Journal of Education and Health Promotion

The effects of educational intervention on breast self‑examination and mammography behavior: Application of an integrated model

. Asiyeh Pirzadeh; . Sakine Ansari; . Parastoo Golshiri

Volume 11, Issue 4 , May 2021, , Pages 1-8

Abstract

BACKGROUND: Breast cancer is the most common type of cancer among women and it is thesecond leading cause of mortality among cancers in women and a major health issue in developedcountries. ... Read More BACKGROUND: Breast cancer is the most common type of cancer among women and it is thesecond leading cause of mortality among cancers in women and a major health issue in developedcountries. Although there are simple and effective screening methods, just minority of women usethem. Given the high prevalence of breast cancer in Isfahan women and the low prevalence ofscreening behavior, the present study aimed to determine the impact of theory‑based educationalintervention on breast self‑examination (BSE) behavior and mammography.MATERIALS AND METHODS: The present experimental study was conducted on 93 women referredto comprehensive health centers in Isfahan through convenience sampling, and by this way 46 womenwere included in the control group and 47 in the intervention group. Data collection was done bya valid and reliable questionnaire. Furthermore, educational interventions were performed for theintervention group in three sessions. Furthermore, the data were completed in the intervention groupbefore, immediately after, and 3 months after intervention and before and 3 months after interventionin the control group. The data were analyzed by SPSS (16); and paired t‑test and repeated measuretest were used for analysis in the intervention group and also independent t‑test and paired t‑testwere employed to analyze data of the control group.RESULTS: The results showed significant changes in perceived benefit constructs (P = 0.023),knowledge (P < 0.001), self‑efficacy (P < 0.001), and behavioral intention regarding BSE (P = 0.035)in the intervention group over time, but changes were not significant in both perceived susceptibilityand severity in the intervention group. As far as mammography behavior is concerned, only theperceived benefit construct in the intervention group had significant changes. In terms of the screeningbehavior, only BSE behavior significantly changed before and after intervention.CONCLUSION: The study showed that theory‑based education by applying of constructs suchas perceived benefits and self‑efficacy and intention for BSE model could promote breast cancerscreening behavior such as BSE. Therefore, it is suggested that health educators utilize educationaltexts based on these constructs to increase their influence on individuals via screening behaviorfor breast cancer.

Determinants of mammography screening in Tehranian women in 2018 based on the health belief model: A cross‑sectional study

. Masoumeh Rezaeimanesh; . Mahnaz Solhi; . Farbod Ebadi Fard Azar; . Homeira Sajjadi; . Hassan Rafiey; . Farhad Nosrati Nejad; . Mohammad Ali Mohammadi Gharehghani3; . Marzieh Najafi; . Sayedeh Mahboobeh Hosseini; . Salah Eddin Karimi

Volume 11, Issue 3 , March 2021, , Pages 1-9

Abstract

BACKGROUND: Breast cancer is the most common type of cancer among women. Mammographyis the most sensitive and important method for screening and early diagnosis of breast cancer.Considering ... Read More BACKGROUND: Breast cancer is the most common type of cancer among women. Mammographyis the most sensitive and important method for screening and early diagnosis of breast cancer.Considering the importance of using mammography in breast cancer screening, this study wasperformed to evaluate mammographic determinants.MATERIALS AND METHODS: In the cross‑sectional study, we surveyed 985 women over 40 years inTehran concerning demographic characteristics: age, socioeconomic status, a problem in the breast,alcohol use, drug use, and health belief model. Logistic regression was used to identify determinantfactors associated with mammography performance.RESULTS: The results of this study showed that 42.1% (95% confidence interval [CI]: 38, 45)participant performed mammography at least once during their lifetime. Age (odds ratio [OR] = 4.252;95% CI = 2.041–8.857); housing situation (OR = 1.706; 95% CI = 1.178–2.469); having breastproblems (OR = 5.224; 95% CI = 3.501–7.795); socioeconomic status (OR = 1.855; 95%CI = 1.035–3.325); family income level (OR = 1.998; 95% CI = 1.028–3.884); alcoholconsumption (OR = 2.676; 95% CI = 1.344–5.328); smoking (OR = 2.824; 95% CI = 1.418–5.623);self‑efficacy (OR = 1.935; 95% CI = 1.242–3.015); perceived barriers (OR = 2.017; 95%CI = 1.348–3.019); self‑care (OR = 4.901; 95% CI = 3.152–7.620); perceived susceptibility (OR = 1.971;95% CI = 1.271–3.057) and perceived severity (OR = 1.830; 95% CI = 1.170–2.860) weremammography behaviors determinants.CONCLUSION: The findings indicated that the rate of mammography screening among Tehranianwomen is low and highlights the need for developing a comprehensive national breast cancer controlprogram, which should be considered as the priority for health‑care providers. Furthermore, theidentification of these factors can help to design an appropriate educational intervention that focuseson the benefits of mammography screening.

