health Policy. 2006; 27:282–292.

The Canadian Task Force on Preventive Health Care. Recommendations on screening for breast cancer in average‑risk women aged 40–74 years. CMAJ. 2011;183: 1991–2001.


Austoker J. Breast self examination. BMJ. 2003;326,1–2.

Lepecka‑Klusek C, Jakiel G, Krasuska ME, Stanisławek A. Breast self‑examination among Polish women of procreative age and the attached significance. Cancer Nurs. 2007;30:64–68.

Slusarska B, Zarzycka D, Wysokiński M, Sadurska A, Adamska‑Kuźmicka I, Czekirda M. Health behaviours and cancer prevention among Polish women. Eur J Cancer Care (Engl). 2010;19:786–794.

Berkiten A, Sahin NH, Sahin FM, Yaban ZS, Acar Z, Bektas H. Meta analysis of studies about breast self examination between 2000–2009 in Turkey. Asian Pac J Cancer Prev. 2012;13:3389–3397.

Al‑Dubai SA, Ganasegeran K, Alabsi AM, Abdul Manaf MR, Ijaz S, Kassim S. Exploration of barriers to breast‑self examination among urban women in Shah Alam, Malaysia: a cross sectional study. Asian Pac J Cancer Prev. 2012;13:1627–1632.

Funke L, Krause‑Bergmann B, Pabst R, Nave H. Prospective analysis of the long‑term effect of teaching breast self‑examination and breast awareness. Eur J Cancer Care (Engl). 2008;17:477–482.

Yurdakos K, Gulhan YB, Unalan D, Ozturk A. Knowledge, attitudes and behaviour of women working in government hospitals regarding breast self examination. Asian Pac J Cancer Prev. 2013;14:4829–4834.

Lorenc A, Pop T, Boychk T. Wiedza kobiet po 40 roku życia o czynnikach ryzyka i profilaktyce raka piersi. Young Sport Science of Ukraine. 2012;4:59–65.

Najdyhor E, Krajewska‑Kułak E, Krajewska‑Ferishah K. Wiedza kobiet i mężczyzn na temat profilaktyki raka piersi. Ginekol Pol. 2013;84:116–125.

Woźniak I. Wiedza o schorzeniach nowotworowych narządów kobiecych i postawy kobiet wobec badań profilaktycznych. Probl Pielęg. 2008;16:136–143.

Zbucka M, Leśniewska M, Knapp P, Wołczyński S. Czy można wpłynąć na ryzyko wystąpienia raka piersi. Prz Menopauz. 2005;6:70–75.

Robert SA, Strombom I, Trentham‑Dietz A, Hampton JM, McElroy JA, Newcomb PA, Remington PL. Socioeconomic risk factors for breast cancer: distinguishing individual‑and community‑level effects. Epidemiology. 2004; 15:442–450.

Hall IJ, Rim SH, Johnson‑Turbes CA, Vanderpool R, Kamalu NN. The African American Women and Mass Media campaign: a CDC breast cancer screening project. J Womens Health (Larchmt). 2012;21:1107–1113.

Leslie NS. Role of the nurse practitioner in breast and cervical cancer prevention. Cancer Nurs. 1995;18:251–257.

Suleiman AK. Awareness and attitudes regarding breast cancer and breast self‑examination among female Jordanian students. J Basic Clin Pharm. 2014;5:74–78.

Al‑Sharbatti SS, Shaikh RB, Mathew E, Al‑Biate MA. Assessment of Breast Cancer Awareness among Female University Students in Ajman, United Arab Emirates. Sultan Qaboos Univ Med J. 2014;14:e522–529.

Blendon RJ, Benson JM, Hero JO. Public trust in physicians – U.S. medicine in international perspective. N Engl J Med. 2014 ;371:1570–1572.


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