br Table br Factors associated with respondents breast cancer
Factors associated with respondents’ breast cancer screening practice.
Variable Practice of screening
χ2 p value
No formal education
At the multivariate level (Table 5), women who were aware of breast examination were eight times more likely to have had breast cancer screening compared to those who had no knowledge of screening (aOR;7.6, 95%CI;4.1–14.2).
The current study revealed that 77.7% of the women in the study Tacrolimus were aware of breast cancer. This finding is not surprising as Journal of Cancer Policy 20 (2019) 100179
Predictors of practice of breast cancer screening among the respondents.
Variable B p value aOR (95% CI)
Level of education
Ever heard of breast cancer
Ever heard of breast examination
Relatives who died of breast cancer
Knowledge of breast cancer
several studies have shown high awareness level on breast cancer in Nigeria [14–17]. Omotara et al.  however reported a lower awareness level (58.2%) among women in the Northern part of Nigeria. The disparity could have been due to the fact that the said study was conducted in the rural areas whereas the current study was urban-based. In Nigeria, women living in urban areas tend to have better access to health-related information compared to those in rural areas.
In spite of the relatively high breast cancer awareness level, only
38.9% of our respondents possessed good knowledge of the disease. This finding is in consonance with results from previous Nigerian stu-dies. In 2016, Ojewusi et al. , reported that 86.3% of teachers in the urban city of Ibadan, Nigeria had poor knowledge of breast cancer. Secondary school teachers are expected to be better informed on health issues, yet cis-acting locus possessed poor knowledge of breast cancer in the study. In fact, more than half (55.0%) of Nigerian female health workers were reported by Akhigbe and Omuemu  to have possessed poor knowledge on risk factors of breast cancer and knowledge of SBE was low among them.
Less than half (36.7%) of our respondents were aware of BSE as a method of breast cancer screening. Our finding is lower than what Osime  reported as the awareness level of BSE among women in Benin City, Nigeria. The discrepancy may be due to the fact that the Benin study was carried out among civil servants who are more likely to be better educated and having enhanced access to health-related in-formation for positive decision making. Only 9 (2.7%) of our re-spondents were aware of mammography. In contrast, Akhigbe and Omuemu  reported that 80.7% of their study participants knew about the screening tool; however, the study was conducted among health workers who are expected to demonstrate excellent breast cancer-related knowledge.
Overall, 31.6% of the women had ever conducted SBE. The same proportion of women had ever carried out CBE. These findings agree with reports from previous studies. The study by Omotara et al.  revealed that only 24% of the women who participated in their study had ever carried out SBE. Azubike et al.  revealed that only 17.7% of women in Benin City practised breast cancer screening while Okobia et al.  revealed that only 43.2% of female healthcare workers carried out SBE in the preceding year. In Rivers State, Nigeria, barely 21.1% of women had ever carried out SBE .
The proportion of women who practised breast cancer screening was significantly higher among respondents with tertiary education in the current study. Our result is consistent with that of Amoran et al.  which revealed that tertiary education was the only predictor of breast cancer screening in a Nigerian rural community. Family planning