Background <p>This study compares breast cancer awareness and attitudes toward screenings in women with and without a family history of breast cancer.</p> Methods <p>This descriptive and correlational research included 1,620 women—807 with a family history and 813 without. Data were collected using a Personal Information Form, Breast Cancer Awareness Scale (B-CAS), and Attitudes Toward Cancer Screenings Scale. SPSS 27 software was used for data analysis, including chi-square test, Pearson correlation, and descriptive statistics.</p> Results <p>The mean age of women with a family history was 31.22 ± 8.97, while those without had a mean age of 27.15 ± 8.78. Women with a family history scored higher on the B-CAS and the Attitudes Toward Cancer Screenings Scale, particularly in knowledge of risk factors, symptom awareness, screening barriers, and health behaviors (<i>p</i> &lt; 0.001).</p> Conclusion <p>Women with a family history of breast cancer have greater awareness and knowledge of risk factors than those without.</p>