Breast Cancer Awareness among Medical Students in Georgia

Pavithra Balakrishnan, Sreesha Phani Durga Rithika Kodamanchili, Arsha Anil Kumar, Keziah Raju, Luiza Gabunia


Background: As awareness is the key tool for better prognosis, it is important for every kind of population. Being one of the most common cancers, also being associated with the high mortality rates, breast cancer awareness should be prevalent. As future doctors, medical students have the responsibility of educating the general population. To carry out such duties, they should possess enough knowledge about the subject. This study probes the extent of their knowledge.

Methodology: An online questionnaire containing 15 questions of various formats was made and distributed to the students of Tbilisi State Medical University via E-mails. The collected data were processed in Microsoft Excel sheets. Answers from pre-clinical and clinical year students were analyzed separately.

Results: A total of 225 responses were collected. More females (n=167) participated in the survey than males (n=56). A very low number of students selected correct answers to the epidemiological questions regarding the most common cancer among men, women, and the overall Georgian population. Despite attending awareness programs and having close contact with cancer patients, students showed a lack of awareness.

Conclusion: There was no significant difference in knowledge or awareness noticed between pre-clinical and clinical students. Lack of knowledge despite having attended previous awareness programs and having close contact with cancer patients shows the lack of cognizance in students and their inability to retain information. This strongly indicates the need for more intensive activities on cancer awareness not only for students but also for the general population


Breast Cancer, Awareness, Medical students, Georgia, Tbilisi

Full Text:



World Health Organisation. Georgia Fact Sheets [Internet]. International Agency for research on ... World Health Organisation. World Health Organisation; 2020 [cited 2022 Apr 15]. Available from:

World Health Organisation. Cancer Georgia 2020 Country Profile [Internet]. World Health Organisation. World Health Organisation; 2020 [cited 2022 Apr 16]. Available from:

Koirala R, Gurung N, Dhakal S, Karki S. Role of cancer literacy in cancer screening behaviour among adults of Kaski district, Nepal. Budhathoki SS, editor. PLOS ONE. 2021 Jul 13;16(7):e0254565.

Harirchi I, Azary S, Montazeri A, Mousavi SM, Sedighi Z, Keshtmand G, et al. Literacy and Breast Cancer Prevention: a Population-Based Study from Iran. Asian Pacific Journal of Cancer Prevention. 2012 Aug 31;13(8):3927–30.

Simmons RA, Cosgrove SC, Romney MC, Plumb JD, Brawer RO, Gonzalez ET, et al. Health Literacy: Cancer Prevention Strategies for Early Adults. American Journal of Preventive Medicine. 2017 Sep 15;53(3):S73–7.

Hulvat MC. Cancer Incidence and Trends. Surgical Clinics of North America. 2020 Jun;100(3):469–81.

Alkabban FM, Ferguson T. Breast Cancer [Internet]. PubMed. Treasure Island (FL): StatPearls Publishing; 2020 [cited 2022 Apr 15]. Available from:

Pandey D, Vanya V, Bhagat S, VS B, Shetty J. Awareness and Attitude towards Human Papillomavirus (HPV) Vaccine among Medical Students in a Premier Medical School in India. Wu JT, editor. PLoS ONE. 2012 Jul 31;7(7):e40619.

Aga SS, Yasmeen N, Khan MA. Cervical Cancer and Its Screening: Assessing the Knowledge, Awareness, and Perception among Health and Allied Students. Bahnasse A, editor. Education Research International. 2022 Apr 1;2022:1–17.

Pietrzyk Ł, Denisow-Pietrzyk M, Czeczelewski M, Ślizień-Kuczapski K, Torres K. Cancer education matters: a report on testicular cancer knowledge, awareness, and self-examination practice among young Polish men. Scientific Reports. 2020 Nov 26;10(1).

