Awareness, Knowledge, Attitudes, and Practices Toward Breast Self-Examination Among Female Health Service Providers in the Middle Region of Libya
Keywords:
Breast cancer, breast self-examination, healthcare providers, knowledge, attitudes, practice, LibyaAbstract
Breast cancer is the most common cancer among women worldwide, and early detection through breast self-examination (BSE) plays a crucial role in improving outcomes. Healthcare providers are expected to have adequate knowledge and appropriate practices regarding BSE, as they serve as key sources of health education for the community. This study aimed to assess the knowledge, attitudes, and practices related to breast self-examination among female healthcare providers in primary healthcare centres in the middle region of Libya. A descriptive cross-sectional study was conducted among 180 female healthcare providers, including nurses, laboratory technicians, and pharmacy staff, working in 15 primary healthcare centres. Data were collected using a structured self-administered questionnaire covering socio-demographic characteristics, knowledge of breast cancer and BSE, and attitudes and practices toward BSE. Data were analyzed using SPSS version 20, and results were presented using descriptive statistics. The majority of participants were aged ≥40 years (58.3%) and married (55.6%). Although 66.1% had heard of BSE and 90.0% recognized its importance, only 39.4% correctly identified the appropriate timing for BSE. Knowledge of breast cancer symptoms was generally good, with 88.9% reporting awareness of symptoms. However, gaps were observed in correct BSE techniques, including hand movement, pressure application, and appropriate timing. Monthly BSE practice was reported by 45.0% of participants. Positive attitudes were observed: 82.2% considered BSE a good practice, and 92.2% were motivated to perform it, although psychological and knowledge-related barriers were identified. In summary, … While healthcare providers demonstrated good general awareness and positive attitudes toward BSE, significant deficiencies in technical knowledge and consistent practice were identified. Strengthening practical training and continuing education programs is recommended to improve the accuracy of BSE practice and enhance early detection of breast cancer.
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