Educational Status Influence on Knowledge, Awareness About Breast Cancer and Practice of Breast Self-Examination Among Women of Low-Resource Setting

Abstract Purpose Early detection through breast self-examination (BSE) provides a cost-effective method to mitigate the significant burden of breast cancer incidence and mortality in developing countries. This study aimed to examine the awareness of breast cancer symptoms and their involvement in practicing breast self-examinations. Method A total of five hundred eighteen ( n = 518) women aged 15–90 years participated in the study. The structured questionnaire included demographic characteristics, knowledge and perceptions about BSE, as well as awareness of risk factors, symptoms, and signs of breast cancer. A study conducted among 518 rural women in Assam, aged 15–90 years, evaluated their awareness and preventive behaviors related to breast cancer and breast self-examination (BSE). Result Education significantly influenced knowledge and practice, awareness, belief in BSE's importance, and confidence in consulting doctors increased with higher education. For example, 27.7% of post-graduates practiced BSE, compared to none among illiterate participants. Logistic regression revealed that knowing about BSE and awareness of WHO-recommended BSE protocol significantly increased the likelihood of performing BSE, by 20.9% and 91.5%, respectively. Hosmer–Lemeshow test ( p = 0.231) confirmed the model fit. Most participants agreed on the need for breast cancer education (96.5%) and were willing to seek medical advice (89.2%), though these were not strongly tied to education level. Conclusion This study emphasizes the vital role of education in promoting awareness about breast cancer and practices related to BSE. Addressing the educational gaps and barriers identified in this study can improve early detection and help reduce breast cancer mortality.