{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T14:56:43Z","timestamp":1789570603764,"version":"build-2803163510"},"reference-count":40,"publisher":"Public Library of Science (PLoS)","issue":"9","license":[{"start":{"date-parts":[[2021,9,13]],"date-time":"2021-09-13T00:00:00Z","timestamp":1631491200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Breast cancer (BCa) is a leading cause of mortality among women in Bangladesh. Many young women in Bangladesh have poor knowledge about breast cancer screening, including risk factors, warning signs\/symptoms, diagnosis and early detection. We investigated awareness about breast cancer risk factors as a screening tool among women at the Sheikh Hasina Medical College (SHMC) of Tangail district in Bangladesh.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross sectional survey was conducted to collect data via a structured questionnaire from SHMC during the period of February to December 2019. A total of 1,007 participants (aged 33.47 (\u00b112.37 years)) was considered for data analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 1,007 women, about 50% were knowledgeable about the risk factors. Pain in the breast was identified as the most commonly warning sign\/symptom of breast cancer. Only 32.2% of respondents knew at least one breast cancer screening method. The mean knowledge was scored 3.43 \u00b1 2.25 out of a total possible score of 8. Awareness of BCa was associated with residence, family history of breast cancer, marital, literacy and socio-economic status (\n                      <jats:italic>p<\/jats:italic>\n                      &lt;0.05). Only 14.7% of women who knew about BSE said they were conducting regular breast self-examination. Unmarried women (aOR: 2.971; 95% CI: 1.108\u20137.968) were more likely to have performed BSE compared to married women (\n                      <jats:italic>p<\/jats:italic>\n                      &lt;0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Although most participants were aware of breast cancer; knowledge about risk factors, warning signs\/symptoms, early diagnosis and detection was relatively poor. Knowledge about performing BSE was particularly low. This highlights the importance of increasing awareness about breast cancer risk factors and early detection among young women in Bangladesh.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0257271","type":"journal-article","created":{"date-parts":[[2021,9,13]],"date-time":"2021-09-13T13:28:40Z","timestamp":1631539720000},"page":"e0257271","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":36,"title":["Evaluation of knowledge, awareness and attitudes towards breast cancer risk factors and early detection among females in Bangladesh: A hospital based cross-sectional study"],"prefix":"10.1371","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4723-5256","authenticated-orcid":true,"given":"Nur E.","family":"Alam","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Md. Shariful","family":"Islam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hedayet","family":"Ullah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Md. Tarek","family":"Molla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siratul Kubra","family":"Shifat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sumaiya","family":"Akter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salma","family":"Aktar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mst. Mahmuda","family":"Khatun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Md. Rayhan","family":"Ali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tapon Chandra","family":"Sen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamal","family":"Chowdhury","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rehana","family":"Pervin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4188-6592","authenticated-orcid":true,"given":"A. K. M.","family":"Mohiuddin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2021,9,13]]},"reference":[{"key":"pone.0257271.ref001","doi-asserted-by":"crossref","first-page":"1093","DOI":"10.7314\/APJCP.2014.15.3.1093","article-title":"Awareness and practices regarding breast and cervical cancer among Turkish women in Gazientep","volume":"15","author":"G Karadag","year":"2014","journal-title":"Asian Pacific J Cancer Prev"},{"key":"pone.0257271.ref002","first-page":"1","article-title":"Breast cancer awareness among women in Eastern China: A cross-sectional study","volume":"14","author":"LY Liu","year":"2014","journal-title":"BMC Public Health"},{"key":"pone.0257271.ref003","first-page":"1","volume":"0","author":"H Sung","year":"2021","journal-title":"Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries"},{"key":"pone.0257271.ref004","unstructured":"Breast cancer. Available: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/breast-cancer."