{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T17:20:05Z","timestamp":1781889605608,"version":"3.54.5"},"reference-count":60,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2024,3,6]],"date-time":"2024-03-06T00:00:00Z","timestamp":1709683200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Universit\u00e0 del Salento"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: Breast cancer remains a significant health concern among women globally. Despite advancements in awareness and diagnostic techniques, it persists as a leading cause of death, with profound impacts on affected individuals\u2019 quality of life. Primary and secondary prevention, including regular screenings and practices like breast self-examination (BSE), are pivotal in ensuring early diagnosis. The national health system (NHS) in Italy offers screenings for women aged 50\u201369 every two years, managed by the local health authority. However, the participation rates, especially among the Chinese female population residing in Italy, are not well understood. Methods: Using a snowball method, we electronically disseminated a survey to investigate how Chinese women living in Italy engage with available NHS screening programs. The survey also explores their practice of BSE and the use and impact of technological tools on prevention. Furthermore, the study aims to understand the subjects\u2019 depth of knowledge and misconceptions about breast cancer. Results: The data reveal a significant gap in breast cancer screening adherence and knowledge among Chinese women in Italy, with a notable discrepancy between the general population and those who have previously encountered cancer. Conclusions: The results highlight the urgent need for interventions that are culturally sensitive, stressing that these actions are not only desirable but essential.<\/jats:p>","DOI":"10.3390\/ijerph21030308","type":"journal-article","created":{"date-parts":[[2024,3,7]],"date-time":"2024-03-07T04:19:02Z","timestamp":1709785142000},"page":"308","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Exploring the Landscape of Breast Cancer Prevention among Chinese Residents in Italy: An In-Depth Analysis of Screening Adherence, Breast Self-Examination (BSE) Practices, the Role of Technological Tools, and Misconceptions Surrounding Risk Factors and Symptoms"],"prefix":"10.3390","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8741-3478","authenticated-orcid":false,"given":"Luana","family":"Conte","sequence":"first","affiliation":[{"name":"Laboratory of Biomedical Physics and Environment, Department of Mathematics and Physics \u201cE. De Giorgi\u201d, University of Salento, 73100 Lecce, Italy"},{"name":"Laboratory of Advanced Data Analysis for Medicine (ADAM), University of Salento, Local Health Authority, 73100 Lecce, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Lupo","sequence":"additional","affiliation":[{"name":"\u201cSan Giuseppe da Copertino\u201d Hospital, Local Health Authority, 73043 Lecce, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0772-4195","authenticated-orcid":false,"given":"Serena","family":"Sciolti","sequence":"additional","affiliation":[{"name":"Independent Researcher, 73100 Lecce, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessia","family":"Lezzi","sequence":"additional","affiliation":[{"name":"National Cancer Association (ANT) Italia ONLUS Foundation, 73100 Lecce, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6067-9578","authenticated-orcid":false,"given":"Ivan","family":"Rubbi","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Bologna, 48018 Faenza, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0678-0242","authenticated-orcid":false,"given":"Stefano","family":"Botti","sequence":"additional","affiliation":[{"name":"Haematology Unit, Azienda USL-IRCCS of Reggio Emilia, 42100 Reggio Emilia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9681-031X","authenticated-orcid":false,"given":"Maicol","family":"Carvello","sequence":"additional","affiliation":[{"name":"Ravenna Community Hospital, Local Health Authority Romagna, 48100 Ravenna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annarita","family":"Fanizzi","sequence":"additional","affiliation":[{"name":"Laboratorio di Biostatistica e Bioinformatica, IRCCS Istituto Tumori \u201cGiovanni Paolo II\u201d, 70126 