{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T12:06:55Z","timestamp":1771675615211,"version":"3.50.1"},"reference-count":25,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2019,8,25]],"date-time":"2019-08-25T00:00:00Z","timestamp":1566691200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: Breast cancer (BC) is ranked as the most frequently diagnosed cancer site among women in Saudi Arabia. Several studies in Saudi Arabia have reported low awareness of BC and significant obstacles to early presentation among Saudi women. A key sociocultural obstacle against breast screening and early detection of BC in several conservative cultures is that men manage women\u2019s choices and activities. The aim of this research is to find out the key background knowledge, attitudes, and related practice among male partners in the city of Abha in relation to women\u2019s BC prevention and means for early detection. Methods: A cross-sectional study targeting husbands aged 20 years or older chosen from the outpatient clinics in the Urban Primary Health Care Centers in Abha City. Through questionnaires, interview data were collected regarding knowledge about BC and wife practices and attitudes towards BC. Results: The study included 832 husbands. The study showed that only 20.2% (95% confidence interval (CI): 19.9\u201324.1) of husbands had heard about mammography and only 22.1% had heard about breast self-examination among women as a screening test for BC. The most commonly mentioned variations that might occur in relation to BC were size changes (45.6%). The leading source of BC knowledge was from television (48.9%), and the least-mentioned source of information was healthcare workers (22.4%). Husbands mentioned that only 9.3% of wives had been examined before by mammography. In a multivariate logistic regression of male factors associated with wives\u2019 practices and attitudes towards BC, only good knowledge among husbands was a significant factor. Conclusions: The study documented the low level of BC knowledge among male partners. There is an urgent need to pay more consideration to disseminating awareness among men, as they are associates, and they must be armed with proper awareness. There is an urgent demand for establishing a national program and educational campaigns towards BC. Stressing the advantages and access to free mammography is necessary.<\/jats:p>","DOI":"10.3390\/ijerph16173089","type":"journal-article","created":{"date-parts":[[2019,8,26]],"date-time":"2019-08-26T04:38:23Z","timestamp":1566794303000},"page":"3089","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Male Partners\u2019 Knowledge, Attitudes, and Perception of Women\u2019s Breast Cancer in Abha, Southwestern Saudi Arabia"],"prefix":"10.3390","volume":"16","author":[{"given":"Hassan M.","family":"Al-Musa","sequence":"first","affiliation":[{"name":"Department of Family and Community Medicine, College of Medicine, King Khalid University, Abha 61421, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5687-6621","authenticated-orcid":false,"given":"Nabil J.","family":"Awadalla","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, College of Medicine, King Khalid University, Abha 61421, Saudi Arabia"},{"name":"Department of Community Medicine, College of Medicine Mansoura University, Mansoura 35516, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4974-6431","authenticated-orcid":false,"given":"Ahmed A.","family":"Mahfouz","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, College of Medicine, King Khalid University, Abha 61421, Saudi Arabia"},{"name":"Department of Epidemiology, High Institute of Public Health, Alexandria University, Alexandria 21511, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2019,8,25]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1176","DOI":"10.15537\/smj.2015.10.12268","article-title":"Recent incidence and descriptive epidemiological survey of breast cancer in Saudi Arabia","volume":"36","author":"Saggu","year":"2015","journal-title":"Saudi Med. J."},{"key":"ref_2","first-page":"9326","article-title":"Trends and Projections of Breast Cancer in Saudi Arabia-A National Incidence Rates by Gender, Age, Nationality, and Years (1999-2014)","volume":"12","author":"Ahmed","year":"2019","journal-title":"Biomed. J. Sci. Tech. Res."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"35","DOI":"10.11604\/pamj.2014.19.35.2849","article-title":"Breast cancer in women younger than 30 years: prevalence rate and imaging findings in a symptomatic population","volume":"19","author":"Makanjuola","year":"2014","journal-title":"Pan Afr. Med J."},{"key":"ref_4","unstructured":"(2019, August 24). Registry SC: Cancer Incidence Report, Saudi Arabia, 2015, Available online: https:\/\/nhic.gov.sa\/eServices\/Documents\/E%20SCR%20final%206%20NOV.pdf."},{"key":"ref_5","first-page":"1","article-title":"Cancer Control Priorities and Challenges in Saudi Arabia: A Preliminary projection of Cancer Burden","volume":"6","author":"Alattas","year":"2019","journal-title":"Lung"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/j.jcpo.2017.03.004","article-title":"Breast cancer in Saudi Arabia and its possible risk factors","volume":"12","author":"Almutlaq","year":"2017","journal-title":"J. Cancer Policy"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1093\/jnci\/djp018","article-title":"Prevention of breast cancer in postmenopausal women: approaches to estimating and reducing risk","volume":"101","author":"Cummings","year":"2009","journal-title":"J. Natl. Cancer Inst."