The transtheoretical model, health belief model, and breast cancer screening among Iranian women with a family history of breast cancer

Rouzbahani, Reza. and Tavakoli, Neda. and Sirous, Reza. and Hematti, Simin. and Fathollahi-Dehkordi,, Fariba. and Farajzadegan, Ziba. (2016) The transtheoretical model, health belief model, and breast cancer screening among Iranian women with a family history of breast cancer. Journal of research in medical sciences: the official journal of Isfahan University of Medical Sciences, 21.

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Abstract

Background: Participation of Iranian women with a family history of breast cancer in breast cancer screening programs is low. This study evaluates the compliance of women having a family history of breast cancer with clinical breast exam (CBE) according to the stage of transtheoretical model (TTM) and health belief model (HBM). Materials and Methods: In this cross‑sectional study, we used Persian version of champion’s HBM scale to collect factors associated with TTM stages applied to screening from women over 20 years and older. The obtained data were analyzed by SPSS, using descriptive statistics, Chi‑square test, independent t‑test, and analysis of covariance. Results: Final sample size was 162 women. Thirty‑three percent were in action/maintenance stage. Older women, family history of breast cancer in first‑degree relatives, personal history of breast disease, insurance coverage, and a history of breast self‑examination were associated with action/maintenance stage. Furthermore, women in action/maintenance stages had significantly fewer perceived barriers in terms of CBE in comparison to women in other stages (P < 0.05). There was no significant difference in other HBM subscales scores between various stages of CBE screening behavior (P > 0.05). Conclusion: The finding indicates that the rate of women in action/maintenance stage of CBE is low. Moreover, results show a strong association between perceived barriers and having a regular CBE. These clarify the necessity of promoting national target programs for breast cancer screening, which should be considered as the first preference for reducing CBE barriers.

Item Type: Article
Uncontrolled Keywords: Key words: Breast cancer, family history, health belief model, screening, transtheoretical model
Subjects: WP Gynecology
QZ pathology-Neoplasms
Divisions: Faculty of Medicine > Department of Clinical Sciences > Department of Radiology
Depositing User: zahra bagheri .
Date Deposited: 20 Sep 2017 06:00
Last Modified: 08 May 2018 08:21
URI: http://eprints.skums.ac.ir/id/eprint/5511

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