Bari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raffaella","family":"Massafra","sequence":"additional","affiliation":[{"name":"Laboratorio di Biostatistica e Bioinformatica, IRCCS Istituto Tumori \u201cGiovanni Paolo II\u201d, 70126 Bari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elsa","family":"Vitale","sequence":"additional","affiliation":[{"name":"Scientific Directorate, IRCCS Istituto Tumori \u201cGiovanni Paolo II\u201d, 70126 Bari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1998-0286","authenticated-orcid":false,"given":"Giorgio","family":"De Nunzio","sequence":"additional","affiliation":[{"name":"Laboratory of Biomedical Physics and Environment, Department of Mathematics and Physics \u201cE. De Giorgi\u201d, University of Salento, 73100 Lecce, Italy"},{"name":"Laboratory of Advanced Data Analysis for Medicine (ADAM), University of Salento, Local Health Authority, 73100 Lecce, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,3,6]]},"reference":[{"key":"ref_1","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":"Bray","year":"2018","journal-title":"CA Cancer J. Clin."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1002","DOI":"10.1007\/s13187-017-1195-6","article-title":"Influence of Cancer Worry on Four Cancer Related Health Protective Behaviors among a Nationally Representative Sample: Implications for Health Promotion Efforts","volume":"33","author":"Amuta","year":"2018","journal-title":"J. Cancer Educ."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"209","DOI":"10.3322\/caac.21660","article-title":"Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries","volume":"71","author":"Sung","year":"2021","journal-title":"CA Cancer J. Clin."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1749","DOI":"10.1001\/jamaoncol.2019.2996","article-title":"Global, Regional, and National Cancer Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and Disability-Adjusted Life-Years for 29 Cancer Groups, 1990 to 2017","volume":"5","author":"Fitzmaurice","year":"2019","journal-title":"JAMA Oncol."},{"key":"ref_5","unstructured":"International Agency for Research on Cancer (2023, June 28). The Global Cancer Observatory 2020 China Fact Sheets. Available online: https:\/\/gco.iarc.fr\/today\/data\/factsheets\/populations\/160-china-fact-sheets.pdf."},{"key":"ref_6","unstructured":"Ferlay, J., Ervik, M., Lam, F., Colombet, M., Mery, L., and Pi\u00f1eros, M. (2022, February 05). Global Cancer Observatory: Cancer Today. Available online: https:\/\/gco.iarc.fr\/today."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1007\/s10549-008-0303-z","article-title":"Breast Cancer in a Transitional Society over 18 Years: Trends and Present Status in Shanghai, China","volume":"117","author":"Fan","year":"2009","journal-title":"Breast Cancer Res. Treat."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"10021","DOI":"10.7314\/APJCP.2014.15.22.10021","article-title":"Age of Diagnosis of Breast Cancer in China: Almost 10 Years Earlier than in the United States and the European Union","volume":"15","author":"Song","year":"2014","journal-title":"Asian Pac. J. Cancer Prev."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"450","DOI":"10.20892\/j.issn.2095-3941.2021.0676","article-title":"Breast Cancer Screening and Early Diagnosis in Chinese Women","volume":"19","author":"Ding","year":"2022","journal-title":"Cancer Biol. Med."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1393","DOI":"10.1007\/s12325-023-02450-z","article-title":"Breast Cancer Screening Should Embrace Precision Medicine: Evidence by Reviewing Economic Evaluations in China","volume":"40","author":"Jiang","year":"2023","journal-title":"Adv. Ther."},{"key":"ref_11","unstructured":"(2023, October 10). AIOM-AIRTUM-Siapec-Iap I Numeri Del Cancro in Italia 2022. Available online: https:\/\/www.aiom.it\/wp-content\/uploads\/2022\/12\/2022_AIOM_NDC-web.pdf."},{"key":"ref_12","first-page":"591","article-title":"The Burden of Breast Cancer from China to Italy","volume":"6","author":"Levaggi","year":"2014","journal-title":"J. Thorac. Dis."},{"key":"ref_13","unstructured":"Italian Ministry of Health Italian Ministry of Health (2023, June 28). Piano Nazionale Della Prevenzione 2020\u20132025, Available online: https:\/\/www.salute.gov.it\/imgs\/C_17_notizie_5029_0_file.pdf."},{"key":"ref_14","first-page":"1","article-title":"Italian Atlas of Mortality Inequalities by Education Level","volume":"43","author":"Petrelli","year":"2019","journal-title":"Epidemiol. Prev."