Prediction of breast self-examination in a sample of Iranian women: An application of the Health Belief Model

被引：81

作者：

Tavafian S.S. ^{[1
,2
]}

Hasani L. ^{[3
]}

Aghamolaei T. ^{[3
]}

Zare S. ^{[4
]}

Gregory D. ^{[5
]}

机构：

[1] Department of Health Education, Faculty of Medical Sciences, Tarbiat Modaress University, Tehran

[2] Department of Mental Health, Iranian Institute of Health Sciences Research, Tehran

[3] Department of Public Health, School of Health, Hormozgan University of Medical Sciences, Bandar Abbas

[4] Department of Social Medicine, School of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas

[5] Faculty of Health Sciences, University of Lethbridge, Lethbridge, Alberta

来源：

BMC Women's Health | / 9卷 / 1期

关键词：

Breast Cancer; Breast Cancer Screening; Health Belief Model; Clinical Breast Examination; Iranian Woman;

D O I：

10.1186/1472-6874-9-37

中图分类号：

学科分类号：

摘要：

Background: Iranian women, many of whom live in small cities, have limited access to mammography and clinical breast examinations. Thus, breast self examination (BSE) becomes an important and necessary approach to detecting this disease in its early stages in order to limit its resultant morbidity and mortality. This study examined constructs arising from the Health Belief Model as predictors of breast self examination behavior in a sample of women living in Bandar Abbas, Iran.Methods: This study was conducted in eight health centers located in Bandar Abbas, Iran. The sample consisted of 240 eligible women who were selected from referrals to the centers. The inclusion criteria were as follows: aged 30 years and over; and able to read and write Farsi. Women with breast cancer, who were pregnant, or breast feeding, were excluded from the study. Data were collected by using a self administered questionnaire which included demographic characteristics and Champion's Health Belief Model Scale. This instrument measures the concepts of disease susceptibility (3 items), seriousness (6 items), benefits (4 items), barriers (8 items) and self-efficacy (10 items).Results: The subjects' mean age was 37.2 (SD = 6.1) years. Just under a third of the subjects (31.7%) had performed BSE in the past and 7.1% of them performed it at least monthly. Perceived benefits and perceived self-efficacy of the women who performed BSE were significantly higher compared with women who did not practice BSE (p < 0.03). Furthermore, perceived barriers were lower among those who had performed BSE (p < 0.001). Logistic regression analysis indicated that women who perceived fewer barriers (OR: 0.70, 95% CI: 0.63-0.77, p < 0.001) and had higher self-efficacy (OR: 1.08, 95% CI: 1.02-1.13, p = 0.003) were more likely to perform BSE (R2 = 0.52).Conclusion: Findings from this study indicated that perceived barriers and perceived self-efficacy could be predictors of BSE behavior among the sample of women. Therefore, BSE training programs that emphasize self-efficacy and address perceived barriers are recommended. © 2009 Tavafian et al; licensee BioMed Central Ltd.

引用

共 35 条

[1]

Pisani P., Bray F., Parkin D.M., Estimates of the world-wide prevalence of cancer for 25 sites in the adult population, Int J Cancer, 97, 1, pp. 72-81, (2002)

[2]

Zeeb H., Razum O., Blettner M., Stegmaier C., Transition in cancer patterns among Turks residing in Germany, Eur J Cancer, 38, 5, pp. 705-711, (2002)

[3]

Yarbrough S.S., Braden C.J., Utility of health belief model as a guide for explaining or predicting breast cancer screening behaviours, J Adv Nurs, 33, 5, pp. 677-688, (2001)

[4]

The breast cancer resource center

[5]

Rostgaard K., Vaeth M., Holst H., Madsen M., Lynge E., Age-period-cohort modeling of breast cancer incidence in the Nordic countries, Stat Med, 20, 1, pp. 47-61, (2001)

[6]

Jarvandi S., Montazeri A., Harirchi I., Kazemnejad A., Beliefs and behaviours of Iranian teachers toward early detection of breast cancer and breast self-examination, Public Health, 116, pp. 245-249, (2002)

[7]

Seif N.Y., Aziz M.A., Effects of breast self-examination training program on knowledge, attitude and practice of a group of Working Women, Journal of the Egyptian Nat Cancer Inst, 12, 2, pp. 105-115, (2000)

[8]

Nahcivan N.O., Secginli S., Health belief related to breast self examination in a sample of Turkish women, Oncol Nurs Forum, 34, 2, pp. 425-432, (2007)

[9]

Mousavi S.M., Gouya M.M., Ramazani R., Davanlou M., Hajsadeghi N., Seddighi Z., Cancer incidence and mortality in Iran, Ann Onc, 20, 3, pp. 556-563, (2009)

[10]

Mousavi S.M., Mohagheghi M.A., Mousavi-Jerrahi A., Nahvijou A., Seddighi Z., Outcome of breast cancer in Iran: A study of Tehran cancer registry data, Asian Pac J cancer prev, 9, 2, pp. 275-278, (2008)

← 1 2 3 4 →