Background: Many misconceptions about breast cancer exist. College students have the opportunity to perform breast cancer risk-reducing behaviors. Purpose: The purpose of this study was to assess breast cancer knowledge among university students and examine the influence of breast cancer knowledge on health behaviors for breast cancer prevention. Methods: Data were collected via survey in which students were asked about health behaviors and 20 true/false statements about breast cancer. Results: College students were unable to accurately identify all truths and myths about breast cancer. The overall mean knowledge score for the sample was 10.59 (SD = 2.865), based on a potential range of 0-20 correct answers. Breast cancer knowledge was significantly influenced by race. Results of Pearson correlation coefficients indicated an inverse correlation between breast cancer knowledge and health behaviors. Discussion: Lack of accurate breast cancer knowledge is consistent with current literature. Health communication alone may not be enough to effect behavior change. Translation to Health Education Practice: This study provides valuable insights into knowledge about breast cancer and associated behaviors among college students. Knowledge, as well as other determinants of behavior, should be examined for their effects on breast cancer prevention. Sources of knowledge available to college students should contain valid information.