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"e021653","DOI":"10.1136\/bmjopen-2018-021653","article-title":"Geographical and Socioeconomic Differences in Uptake of Pap Test and Mammography in Italy: Results from the National Health Interview Survey","volume":"8","author":"Petrelli","year":"2018","journal-title":"BMJ Open"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"e023789","DOI":"10.1136\/bmjopen-2018-023789","article-title":"What Do European Women Know about Their Female Cancer Risks and Cancer Screening? A Cross-Sectional Online Intervention Survey in Five European Countries","volume":"8","author":"Wegwarth","year":"2018","journal-title":"BMJ Open"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1001\/jama.296.2.193","article-title":"Adult Weight Change and Risk of Postmenopausal Breast Cancer","volume":"296","author":"Eliassen","year":"2006","journal-title":"JAMA"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1016\/S0378-5122(00)00196-1","article-title":"Breast Cancer: Hormones and Other Risk Factors","volume":"38","author":"Hulka","year":"2001","journal-title":"Maturitas"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1403","DOI":"10.1158\/1055-9965.EPI-08-1094","article-title":"Body Mass Index Before and After Breast Cancer Diagnosis: Associations with All-Cause, Breast Cancer, and Cardiovascular Disease Mortality","volume":"18","author":"Nichols","year":"2009","journal-title":"Cancer Epidemiol. Biomark. Prev."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Parida, S., and Sharma, D. (2020). Microbial Alterations and Risk Factors of Breast Cancer: Connections and Mechanistic Insights. Cells, 9.","DOI":"10.3390\/cells9051091"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"995","DOI":"10.1677\/erc.1.01159","article-title":"Phytoestrogens and Breast Cancer\u2014Promoters or Protectors?","volume":"13","author":"Rice","year":"2006","journal-title":"Endocr. Relat. Cancer"},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Conte, L., Lupo, R., Lezzi, A., Paolo, V., Rubbi, I., Rizzo, E., Carvello, M., Calabr\u00f2, A., Botti, S., and De Matteis, E. (2024). A Nationwide Cross-Sectional Study Investigating Adherence to the Mediterranean Diet, Smoking, Alcohol and Work Habits, Hormonal Dynamics between Breast Cancer Cases and Healthy Subjects. Clin. Nutr. Open Sci.","DOI":"10.1016\/j.nutos.2024.02.007"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1634\/theoncologist.5-5-393","article-title":"Diet and Cancer","volume":"5","author":"Willett","year":"2000","journal-title":"Oncologist"},{"key":"ref_24","first-page":"1456","article-title":"Ryzyko Zachorowania Na Raka Piersi w Opinii Kobiet","volume":"72","author":"Bucholc","year":"2001","journal-title":"Ginekol. Pol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1007\/s10549-018-4782-2","article-title":"Menopausal Hormone Therapy and the Risk of Breast Cancer by Histological Type and Race: A Meta-Analysis of Randomized Controlled Trials and Cohort Studies","volume":"170","author":"Kim","year":"2018","journal-title":"Breast Cancer Res. Treat."},{"key":"ref_26","first-page":"29","article-title":"Breast Cancer\u2014The Level of Knowledge about Epidemiology and Prophylaxis among Polish Medical Universities Students","volume":"1","author":"Zuzak","year":"2018","journal-title":"Eur. J. Med. Technol."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"2207","DOI":"10.7314\/APJCP.2013.14.4.2207","article-title":"Mechanics behind Breast Cancer Prevention\u2014Focus on Obesity, Exercise and Dietary Fat","volume":"14","author":"Alegre","year":"2013","journal-title":"Asian Pac. J. Cancer Prev."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"196","DOI":"10.5114\/pm.2015.54346","article-title":"Breast Cancer Risk Factors","volume":"3","author":"Ciszewski","year":"2015","journal-title":"Menopause Rev."},{"key":"ref_29","first-page":"18","article-title":"Psychological Stress and Breast Cancer Incidence: A Systematic Review","volume":"91","author":"Chiriac","year":"2018","journal-title":"Clujul Med."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1002\/ijc.32308","article-title":"Association between Ambient Air Pollution and Breast Cancer Risk: The Multiethnic Cohort Study","volume":"146","author":"Cheng","year":"2020","journal-title":"Int. J. Cancer"},{"key":"ref_31","first-page":"1151","article-title":"Performance of Diagnostic Mammography for Women With Signs or Symptoms of Breast Cancer","volume":"94","author":"Barlow","year":"2002","journal-title":"CancerSpectrum Knowl. Environ."