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Healthy Beliefs regarding Breast Cancer Screening in Iranian Women Health Volunteers: A Path Analysis

Korean Journal of Family Medicine 2021년 42권 2호 p.132 ~ 139
Salmani Fatemeh, Moodi Mitra, Yousefi Azam, Norozi Ensiyeh,
소속 상세정보
 ( Salmani Fatemeh ) - Birjand University of Medical Sciences Faculty of Health Department of Epidemiology and Biostatistics
 ( Moodi Mitra ) - Birjand University of Medical Sciences Faculty of Health Department of Public Health
 ( Yousefi Azam ) - Birjand University of Medical Sciences Social Determinants of Health Research Center
 ( Norozi Ensiyeh ) - Birjand University of Medical Sciences Faculty of Health Department of Public Health

Abstract


Background: In Iran, 82% of breast cancer cases are diagnosed in late stages, resulting in low survival rates. In the present study, the Stages of Change Theory and Health Belief Model were used as theoretical frameworks for assessing Women Health Volunteer readiness to act on different breast cancer screening behaviors.

Methods: A total of 1,410 Women Health Volunteers were enrolled in this cross-sectional study. The breast self-examination (BSE) and mammography stages of change were measured independently. A standardized questionnaire based on the Health Belief Model was used to assess their beliefs about breast cancer screening methods. A path analysis using PASW SPSS ver. 18.0 (SPSS Inc., Chicago, IL, USA) was used to test the effects of individual beliefs on breast cancer screening stages of change.

Results: Most participants were classified in the pre-contemplation stage of breast cancer screening behaviors. Perceived barriers, benefits, and susceptibility emerged as BSE stages of change predictors. No beliefs were significant mammography stages of change predictors.

Conclusion: Iranian Women Health Volunteers had a very low adherence to common BSE and mammography practices. Healthy beliefs have a strong association with the stages of change for performing BSE, but not for mammography. The impact of health beliefs on an individual’s readiness to act on different breast cancer screening methods may vary with respect to the type of screening method.

키워드

Breast Neoplasms; Early Detection of Cancer; Breast; Self-Examination; Mammography; Attitude

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