},{"key":"pone.0257271.ref005","article-title":"Breast cancer in low- and middle-income countries: An emerging and challenging epidemic","volume":"2010","author":"A Shamseddine","year":"2010","journal-title":"J Oncol"},{"key":"pone.0257271.ref006","first-page":"361","article-title":"Breast tumors and college students: a study of their knowledge, attitude and practice","volume":"4","author":"CR Jadhav","year":"2017","journal-title":"Indian J Pathol Oncol"},{"key":"pone.0257271.ref007","doi-asserted-by":"crossref","first-page":"394","DOI":"10.3322\/caac.21492","article-title":"Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"68","author":"F Bray","year":"2018","journal-title":"CA Cancer J Clin"},{"key":"pone.0257271.ref008","first-page":"576","article-title":"Awareness, knowledge and attitude towards breast cancer, breast screening and early detection techniques among women in Pakistan","volume":"68","author":"AA Naqvi","year":"2018","journal-title":"J Pak Med Assoc."},{"key":"pone.0257271.ref009","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2012\/423562","article-title":"Improving Outcomes from Breast Cancer in a Low-Income Country: Lessons from Bangladesh","volume":"2012","author":"HL Story","year":"2012","journal-title":"Int J Breast Cancer"},{"key":"pone.0257271.ref010","unstructured":"Hospital Cancer Registry Report 2015\u20132017. Available: https:\/\/dghs.gov.bd\/images\/docs\/Publicaations\/Cancerregistry_2.pdf."},{"key":"pone.0257271.ref011","first-page":"9","article-title":"The Global Cancer Observatory","volume":"745","year":"2020","journal-title":"Globocan 2020, Bangladesh"},{"key":"pone.0257271.ref012","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1016\/j.canep.2014.08.004","article-title":"Breast cancer in South Asia: A Bangladeshi perspective","volume":"38","author":"MS Hossain","year":"2014","journal-title":"Cancer Epidemiol"},{"key":"pone.0257271.ref013","doi-asserted-by":"crossref","first-page":"7507","DOI":"10.7314\/APJCP.2015.16.17.7507","article-title":"Association assessment among risk factors and breast cancer in a low income country: Bangladesh","volume":"16","author":"K Ahmed","year":"2015","journal-title":"Asian Pacific J Cancer Prev"},{"key":"pone.0257271.ref014","doi-asserted-by":"crossref","first-page":"41","DOI":"10.7575\/aiac.abcmed.v.7n.1p.41","article-title":"Systematic Review on Knowledge and Awareness of Breast Cancer and Risk Factors Among Young Women","volume":"7","author":"AH Almutairi","year":"2019","journal-title":"Adv Biosci Clin Med"},{"key":"pone.0257271.ref015","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1186\/1447-056X-7-6","article-title":"Breast cancer in Iran: need for greater women awareness of warning signs and effective screening methods","volume":"7","author":"A Montazeri","year":"2008","journal-title":"Asia Pac Fam Med"},{"key":"pone.0257271.ref016","doi-asserted-by":"crossref","first-page":"e03753","DOI":"10.1016\/j.heliyon.2020.e03753","article-title":"A hospital based survey to evaluate knowledge, awareness and perceived barriers regarding breast cancer screening among females in Bangladesh","volume":"6","author":"MN Amin","year":"2020","journal-title":"Heliyon"},{"key":"pone.0257271.ref017","first-page":"319","article-title":"Breast cancer: Awareness and risk factors in college-going younger age group women in Rajasthan","volume":"11","author":"P Yadav","year":"2010","journal-title":"Asian Pacific J Cancer Prev"},{"key":"pone.0257271.ref018","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1016\/j.maturitas.2015.11.002","article-title":"Awareness of breast cancer and barriers to breast screening uptake in Bangladesh: A population based survey","volume":"84","author":"RM Islam","year":"2016","journal-title":"Maturitas"},{"key":"pone.0257271.ref019","doi-asserted-by":"crossref","DOI":"10.1155\/2014\/306352","article-title":"Awareness Levels about Breast Cancer Risk Factors, Early Warning Signs, and Screening and Therapeutic Approaches among Iranian Adult Women: A large Population Based Study Using Latent Class Analysis","volume":"2014","author":"M Tazhibi","year":"2014","journal-title":"Biomed Res Int"},{"key":"pone.0257271.ref020","first-page":"1623","article-title":"Awareness about breast cancer and its screening among rural Egyptian women, Minia District: A population-based study","volume":"18","author":"EE Hassan","year":"2017","journal-title":"Asian Pacific J Cancer Prev"},{"key":"pone.0257271.ref021","doi-asserted-by":"crossref","first-page":"1273","DOI":"10.1007\/s11165-016-9602-2","article-title":"The Use of Cronbach\u2019s Alpha When Developing and Reporting Research Instruments in Science Education","volume":"48","author":"KS Taber","year":"2018","journal-title":"Res Sci Educ"},{"key":"pone.0257271.ref022","first-page":"vi101","article-title":"Knowledge and Awareness of Early Detection Methods and Risk Factors towards Breast and Cervical Cancer in Bangladesh","volume":"30","author":"MS Islam","year":"2019","journal-title":"Ann Oncol"},{"key":"pone.0257271.ref023","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1471-2458-8-359","article-title":"Awareness of breast cancer risk factors and practice of breast self examination among high school students in Turkey","volume":"8","author":"\u00d6 Karayurt","year":"2008","journal-title":"BMC Public Health"},{"key":"pone.0257271.ref024","doi-asserted-by":"crossref","first-page":"4307","DOI":"10.7314\/APJCP.2013.14.7.4307","article-title":"Breast