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1728","DOI":"10.1007\/s13187-023-02327-3","article-title":"Breast Cancer Prevention: The Key Role of Population Screening, Breast Self-Examination (BSE) and Technological Tools. Survey of Italian Women","volume":"38","author":"Conte","year":"2023","journal-title":"J. Cancer Educ."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1178223421989657","DOI":"10.1177\/1178223421989657","article-title":"Evaluation of an Intervention Program for Promoting Breast Self-Examination Behavior in Employed Women in Iran","volume":"15","author":"Bashirian","year":"2021","journal-title":"Breast Cancer"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1007\/978-3-030-20301-6_2","article-title":"Epidemiology of Breast Cancer in Women","volume":"1152","author":"Coughlin","year":"2019","journal-title":"Adv. Exp. Med. Biol."},{"key":"ref_35","first-page":"0812","article-title":"Breast Pain","volume":"2011","author":"Goyal","year":"2011","journal-title":"BMJ Clin. Evid."},{"key":"ref_36","unstructured":"(2022, July 24). Italian Ministery of Health Screening Oncologici, Available online: https:\/\/www.salute.gov.it\/portale\/donna\/dettaglioContenutiDonna.jsp?id=4511&area=Salute+donna&menu=prevenzione."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"9067","DOI":"10.1038\/s41598-023-36139-8","article-title":"Association between Marital Status and All-Cause Mortality of Patients with Metastatic Breast Cancer: A Population-Based Study","volume":"13","author":"Zhu","year":"2023","journal-title":"Sci. Rep."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"817696","DOI":"10.3389\/fpubh.2022.817696","article-title":"Barriers to Accessing Primary Care and Appropriateness of Healthcare Among Immigrants in Italy","volume":"10","author":"Ventura","year":"2022","journal-title":"Front. Public Health"},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Lewis-Thames, M.W., Tom, L.S., Leung, I.S., Yang, A., and Simon, M.A. (2022). An Examination of the Implementation of a Patient Navigation Program to Improve Breast and Cervical Cancer Screening Rates of Chinese Immigrant Women: A Qualitative Study. BMC Women\u2019s Health, 22.","DOI":"10.1186\/s12905-022-01610-7"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1007\/s10903-018-0794-6","article-title":"Barriers and Facilitators to Breast and Cervical Cancer Screening Among Immigrants in the United States","volume":"21","author":"Adunlin","year":"2019","journal-title":"J. Immigr. Minor. Health"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"1901","DOI":"10.31557\/APJCP.2019.20.6.1901","article-title":"Awareness about Breast Cancer and Breast Self-Examination among Female Students at the University of Sharjah: A Cross-Sectional Study","volume":"20","author":"Rahman","year":"2019","journal-title":"Asian Pac. J. Cancer Prev."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"8026297","DOI":"10.1155\/2017\/8026297","article-title":"Practices of Breast Self-Examination and Associated Factors among Female Debre Berhan University Students","volume":"2017","author":"Birhane","year":"2017","journal-title":"Int. J. Breast Cancer"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1186\/s40064-015-1491-8","article-title":"Barriers to Breast Self Examination Practice among Malaysian Female Students: A Cross Sectional Study","volume":"4","author":"Juni","year":"2015","journal-title":"Springerplus"},{"key":"ref_44","doi-asserted-by":"crossref","unstructured":"Asmare, K., Birhanu, Y., and Wako, Z. (2022). Knowledge, Attitude, Practice towards Breast Self-Examination and Associated Factors among Women in Gondar Town, Northwest Ethiopia, 2021: A Community-Based Study. BMC Women\u2019s Health, 22.","DOI":"10.1186\/s12905-022-01764-4"},{"key":"ref_45","doi-asserted-by":"crossref","unstructured":"Lera, T., Beyene, A., Bekele, B., and Abreha, S. (2020). Breast Self-Examination and Associated Factors among Women in Wolaita Sodo, Ethiopia: A Community-Based Cross-Sectional Study. BMC Women\u2019s Health, 20.","DOI":"10.1186\/s12905-020-01042-1"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1111\/j.1365-2702.2004.01108.x","article-title":"Breast Self-Examination and Breast Awareness: A Literature Review","volume":"14","author":"McCready","year":"2005","journal-title":"J. Clin. Nurs."