Background of the study

Breast self-examination
(BSE) according to Burke, LeMone and Mohn-brown (2007) is a screening method
used to detect early breast cancer which involves the woman herself looking at
and feeling each breast for possible lumps, distortions or swelling. BSE is a
simple, inexpensive, non-invasive procedure which helps a woman to know her
breast and allows her to detect changes in the breast; such as breast masses or
lumps. Although BSE is a simple, quick and cost-free procedure, it appears that
many women either perform it incorrectly or not at all.

For women to effectively
carry out BSE, adequate knowledge and the right attitude towards BSE is very
essential. World Health Organisation (2009) as cited in Okolie (2012) stated
that the knowledge and practice of BSE among women in Nigeria is still very
alarmingly low; which in turn hinders the early detection of breast cancer
which appears to be a major global health problem of both the developing and
developed countries.
In Nigeria breast cancer is
now the most common malignant disease in women and is responsible for the majority
of cancer related deaths (Balogun & Owoaje, 2014). According to a study conducted
by Clegg-Lamptey and Hodasi (2007) breast cancer accounted for 15.4% of all
malignancies, and this number is increasing annually. Approximately 70% of
women who are diagnosed with breast cancer in Nigeria were in the advanced
stages of the disease (Bassey, Nicholas Modele, 
Adekunle & Adebayo, 2011). Breast cancer is second only to lung
cancer as a cause of cancer related deaths among women (Burke  et al.,
2007). It is a worldwide major health problem. It is estimated that more than
212,000 women and 1,700 men develop the disease and more than 41,000 die of it
annually (Okolie, 2012). In addition, breast cancer is responsible for 12% of
deaths worldwide in women (Balogun & Owoaje, 2014). Diagnosis of breast
cancer first begins with detection. The earlier breast cancer is detected; the
better the effectiveness of the treatment and the likely of the survival.
Breast cancer screening includes breast self-examination, clinical breast
examination, and mammography, and these are usually done in combination.
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