Breast cancer screening behavior and its associated factors in female employees in South Khorasan

. Zoya Tahergorabi; . Mahyar Mohammadifard; . Fatemeh Salmani; . Mitra Moodi

Volume 11, Issue 3 , March 2021, , Pages 1-6

Abstract

BACKGROUND: Breast cancer is a preventable disease, using three secondary preventive methodsof mammography, clinical breast examination (CBE), and breast self‑examination (BSE) that ... Read More

Predictors of mammography based on Health Belief Model in Khorramabad women

. Zahra Khazir; . Mohammad Ali Morrowati Sharifabad1; . Ali Akbar Vaezi; . Behnaz Enjezab; . Hossein Fallahzadeh; . Fatemeh Yari

Volume 9, Issue 9 , September 2019, , Pages 1-7

Abstract

BACKGROUND: Health beliefs play an important role in people’s willingness to participate inhealth‑promoting behaviors. Given the role of beliefs in women’s function and ... Read More BACKGROUND: Health beliefs play an important role in people’s willingness to participate inhealth‑promoting behaviors. Given the role of beliefs in women’s function and the importance ofthe benefits of mammogram, and because the predictors of a behavior are a major prerequisite tocodification of an effective prevention program, the present study was conducted with the aim ofpredicting mammography based on Health Belief Model (HBM) in women in Khorramabad.Materials and Methods: In this cross‑sectional study, 262 women referring to health centers inKhorramabad, Lorestan province, in 2018, were selected by randomly sampling. The data collectiontool was a four‑part questionnaire including demographic information, knowledge on breast cancerand mammography, Champion’s Health Belief Model, and Champion’s Self‑Efficacy Questionnairefor Mammography. Validity and reliability of the tool were investigated and confirmed. Data wereanalyzed by version 16 of SPSS software using descriptive statistics, Chi‑squared test, and multiplelogistic regression.RESULTS: The mean (standard deviation) age of the participants was 49.26 (±7.79) years.Seventy‑nine (30.85%) of the 262 participants reported mammography. Constructs’ sensitivity,benefits, barriers, and perceived self‑efficacy were significantly different in terms of performingmammography (P < 0.05). Participants with a history of breast cancer (odds ratio [OR] = 11.18, 95%confidence interval [CI] = [3.73–33.46]) had lower perceived barriers (OR = 3.54, 95% CI= [1.77–7.09]),were more likely to undergo mammography than women with no family history of breast cancer, andhad moderate‑to‑high perceived barriers (P < 0.001).CONCLUSION: The results of this study indicate that health managers are required to pay moreattention to training and promoting screening methods. Understanding the barriers to mammography inwomen by managers can help design and implement effective programs that enhance mammographyin women.

Comparing individual and peer education on the constructs of theory of planned behavior in mammography

. Maryam Molaei‑Zardanjani; . Mitra Savabi‑Esfahani; . Fariba Taleghani

Volume 9, Issue 1 , January 2019, , Pages 1-6

Abstract

INTRODUCTION: Breast cancer is the most common cancer in women. It can be diagnosed inthe first stage by screening. One of the methods for screening breast cancer is mammography.Mammography ... Read More

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Keywords = mammography

The effects of educational intervention on breast self‑examination and mammography behavior: Application of an integrated model

Abstract

Determinants of mammography screening in Tehranian women in 2018 based on the health belief model: A cross‑sectional study

Abstract

Breast cancer screening behavior and its associated factors in female employees in South Khorasan

Abstract

Predictors of mammography based on Health Belief Model in Khorramabad women

Abstract

Comparing individual and peer education on the constructs of theory of planned behavior in mammography

Abstract