Journal of Education and Health Promotion

Knowledge, attitudes, and practice of breast self‑examination among female health workers in Isfahan, Iran

Document Type : Original Article

Authors

. Mahnoush Reisi
. Seyed Homamodin Javadzade
. Gholamreza Sharifirad
Abstract
Background: Breast cancer as a most common organ cancer in women is the first cause of death
among women with 40‑45 years old. The only way to control this disease is early detection, that
it can be treated in about 90% of women with breast cancer. The best way for early detection
of breast cancer is screening, and the best accessible way is breast self‑examination (BSE).
Considering this fact that female health workers are responsible for improvement of public
health, in addition to self‑care, they can encourage the clients and help to improve healthy
goals. Therefore, this study investigates the knowledge, attitudes, and practice (KAP) of BS
E among female health workers. Materials and Methods: This descriptive cross‑sectional
study was done among 119 female health workers in Isfahan, working in healthcare centers.
The method of sampling was clustering. KAP of theses participants were assessed with KAP
questioner. The collected data were analyzed using descriptive and inferential statistics methods.
Findings: The mean age of participants was 38/3 ± 7/27. The knowledge about breast cancer
and doing B SE was good (79/8%) in most participants and (72/45%) of them have positive
attitudes, but only (39/5%) of the samples performed BSE regularly every month. A significant
relationship was found between the attitudes and the university degree of the health workers
and also between age, university degree, and the times of taking part in education classes with
performing BSE in the best time for BSE (P < 0.005). A total of 12/6% of them did not have
a good performance. Conclusion: Considering that health workers can play an important role
in encouraging the clients to perform healthy and preventive behaviors, their weak behavior is
not acceptable in these groups. This result also shows that additional studies are needed to
identify the factors that make women using screening services and encourage them for using
these methods.

