Perceptions and Barriers to Breast Cancer Screening Among Women in Slum Areas: A Cross-Sectional Study

Background: Breast cancer remains a significant public health challenge, particularly among underserved populations. Women residing in slum areas often face barriers to accessing screening services, which can lead to late-stage diagnoses and poorer outcomes. Understanding the perceptions and barriers to breast cancer screening in these communities is crucial for developing effective interventions. Objective: This study aimed to explore the knowledge, attitudes, and barriers to breast cancer screening among women aged 25 years and older living in slum areas of Dhaka City. Methods: A cross-sectional study design was employed, involving 190 female participants recruited through stratified random sampling from the slum regions of Bosila, Diabari, Uttara, and Jatrabari. Data were collected through face-to-face interviews using a structured questionnaire that assessed knowledge, attitudes, and practices related to breast cancer screening. Statistical analyses were conducted to identify factors associated with screening behaviors, including descriptive and inferential statistics. Results: The findings revealed that 63.2% of participants were aware of breast cancer, but only 47.4% knew about screening methods. A significant majority (73.7%) recognized the importance of screening, yet 57.9% expressed fear of diagnosis. The most common barriers identified were a lack of awareness (68.4%) and financial constraints (52.6%). Only 26.3% of women reported ever being screened for breast cancer. Statistical analysis indicated that awareness of screening methods was significantly associated with increased likelihood of screening (OR = 3.5, p < 0.001). Conclusion: The study highlights critical gaps in knowledge and significant barriers to breast cancer screening among women in slum areas of Dhaka City. Targeted educational interventions and community outreach programs are essential to enhance awareness and facilitate access to screening services, ultimately improving breast cancer outcomes in this vulnerable population.