Abbas RH, Ahmed AA, Korrapati NH. Assessment of knowledge on Glaucoma amongst International Medical Students in Tbilisi, Georgia. International Journal of Progressive Sciences and Technologies [Internet]. 2021 Nov;29(2):109–16. Available from:

Balk EM, Earley A, Avendano EA, Raman G. Long-Term Health Outcomes in Women With Silicone Gel Breast Implants. Annals of Internal Medicine. 2015 Nov 10;164(3):164.

de Boer M, van Leeuwen FE, Hauptmann M, Overbeek LIH, de Boer JP, Hijmering NJ, et al. Breast Implants and the Risk of Anaplastic Large-Cell Lymphoma in the Breast. JAMA Oncology. 2018 Mar 1;4(3):335.

Huang L, Zhang X, Xu A. Marijuana Use for Women: To Prescribe or Not to Prescribe. Substance Use & Misuse. 2020 Jul 5;55(12):2076–7.

Richards T, Hunt A, Courtney S, Umeh H. Nipple Discharge: A Sign of Breast Cancer? The Annals of The Royal College of Surgeons of England. 2007 Mar;89(2):124–6.

Preston DL, Kitahara CM, Freedman DM, Sigurdson AJ, Simon SL, Little MP, et al. Breast cancer risk and protracted low-to-moderate dose occupational radiation exposure in the US Radiologic Technologists Cohort, 1983–2008. British Journal of Cancer [Internet]. 2016 Oct 1;115(9):1105–12. Available from:

Unar-Munguía M, Torres-Mejía G, Colchero MA, González de Cosío T. Breastfeeding Mode and Risk of Breast Cancer: A Dose-Response Meta-Analysis. Journal of Human Lactation: Official Journal of International Lactation Consultant Association [Internet]. 2017 May 1;33(2):422–34. Available from:

Shield KD, Soerjomataram I, Rehm J. Alcohol Use and Breast Cancer: A Critical Review. Alcoholism: Clinical and Experimental Research. 2016 Apr 30;40(6):1166–81.

Jones ME, Schoemaker MJ, Wright LB, Ashworth A, Swerdlow AJ. Smoking and risk of breast cancer in the Generations Study cohort. Breast Cancer Research [Internet]. 2017 Nov 22;19(1). Available from:

Omar A, Bakr A, Ibrahim N. Female medical students’ awareness, attitudes, and knowledge about early detection of breast cancer in Syrian Private University, Syria. Heliyon [Internet]. 2020 Apr 24;6(4). Available from:

Qasim S, Tayyab H, Zulqadar K, Masood S, Qasim TB, Zubair Z. Breast Cancer knowledge and perceived barriers to help seeking among pre-clinical and clinical female medical students of King Edward Medical University, Lahore: a cross-sectional study. BMC Medical Education. 2020 Jul 14;20(1).

Kandasamy K, Sajan A, Eldhose S, Ramanathan S. Comparing the knowledge and awareness of cervical and breast cancer among medical and nonmedical students of a private institution in South India. Journal of Cancer Research and Therapeutics. 2021;0(0):0.

Sheikh Alaudeen SRB, Ganesan K. Knowledge, attitude, and practice of Malaysian medical students towards breast cancer: A cross-sectional study. Internal Medicine and Care. 2019;3(1).

Akter MstF, Ullah MO. Awareness levels of breast cancer among female university and medical college students in Sylhet city of Bangladesh. Cancer Reports. 2022 Feb 4;

Rahman SA, Al–Marzouki A, Otim M, Khalil Khayat NEH, Yousuf R, Rahman P. Awareness about Breast Cancer and Breast Self-Examination among Female Students at the University of Sharjah: A Cross-Sectional Study. Asian Pacific Journal of Cancer Prevention. 2019 Jun 1;20(6):1901–8.

Faria EH, Kim D, Sisconetto RM, Cucio VFM, dos Reis Ferreira PPG, Alves BSR, et al. Analysis of Knowledge About Male Breast Cancer Among Higher Education Male Students. European Journal of Breast Health [Internet]. 2021 Oct 4;17(4):333–40. Available from:

Ministry of health, Georgia. Cancer Profile - moh [Internet]. Ministry of health, Georgia. 2017 [cited 2022 Apr 10]. Available from:



  • There are currently no refbacks.

Copyright (c) 2022 Pavithra Balakrishnan, Sreesha Phani Durga Rithika Kodamanchili, Arsha Anil Kumar, Keziah Raju, Luiza Gabunia

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.