A causalidade do câncer de mama à luz do Modelo de Crenças em Saúde

Abstract

The objective of this study was to explore the beliefs of a group of women regarding the causality of their breast cancer. Cultural Anthropology was the theoretical framework and Oral History the methodological choice. Interviews were performed with nine women who had been submitted to a mastectomy. The Health Beliefs Model was used as conceptual reference for a better understanding and explanation of these women's health behavior. The results highlighted certain aspects that need to be worked on in the educational process of women, in a more significant cultural context, with a higher chance of adherence to early diagnosis programs of breast cancer.

Barriers to prevention of cervical cancer in the city of Porto Velho, Rondônia, Brazil

“…In the 1950s, Rosenstock, Hochbaum, Leventhal and Kegells, social psychologists working in the U.S. Public Health Services presented this theory to the public health system, to explain the reason for nonadherence to prevention programs and detection of disease, by individuals. 5 Propositions of the Model of Health Belief state that the behavior depends on two variables: (1) the desire to avoid the disease or, if already ill, to cure; (2) the belief that a specific behavior concerning health will prevent or improve the state of the subject.…”

Beliefs about Breast Cancer among Women in the Western Amazon: A Population-Based Study

“…In the present study, women in the age group 50-59 years presented a higher average belief score compared with women in other age groups(p=0.005). Considering that the Brazilian Ministry of Health advocates that all women aged > 50 years undergo a mammography every 2 years as the primary strategy to decrease the incidence and mortality from breast cancer, it is of great importance to consider the beliefs about cancer in the planning of educational programs to increase the adherence of women in this age group to screening programs (Fugita and Gualda, 2006). The cultural beliefs and values of a population at the individual and social levels affect the health behavior of individuals (Leininger and McFarland, 2002).…”

“…Therefore, beliefs play a significant role in determining how women understand and explain breast cancer, and this understanding may have a strong impact on behaviors related to breast cancer screening (Kwok and Sullivan, 2006;Thomson et al, 2014). In addition, sociocultural and psychological barriers that may affect the decision to seek health care include denial of personal risk, fatalism attributed to the disease, lack of confidence in cancer treatment, and fear of becoming a burden to the family (Fugita and Gualda, 2006;Remennick, 2006). In this sense, understanding the beliefs about breast cancer and associated factors from a cultural perspective is essential, especially in culturally mixed populations, such as the Brazilian population.…”

Barreiras na realização da colpocitologia oncótica: um inquérito domiciliar na área de abrangência da Saúde da Família de Nova Iguaçu, Rio de Janeiro, Brasil

“…O Modelo de Crenças em Saúde (MCS), proposto por Rosenstock 5,6 , apresenta-se como um possível dispositivo para o reconhecimento de como a clientela se comporta e enfrenta seus problemas de saúde. Segundo esse modelo, a escolha pela adesão a métodos preventivos está fundamentada na percepção de quatro aspectos -a saber: vulnerabilidade ou susceptibilidade, gravidade da doença, benefícios e barreiras associadas à ação proposta.…”