title: Rural Women's Awareness about Breast Cancer in Southeastern Iran: a Cross-Sectional Study.
abstract: BACKGROUND
  Breast cancer is the most common cancer among women worldwide. A very important factor in the timely treatment and prevention of progression is high breast cancer awareness. Rural women are at risk of latte stage breast cancer due to poor education and lack of access to medical facilities.
  
  
  METHODS
  This cross-sectional-descriptive study was conducted on 266 women (out of 300) aged over 18 in rural areas of Zabol, Southeastern Iran during July 2015 to October 2015. The data collection tool was a researcher-made questionnaire that measured participant knowledge of breast cancer in four aspects (general awareness, risk factors, mammography, and symptoms). SPSS 22 was used for statistical analysis.
  
  
  RESULTS
  Out of 266 participants, age information was available for 261. The age range was between 19 and 62, with a mean of 27±2.1 years. Most participants (154, 57.9%) had an average overall awareness of breast cancer. In the general awareness dimension, most participants (130, 48.9%) had poor scores. Most (166, 62.4%) also had average awareness about risk factors and many (137, 51.5%) had good awareness about mammography. Most participants did not know that changes in breast shape (232, 88.2%), dimpling of breast skin (192, 72.3%) and nipple discharge (183, 69.6%) are the main symptoms of breast cancer. ANOVA statistical analysis showed a significant relationship between awareness level and participant education and occupation (<0.05).
  
  
  CONCLUSIONS
  This study indicated average awareness of participants about breast cancer. Since rural women have lower levels of education, it is recommended that educational courses with contents about breast cancer, its risk factors, and symptoms be held for these women.
authors.affiliation: Department of Nursing, Nursing and Midwifery School, Zabol University of Medical Sciences, Zahedan, Iran E-mail : hosienshahdadi@gmail.com.
authors.forename: Abbas
authors.initials: A
authors.lastname: Balouchi
authors.forename: Hosien
authors.initials: H
authors.lastname: Shahdadi
authors.forename: Esra
authors.initials: E
authors.lastname: AlKhasawneh
authors.forename: Abdolghani
authors.initials: A
authors.lastname: Abdollahimohammad
authors.forename: Mohammadreza
authors.initials: M
authors.lastname: Firouzkouhi
authors.forename: Hamed
authors.initials: H
authors.lastname: Sarani
authors.forename: Afsaneh
authors.initials: A
authors.lastname: Gorgij
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000453:epidemiology; D016504:Breast Self-Examination; D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007492:Iran / Q000453:epidemiology; D008327:Mammography / Q000706:statistics & numerical data*; D008875:Middle Aged; D009367:Neoplasm Staging; D011379:Prognosis; D012307:Risk Factors; D012424:Rural Population; D011795:Surveys and Questionnaires