Practice of and attitudes toward breast self-examination (BSE): a cross-cultural comparison between younger women in Scotland and Greece

Zoe Chouliara*, Vasiliki Papadioti-Athanasiou, Kevin G. Power, Vivien Swanson

*Corresponding author for this work

Research output: Contribution to journalArticle

19 Citations (Scopus)


Breast self-examination (BSE) is a method of early detection of breast cancer. Although BSE is recommended for all women, it is mostly suitable and readily available for younger women. BSE beliefs and practices of women in Scotland, a country with organised health campaigns about BSE, were compared with those of women in Greece, a country without such campaigns. Our sample consisted of 68 university students in Scotland and Greece, aged 18 to 26 years old. All participants completed a questionnaire assessing demographics, health history, knowledge, BSE practice, health beliefs, and health-related personality. BSE practice was found to be associated with different variables across the two cultural groups. Adherence rates were found particularly higher than previous reports and BSE practice did not differ significantly between women in Scotland and Greece. Nevertheless, the two groups differed significantly in their knowledge, attitudes toward BSE, and health-related personality. On the basis of these findings, cultural factors should be considered in organising BSE campaigns. Also the present findings identified BSE-related beliefs and practices specific to younger age groups. These could be considered and addressed in order to organise BSE campaigns in Greece and improve future UK programs especially tailored for this age group.

Original languageEnglish
Pages (from-to)311-333
Number of pages23
JournalHealth Care for Women International
Issue number4
Publication statusPublished - Apr 2004
Externally publishedYes


Cite this