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1557","DOI":"10.1200\/JCO.2019.37.15_suppl.1557","article-title":"Breast cancer screening adherence at multiple timepoints over eight years among women in a familial cohort","volume":"37","author":"Schaeffer","year":"2019","journal-title":"Am. Soc. Clin. Oncol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1002\/cncr.31840","article-title":"The incidence of fatal breast cancer measures the increased effectiveness of therapy in women participating in mammography screening","volume":"125","author":"Dean","year":"2019","journal-title":"Cancer"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"516","DOI":"10.1007\/s13187-013-0495-8","article-title":"Breast cancer knowledge and related behaviors among women in Abha city, southwestern Saudi Arabia","volume":"28","author":"Mahfouz","year":"2013","journal-title":"J. Cancer Educ."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1007\/s13187-016-1119-x","article-title":"Low awareness of breast cancer and considerable barriers to early presentation among Saudi women at a primary care setting","volume":"33","year":"2018","journal-title":"J. Cancer Educ."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1007\/s13187-016-1057-7","article-title":"Breast cancer knowledge and screening practice and barriers among women in Madinah, Saudi Arabia","volume":"33","author":"Alharbi","year":"2018","journal-title":"J. Cancer Educ."},{"key":"ref_13","first-page":"547","article-title":"Men\u2019s knowledge and attitude towards breast cancer in Saudi Arabia","volume":"33","author":"Abduljabbar","year":"2012","journal-title":"Saudi Med. J."},{"key":"ref_14","unstructured":"Lwanga, S.K., Lemeshow, S., and Organization, W.H. (2019, August 24). Sample size determination in health studies: A practical manual. Available online: https:\/\/apps.who.int\/iris\/handle\/10665\/40062."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Alotaibi, R.M., Rezk, H.R., Juliana, C.I., and Guure, C. (2018). Breast cancer mortality in Saudi Arabia: Modelling observed and unobserved factors. PLoS ONE, 13.","DOI":"10.1371\/journal.pone.0206148"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1177\/1359105317697812","article-title":"The impact of breast cancer awareness interventions on breast screening uptake among women in the United Kingdom: A systematic review","volume":"24","author":"Anastasi","year":"2019","journal-title":"J. Health Psychol."},{"key":"ref_17","first-page":"967","article-title":"Factors influencing delayed presentation of breast cancer among Saudi women","volume":"1","author":"Altwalbeh","year":"2015","journal-title":"Int. J. Sci. Res."},{"key":"ref_18","first-page":"65","article-title":"Assessment of Knowledge and Perception towards Breast Cancer Prevention and Early Detection","volume":"7","author":"Alharbi","year":"2018","journal-title":"Int. J. Med. Res. Health Sci."},{"key":"ref_19","first-page":"3","article-title":"Understanding Breast Health Awareness in the Kingdom of Saudi Arabia: A Systematic Review of the Literature","volume":"4","author":"Madkhali","year":"2017","journal-title":"Int. J. Res. Cancer"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1007\/s13187-015-0909-x","article-title":"Perspectives and Attitudes of Jordanian Male College Students on Breast Cancer Screening","volume":"32","author":"Zeilani","year":"2017","journal-title":"J. Cancer Educ."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"8115","DOI":"10.7314\/APJCP.2014.15.19.8115","article-title":"Reducing the breast cancer menace: The role of the male partner in Ghana","volume":"15","author":"Ameade","year":"2014","journal-title":"Asian Pac. J. Cancer Prev."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Gosadi, I.M. (2019). National screening programs in Saudi Arabia: Overview, outcomes, and effectiveness. J. Infect. Public Health.","DOI":"10.1016\/j.jiph.2019.06.001"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1025","DOI":"10.26719\/2010.16.10.1025","article-title":"First organized screening mammography programme in Saudi Arabia: Preliminary analysis of pilot round","volume":"16","author":"Akhtar","year":"2010","journal-title":"EMHJ-East. Mediterr. Health J."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"El Bcheraoui, C., Basulaiman, M., Wilson, S., Daoud, F., Tuffaha, M., AlMazroa, M.A., Memish, Z.A., Al Saeedi, M., and Mokdad, A.H. (2015). Breast cancer screening in Saudi Arabia: free but almost no takers. PLoS ONE, 10.","DOI":"10.1371\/journal.pone.0119051"},{"key":"ref_25","first-page":"1175","article-title":"Public knowledge on cancer and its determinants among Saudis in the Riyadh Region of Saudi Arabia","volume":"11","author":"Ravichandran","year":"2010","journal-title":"Asian Pac. J. Cancer Prev."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/16\/17\/3089\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T13:13:51Z","timestamp":1760188431000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/16\/17\/3089"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8,25]]},"references-count":25,"journal-issue":{"issue":"17","published-online":{"date-parts":[[2019,9]]}},"alternative-id":["ijerph16173089"],"URL":"https:\/\/doi.org\/10.3390\/ijerph16173089","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,8,25]]}}}