Awareness, Attitudes, and Behavior toward Breast Cancer Screening Measures Among Female Teachers

Breast cancer (BC), the most common cancer in women globally, significantly impacts on health. Early detection through breast self-examination (BSE), clinical breast examination (CBE), and mammography is crucial for reducing mortality. This study examines awareness, attitudes, and behavior toward BC screening among female schoolteachers in Giriulla Educational Zone, Sri Lanka. A descriptive cross-sectional study was conducted with 240 female teachers, aged 22-55, using convenience sampling. Data were collected through a self-administered questionnaire and analyzed descriptively. With a response rate of 93.7% (225 teachers), most participants were aged 41-50 (38.2%), and 81.3% were married. About 45% held bachelor’s degrees. Awareness was notable: 53.1% knew about CBE, and 23.8% knew about mammography, but 65.5% were unaware of recommended examination start ages. Although 97.3% recognized the importance of screening, 68% hesitated toward BSE. Behavioral engagement varied, with 53.8% practicing BSE monthly, but CBE and mammography were underutilized (78.2% and 98.2%, respectively). The study highlights the need for enhanced awareness and education initiatives among female schoolteachers to address knowledge gaps and promote practical engagement in screening measures, crucial for early detection and reducing BC mortality rates. Keywords: Breast cancer; clinical breast examination; Self-breast examination; mammography, female schoolteachers