Screening mammogram – Assessment of eligible females’ knowledge, attitude and practice, at a tertiary care hospital in Karachi

Objective: To assess the knowledge, attitude and practices regarding screening mammography among females attending a tertiary care facility. Method: The cross-sectional study was conducted from May to October 2023 at the Dow University Hospital, Karachi, and comprised women aged 20-70 years attending the Breast Clinic. Data was collected using a structured, interviewer-administered questionnaire. Data was analysed using SPSS 20. Results: Of the 134 women, 47(35%) were aged 41-50 years, followed by 36(27%) who were aged 31-40 years. Most respondents 71(53%) correctly identified mammography as a useful tool for early detection of breast cancer, while 63(47%) were unaware of it. Regarding awareness of risks, 72(54%) women believed that mammography is not associated with cancer risk. In terms of screening frequency, 47(35.2%) women were unaware of the recommended interval, while 58(43.3%) identified yearly screening as appropriate. Overall, 64(48%) participants reported that they would opt for mammography, and 115(86%) believed that screening should be encouraged. Conclusion: Although attitudes towards mammography were found to be generally positive, significant gaps in knowledge and practice persisted, highlighting the need for targeted educational interventions and improved access to screening services. Key Words: Mammography, Early detection of cancer, Women's health, Health education.