},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"Didarloo, A., Nabilou, B., and Khalkhali, H.R. (2017). Psychosocial Predictors of Breast Self-Examination Behavior among Female Students: An Application of the Health Belief Model Using Logistic Regression. BMC Public Health, 17.","DOI":"10.1186\/s12889-017-4880-9"},{"key":"ref_48","first-page":"6640324","article-title":"Breast Cancer Knowledge and Practice of Breast Self-Examination among Female University Students, Gaza","volume":"2021","author":"Ibrahim","year":"2021","journal-title":"Sci. World J."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"e43522","DOI":"10.2196\/43522","article-title":"Mobile Health Apps for Breast Cancer: Content Analysis and Quality Assessment","volume":"11","author":"Yang","year":"2023","journal-title":"JMIR mHealth uHealth"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"951641","DOI":"10.3389\/fpubh.2022.951641","article-title":"Breast Awareness Mobile Apps for Health Education and Promotion for Breast Cancer","volume":"10","author":"Yusuf","year":"2022","journal-title":"Front. Public Health"},{"key":"ref_51","doi-asserted-by":"crossref","unstructured":"Thomson, A.K., Heyworth, J.S., Girschik, J., Slevin, T., Saunders, C., and Fritschi, L. (2014). Beliefs and Perceptions about the Causes of Breast Cancer: A Case-Control Study. BMC Res. Notes, 7.","DOI":"10.1186\/1756-0500-7-558"},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"De Cicco, P., Catani, M.V., Gasperi, V., Sibilano, M., Quaglietta, M., and Savini, I. (2019). Nutrition and Breast Cancer: A Literature Review on Prevention, Treatment and Recurrence. Nutrients, 11.","DOI":"10.3390\/nu11071514"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1006\/pmed.1996.0136","article-title":"Americans\u2019 Knowledge of Cancer Risk and Survival","volume":"26","author":"Breslow","year":"1997","journal-title":"Prev. Med."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"747964","DOI":"10.3389\/fnut.2021.747964","article-title":"Diet, Sports, and Psychological Stress as Modulators of Breast Cancer Risk: Focus on OPRM1 Methylation","volume":"8","author":"Li","year":"2021","journal-title":"Front. Nutr."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"867","DOI":"10.31557\/APJCP.2020.21.4.867","article-title":"A Review of the Epidemiology of Breast Cancer in Asia: Focus on Risk Factors","volume":"21","author":"Youn","year":"2020","journal-title":"Asian Pac. J. Cancer Prev."},{"key":"ref_56","doi-asserted-by":"crossref","unstructured":"Rem\u00e9nyi Kissn\u00e9, D., Gede, N., Szak\u00e1cs, Z., and Kiss, I. (2021). Breast Cancer Screening Knowledge among Hungarian Women: A Cross-Sectional Study. BMC Women\u2019s Health, 21.","DOI":"10.1186\/s12905-021-01204-9"},{"key":"ref_57","first-page":"231","article-title":"Knowledge, Attitude and Practice Around Breast Cancer and Mammography Screening Among Jordanian Women","volume":"12","author":"Alakhras","year":"2020","journal-title":"Breast Cancer"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"408","DOI":"10.5001\/omj.2014.110","article-title":"What Do Omani Women Know about Breast Cancer Symptoms?","volume":"29","author":"Renganathan","year":"2014","journal-title":"Oman Med. J."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"155","DOI":"10.4103\/2141-9248.113653","article-title":"Knowledge, Attitude and Practices of Women towards Breast Cancer in Benin City, Nigeria","volume":"3","author":"Azubuike","year":"2013","journal-title":"Ann. Med. Health Sci. Res."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"914","DOI":"10.3332\/ecancer.2019.914","article-title":"The Role of Emotions in Cancer Patients\u2019 Decision-Making","volume":"13","author":"Mazzocco","year":"2019","journal-title":"Ecancer"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/21\/3\/308\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:10:00Z","timestamp":1760105400000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/21\/3\/308"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,6]]},"references-count":60,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,3]]}},"alternative-id":["ijerph21030308"],"URL":"https:\/\/doi.org\/10.3390\/ijerph21030308","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,6]]}}}