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This cross-sectional descriptive study evaluated Tunisian women’s knowledge, attitudes, and practices regarding breast cancer screening, and identified factors linked to good practice using multivariable regression. Online self-administered surveys were collected over 10 days in October 2022. Among 183 participants, good knowledge was limited, attitude was generally positive, and good practice was less common. Good practice was associated with good knowledge, age ≥35 years, and family history, supporting targeted educational and screening interventions.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/breast-cancer-screening-in-tunisia-a-cross-sectional-study-on-womens-knowledge-attitudes-and-practices/346149/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/breast-cancer-screening-in-tunisia-a-cross-sectional-study-on-womens-knowledge-attitudes-and-practices/346149.png","ImageObject",300,407,{"name":92,"@type":93},"Valentina","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-09-23","2026-09-22",true,{"@type":102,"interactionType":103,"userInteractionCount":14},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What was the study’s primary aim regarding breast cancer screening in Tunisia?","Question",{"text":112,"@type":113},"To evaluate Tunisian women’s knowledge, attitudes, and practices regarding breast cancer screening and determine factors associated with good practice.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How were data collected and what type of study was conducted?",{"text":117,"@type":113},"A cross-sectional descriptive study was conducted over 10 days (6–16 October 2022) using an online self-administered survey.",{"name":119,"@type":110,"acceptedAnswer":120},"What factors were associated with good breast cancer screening practice?",{"text":121,"@type":113},"Good practice was associated with good knowledge, age ≥35 years, and having a family history of breast cancer.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},346149,1790144372,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":14,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":34,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144},13056703020460,"https://ap-avatar.wpscdn.com/avatar/be000253dac470eee5d?_k=1778207105932848923","RESEARCH ARTICLE  \n\n| Editorial Proc | ess: Submission:07/05/2025 Acceptance:02/25/2026 Published:03/06/2026 |\n| --- | --- |\n\nBreast Cancer Screening in Tunisia: A Cross-Sectional Study on Women’s Knowledge, Attitudes and Practices  \nFatma Ben Youssef1, Afef Skhiri2 *, Yosr Ayedi1, Chahida Harizi1, Radhouane Fakhfakh1  \nAbstract  \nIntroduction: In Tunisia, the incidence and mortality rates of breast cancer are relatively high and are projected to remain a significant health burden by 2030. We aimed to evaluate the knowledge, attitudes, and practices of Tunisian women regarding breast cancer screening and to determine the factors associated with good practice using multivariable regression. Methods: We conducted a cross-sectional descriptive study among adult female Tunisian population for 10 days period (from 6 till 16 October 2022), using an online self-administered survey. We assessed knowledge related to breast cancer and screening methods, screening practices and attitudes towards breast cancer screening. Good knowledge, good attitude and good practices were defined as achieving ≥75% correct answers. Results: In total of 183 females were included (Mean age 33.7±8.2[18 – 64]). Almost all participants (96.7%, n= 177) lived in urban areas and 74.3%(n=136) were married. One-third of the participants were housewives (33.9%, n=62) and 83.6%(n=153) had an academic education. One participant (0.5%) had a personal history of breast cancer, while 26.2%(n=48) reported a family history of breast cancer. Among the participants, 42.6%(n=78) demonstrated good knowledge, 88.5%(n=162) had a good attitude score, and 21.3%(n=39) achieved a good practice score. Good practice was associated with good knowledge (Adjusted OR= 5.0, 95%CI [2.2-11.2],p\u003C0.01), age ≥35 years (Adjusted OR= 2.5, 95% CI [1.1-5.4], p=0.02) and a family history of breast cancer (Adjusted OR= 2.2, 95% CI [1.0-5.1], p=0.04). Conclusion: Our study showed a moderate knowledge and practice regarding breast cancer screening, alongside a generally good attitude. The factors associated with good practice underscore the importance of educational interventions and the targeted screening strategies.  \nKeywords: Breast cancer-screening-Tunisia-KAP study  \nAsian Pac J Cancer Prev, 27 (3), 947-953  \nIntroduction  \nBreast cancer is a significant global health problem presenting the common cause of cancer death in women worldwide [1] . In 2020, an estimated 2.3 million new cases, and 685.000 related deaths due to breast cancer in the world [2] . The Global Burden of Disease (GBD) also reported 2.08 million incident cases of breast cancer and 674.000 deaths globally [3] . Breast cancer is oneof the three dominated cancers in the Central Maghreb countries, both now and for the next two decades [4] . In the Middle East and North Africa region, age-standardized incidence and death rates of female breast cancer increased respectively by 90.9% and 24.0% between 1990 and 2019 [5] .  \nIn Tunisia and in 2023, breast cancer was the most frequent cancer in females and counted for more than one third of cancers among them, according to the Northern Tunisia Cancer Registry [6] . In 2017, breast  \ncancer incidence was 50.17/100,000 persons years, and the mortality rate was 14.04/100,000 persons years in Tunisia [7] . Without effective interventions, the number of DALYs due to breast cancer would reach 40,071 in 2,030 with a standardized rate of 507/100,000 persons years and the number of YLL predicted will attain 36,457 with a standardized rate of 461/100,000 persons years [7] . Besides, it remains an important public health issue that is usually discovered in late stages [8] . In fact, early screening is recommended once in a year (for women aged between 50 and 74 years) and performed by doctors or midwifes during medical visits. In 2021, the screening coverage for breast cancer was 10%, with 30% of breast cancer diagnosed at early stage and 15% at the metastatic stage [9] . The high incidence of bre","cbCaitOBmGzb2Bay","https://ap.wps.com/l/cbCaitOBmGzb2Bay","pdf",321759,"English","# Introduction\n# Methods\n# Results\n# Conclusion\n# Keywords","[{\"question\":\"What was the study’s primary aim regarding breast cancer screening in Tunisia?\",\"answer\":\"To evaluate Tunisian women’s knowledge, attitudes, and practices regarding breast cancer screening and determine factors associated with good practice.\"},{\"question\":\"How were data collected and what type of study was conducted?\",\"answer\":\"A cross-sectional descriptive study was conducted over 10 days (6–16 October 2022) using an online self-administered survey.\"},{\"question\":\"What factors were associated with good breast cancer screening practice?\",\"answer\":\"Good practice was associated with good knowledge, age ≥35 years, and having a family history of breast cancer.\"}]","Breast Cancer Screening in Tunisia - A Cross-Sectional Study on Women’s Knowledge, Attitudes and Practices | PDF",1790060254,18]