cancer awareness among saudi females in Jeddah","volume":"14","author":"SM Radi","year":"2013","journal-title":"Asian Pacific J Cancer Prev"},{"key":"pone.0257271.ref025","doi-asserted-by":"crossref","first-page":"1373","DOI":"10.1038\/sj.bjc.6600260","article-title":"Women\u2019s knowledge and beliefs regarding breast cancer","volume":"86","author":"EA Grunfeld","year":"2002","journal-title":"Br J Cancer"},{"key":"pone.0257271.ref026","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1007\/s10900-010-9307-9","article-title":"Knowledge of Breast cancer and screening practices among Iranian immigrant women in Toronto","volume":"36","author":"M. Vahabi","year":"2011","journal-title":"J Community Health"},{"key":"pone.0257271.ref027","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1177\/004947559902900114","article-title":"Cancer awareness among a Nigerian population","volume":"29","author":"EEO Uche","year":"1999","journal-title":"Trop Doct"},{"key":"pone.0257271.ref028","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1477-7819-4-11","article-title":"Knowledge, attitude and practice of Nigerian women towards breast cancer: A cross-sectional study","volume":"4","author":"MN Okobia","year":"2006","journal-title":"World J Surg Oncol"},{"key":"pone.0257271.ref029","first-page":"2531","article-title":"Awareness and knowledge of breast cancer and mammography among a group of malaysian women in shah alam","volume":"12","author":"SAR Al-Dubai","year":"2011","journal-title":"Asian Pacific J Cancer Prev"},{"key":"pone.0257271.ref030","first-page":"221","article-title":"Knowledge and behavior regarding breast cancer screening among female teachers in Selangor, Malaysia.","volume":"9","author":"P Parsa","year":"2008","journal-title":"Asian Pacific J Cancer Prev"},{"key":"pone.0257271.ref031","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1097\/01.cej.0000136718.03089.a5","article-title":"Awareness of breast cancer incidence and risk factors among healthy women","volume":"13","author":"UG P\u00f6hls","year":"2004","journal-title":"Eur J Cancer Prev"},{"key":"pone.0257271.ref032","first-page":"681","article-title":"Breast cancer awareness and breast self-examination in northern saudi arabia. A preliminary survey","volume":"34","author":"DM Hussein","year":"2013","journal-title":"Saudi Med J"},{"issue":"1","key":"pone.0257271.ref033","first-page":"96","article-title":"Knowledge, Attitude and Practice of Bangladeshi Women towards Breast Cancer: A Cross Sectional Study","volume":"28","author":"S A Begum","year":"2019","journal-title":"Mymensingh Med J"},{"key":"pone.0257271.ref034","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1186\/1471-2458-13-1209","article-title":"Awareness of breast cancer among adolescent girls in Colombo, Sri Lanka: A school based study","volume":"13","author":"HM Ranasinghe","year":"2013","journal-title":"BMC Public Health"},{"key":"pone.0257271.ref035","first-page":"1737","article-title":"Breast cancer. Knowledge, attitudes and practices of breast self examination among women in Qassim region of Saudi Arabia","volume":"27","author":"S Jahan","year":"2006","journal-title":"Saudi Med J."},{"key":"pone.0257271.ref036","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1371\/journal.pone.0226925","article-title":"Assessment of knowledge and practice of breast self-examination among reproductive age women in Akatsi South district of Volta region of Ghana","volume":"14","author":"R Dadzi","year":"2019","journal-title":"PLoS One"},{"key":"pone.0257271.ref037","first-page":"509","article-title":"Knowledge and practice of breast cancer screening amongst public health nurses in Singapore","volume":"43","author":"PN Chong","year":"2002","journal-title":"Singapore Med J"},{"key":"pone.0257271.ref038","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1111\/j.1524-4741.2011.01065.x","article-title":"Survey on a mammographic screening program in Istanbul, Turkey","volume":"17","author":"V Ozmen","year":"2011","journal-title":"Breast J"},{"key":"pone.0257271.ref039","first-page":"681","article-title":"Predictors of adherence to clinical breast examination and mammography screening among Malaysian women","volume":"11","author":"P Parsa","year":"2010","journal-title":"Asian Pacific J Cancer Prev"},{"key":"pone.0257271.ref040","first-page":"15406","article-title":"Epidemiology based study on the risk factors of breast cancer research: the Bangladesh perspective","volume":"7","author":"MM Khudri","year":"2018","journal-title":"Biometrics Biostat Int J"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0257271","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,13]],"date-time":"2021-09-13T13:29:21Z","timestamp":1631539761000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0257271"}},"subtitle":[],"editor":[{"given":"Muhammad Sajid Hamid","family":"Akash","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2021,9,13]]},"references-count":40,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2021,9,13]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0257271","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,13]]}}}