Keywords

Attitudes
breast self‑examination
health workers
knowledge
practice
1. Dundar PE, Ozmen D, Ozturk B, Haspolat G, Akyildiz F, Coban S,
et al. The knowledge and attitudes of breast self‑examination and
mammography in a group of women in a rural area in western
Turkey. BMC Cancer 2006;6:43.
2. Danesh A, Amiri M, Ramezani A, Tazhibi M, Ganji F. Knowledge,
attitude, practice among female workers in shahrekord education
organization about breast self examination. J Shahrekord Univ Med
Sci 2002;4:47‑52.
3. Gazanfari Z, Mohamad Alizadeh S, Ezat TF. Knowledge, attitude,
practice among female in chaloos about prevention of breast cancer.
J Shaeed Sdoughi Univ Med Sci Yazd 2006;14:44‑50.
4. Foxall MJ, Barron CR, Houfek J. Ethnic differences in breast
self‑examination practice and health beliefs. J Adv Nurs
1998;27:419‑28.
5. Ko CM, Sadler GR, Ryujin L, Dong A. Filipina American women's
breast cancer knowledge, attitudes, and screening behaviors. BMC
Public Health 2003;3:27.
6. Haji‑Mahmoodi M, Montazeri A, Jarvandi S, Ebrahimi M,
Haghighat S, Harirchi I. Breast self‑examination: Knowledge,
attitudes, and practices among female health care workers in
Tehran, Iran. Breast J 2002;8:222‑5.
7. Sadler GR, Ryujin LT, Ko CM, Nguyen E. Korean women: Breastcancer knowledge, attitudes and behaviors. BMC Public Health
2001;1:7.
8. National registration of cancer cases reported 2006. Department
of health and medical education, Department of health, Disease
management center, Department of cancer; 2008. p. 77‑9, 195‑8.
9. Banaian SH, Kazemian A, Soleiman KH. Knowledge, attitude, practice
among women referred to health centers in Broojen about screening
methods of breast cancer. J Shahrekord Univ Med Sci 2005;7:28‑34.
10. Dadkhah B, Mohammadi M. Knowledge, attitude and practice
among women in Ardebil about breast self examination. J Ardebil
Univ Med Sci 2002;2:14‑20.
11. Beitz B. Physical examination and history taking. In: Kaveh M, editor.
Tehran: Noor e Danesh; 2003. p. 297‑315. [persian]
12. Karimi M, Hasani M, Khoram R, Ghafari M, Niknami SH. Effect
of health belief model based intervention on creation breast self
examination behaviors among Zarandie health volunteers 2007.
Zahedan J Res Med Sci 2008;10:281‑90.
13. Harris DM, Miller JE, Davis DM. Racial differences in breast
cancer screening, knowledge and compliance. J Natl Med Assoc
2003;95:693‑701.
14. Baxter N; Canadian Task Force on Preventive Health Care.
Preventive health care, 2001 update: Should women be routinely
taught breast self‑examination to screen for breast cancer? CMAJ
2001;164:1837‑46.
15. Carelli I, Pompei LM, Mattos CS, Ferreira HG, Pescuma R,
Fernandes CE, et al. Knowledge, attitude and practice of breast
self‑examination in a female population of metropolitan São Paulo.
Breast 2008;17:270‑4.
16.     Hacihasanogˇlu R, Gözüm S. The effect of training on the
knowledge levels and beliefs regarding breast self‑examination
on women attending a public education centre. Eur J Oncol Nurs
2008;12:58‑64.
17. Naghibi SA, Vahidshahi K, Yazdani J, Noshnai F. Knowledge, attitude
and practice of female health workers about breast self examination
in Makoo. J School Hygiene Pub Health Res Inst 2009;7:61‑8.
18. Mojahed SH, Dehghani FR, Dafei M. Knowledge and practice of
the nursing staff hospital about breast self examination. J Shaeed
Sdoughi Univ Med Sci Yazd 2001;9:82‑8.
19. Alai NF, Abasian M, Delvarian ZM. Knowledge, attitude and practice
of health workers about breast self examination in Shahrood. Knowl
Health J 2007;2:23‑7.
20. Ceber E, Soyer MT, Ciceklioglu M, Cimat S. Breast cancer risk
assessment and risk perception on nurses and midwives in Bornova
Health District in Turkey. Cancer Nurs 2006;29:244‑9.
21. Khashabi J, Kohankari M, Razavi A. Attitude of women in urmia
toward self breast examination. Sci J Ofurmie Univ Med Sci
2001;12:62.
22. Godazande GH, Khani H, Khalilian AR, Atarod Z, Firouzjai MA,
Partoei A, et al. Knowledge and practice of women over 15 years
about breast cancer in Sari. J Mazandaran Univ Med Sci
2006;16:64‑74.
23. Friedman LC, Moore A, Webb JA, Puryear LJ. Breast cancer
screening among ethnically diverse low‑income women in a general
hospital psychiatry clinic. Gen Hosp Psy 1999;21:374‑81.
24.     Tastan S, Iyigün E, Kılıc A, Unver V. Health beliefs concerning breast
self‑examination of nurses in Turkey. Asian Nurs Res (Korean Soc
Nurs Sci) 2011;5:151‑6.
25. Alkhasawneh LM, Akhu‑Zaheya SM. Suleiman Jordanian nurses’
knowledge and practice of breast self‑examination. J Adv Nurs
2009;65:412‑16.
26. Ibrahim NA, Odusanya OO. Knowledge of risk factors, beliefs and
practices of female healthcare professionals towards breast cancer
in a tertiary institution in Lagos, Nigeria. BMC Cancer 2009;9:76.
27. Odusanya OO, Tayo OO. Tayo breast cancer knowledge, attitudes and
practice among nurses in Lagos, Nigeria. Acta Oncol 2001;40:844‑8.
28. Rosvold EO, Hjartåker A, Bjertness E, Lund E. Breast self‑examination
and cervical cancer testing among Norwegian female physicians.
A nation‑wide comparative study. Soc Sci Med 2001;52:249‑58.
29. Karayurt O, Dramali A. Adaptation of Champion’s Health Belief Model
Scale for Turkish women and evaluation of the selected variables
associated with breast self‑examination. Cancer Nurs 2007;30:69‑77.
30. Fry RB, Prentice‑Dunn S. Effects of a psychosocial intervention on
breast self‑examination attitudes and behaviors. Health Educ Res
2006;21:287‑95.
Journal of Education and Health Promotion
Volume 3, Issue 8
August 2013
Pages 1-5

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