Background: Breast cancer remains one of the most prevalent and life-threatening forms of cancer affecting women globally. Awareness and knowledge about breast cancer are essential in empowering individuals to engage in proactive health behaviors, such as regular self-examinations and participation in screening programs. This study aims to assess the awareness and knowledge of breast cancer among adults in District Shimla, Himachal Pradesh, to inform localized health education interventions.

Materials & Methods: A descriptive research approach was employed using a cross-sectional survey design. The study was conducted in District Shimla, Himachal Pradesh, from January 2024 to May 2024. The target population included adults aged 18 and above who had been residents of District Shimla for at least 12 months. A sample size of 400 adults was determined using a 95% confidence level, an estimated knowledge level of 50%, a 5% absolute error margin, and a 5% non-response rate. Data were collected using a Google Form questionnaire covering socio-demographic details and knowledge about breast cancer. Data were analyzed using Epi Info V7 Software for frequencies and percentages.

Results: The socio-demographic profile revealed that the majority of participants were young adults (29.5% aged 18-30) with a slightly higher female participation (55.25%). Most participants were Hindu (74.5%) and employed (50.25%) with varying education levels. Knowledge assessment showed high awareness of early detection (79.75%) and regular check-ups (77.75%), but lower awareness of survival rates (45.25%) and genetic predisposition (49.5%). Overall, 29.75% of participants had very good knowledge, 37% had good knowledge, 23% had fair knowledge, and 10.25% had poor knowledge.

Conclusion: This study highlights the varying levels of breast cancer awareness among different socio-demographic groups in District Shimla. The findings underscore the need for targeted educational interventions to bridge knowledge gaps and enhance overall awareness. By addressing these gaps, public health initiatives can be more effective in reducing the incidence and improving the early detection of breast cancer in the region.