Abstract:Our aim in this cross-sectional study was to investigate the predictors of the stages of change in mammography adoption (MA) based on Health Belief Model among Iranian women. Through multistage cluster sampling, we recruited and interviewed 1131 women older than 40. After statistical adjustment for other risk factors, perceived barriers (OR D 0.84, 95% CI D .81-.87) and benefits (OR D 1.17, 95% CI D 1.11-1.24) were significant predictors for MA. Majority of the women were in the pre-contemplation and contempla… Show more
“…In the current study, I do not do mammograms because of my fear of breast cancer, mammography costs is a lot, and not knowing about how to get mammography test were three main cons for mammography among women. Similar to our findings, results of Shirzadi's study this finding is confirmed (Shirzadi et al, 2017). Previous studies have reported a various range of cons to seeking for mammography screening tests including the lack of knowledge (Jones et al, 2014), Fear (Fayanju et al;Abu-Helalah et al, 2015), costs of the test (Watson-Johnson et al, 2011;Abu-Helalah et al, 2015), time-consuming mammography test (Sarma, 2015).…”
Section: Discussionsupporting
confidence: 92%
“…One of the issues that may affect women's performance and perception is the existence of such factors as creating facilities such as mammography centers, increasing knowledge and attitude towards mammography, and appropriate coverage for eligible women (Shirzadi et al, 2017).…”
Section: Discussionmentioning
confidence: 99%
“…It can be noted that one way to overcome these barriers to improving the health literacy of women and cost-cutting measures by health care sector (Shirzadi et al, 2017).…”
Objective:This paper aims to report the relationship between perceptions of mammography and screening practices.Methods:This cross-sectional study was conducted between May and September 2017, involving 400 women of over 40 years old, who was referred to as urban health centers in Tehran, Iran. The subjects were selected by multi-stage cluster sampling. Women with inconsistent mammography perceptions and practices were identified the Pros and Cons of mammography behavior for perceptions and Transtheoretical model (TTM) stage of adoption for prior and intended screening practices. The research instrument included a self-administered questionnaire and data were analyzed using descriptive statistics and measures of central tendency, and the chi-square, T-tests, and correlation regression analysis.Results:The average age participant was 45.6±5.4. Consistent with the TTM and pros and cons of mammography, women in action tended to have more positive perceptions of mammography than women in pre-contemplation or contemplation (mean decisional balance: action= 16.8; SD, 1.4; contemplation=1.8; SD, 0.48; precontemplation= SD, 1.4;0.56; p<0.001).Conclusion:results of the current study indicate there are inconsistent mammography perceptions and practice among women in Iran, then we recommend that future intervention, consider setting factors in addition to standard perceptions focused counseling.
“…In the current study, I do not do mammograms because of my fear of breast cancer, mammography costs is a lot, and not knowing about how to get mammography test were three main cons for mammography among women. Similar to our findings, results of Shirzadi's study this finding is confirmed (Shirzadi et al, 2017). Previous studies have reported a various range of cons to seeking for mammography screening tests including the lack of knowledge (Jones et al, 2014), Fear (Fayanju et al;Abu-Helalah et al, 2015), costs of the test (Watson-Johnson et al, 2011;Abu-Helalah et al, 2015), time-consuming mammography test (Sarma, 2015).…”
Section: Discussionsupporting
confidence: 92%
“…One of the issues that may affect women's performance and perception is the existence of such factors as creating facilities such as mammography centers, increasing knowledge and attitude towards mammography, and appropriate coverage for eligible women (Shirzadi et al, 2017).…”
Section: Discussionmentioning
confidence: 99%
“…It can be noted that one way to overcome these barriers to improving the health literacy of women and cost-cutting measures by health care sector (Shirzadi et al, 2017).…”
Objective:This paper aims to report the relationship between perceptions of mammography and screening practices.Methods:This cross-sectional study was conducted between May and September 2017, involving 400 women of over 40 years old, who was referred to as urban health centers in Tehran, Iran. The subjects were selected by multi-stage cluster sampling. Women with inconsistent mammography perceptions and practices were identified the Pros and Cons of mammography behavior for perceptions and Transtheoretical model (TTM) stage of adoption for prior and intended screening practices. The research instrument included a self-administered questionnaire and data were analyzed using descriptive statistics and measures of central tendency, and the chi-square, T-tests, and correlation regression analysis.Results:The average age participant was 45.6±5.4. Consistent with the TTM and pros and cons of mammography, women in action tended to have more positive perceptions of mammography than women in pre-contemplation or contemplation (mean decisional balance: action= 16.8; SD, 1.4; contemplation=1.8; SD, 0.48; precontemplation= SD, 1.4;0.56; p<0.001).Conclusion:results of the current study indicate there are inconsistent mammography perceptions and practice among women in Iran, then we recommend that future intervention, consider setting factors in addition to standard perceptions focused counseling.
“…This is because they perceived mammogram to be painful, embarrassing (Alexandraki and Mooradian, 2010) and the fear of radiation dose (Cam and Gumus, 2009). These facts are further supported by other studies which discovered that women who are in the action or maintenance stage have higher perceived susceptibility of breast cancer as compared to other mammography behavior adoption stages (Lindamer et al, 2006;Allahverdipour et al, 2011;Shirzadi et al, 2017).…”
Background: Breast cancer (BC) awareness is relatively poor among Malaysian women indicated by the presence of BC at a late stage and the low rate of mammography screening. Only a few theoretically based studies have been conducted on Malaysian women's participation in mammography. Therefore, the objective of this study is to use health belief model (HBM) and stage of change model (SCM) to determine the relationship between health beliefs on the behavioral adoption of mammography amongst women in Kuantan, Pahang. Methods: Five hundred and twenty women were randomly selected to complete the survey. Data were analyzed using multinomial logistic regression (MLR) to ascertain the multivariate relationships between health beliefs and stage of mammography behavioral adoption. Results:The MLR test indicates that there is no significant difference in perceived severity, benefits, motivator factors and cues to action between participants in the action stage and the maintenance stage. However, significant differences existed in perceived severity, susceptibility, motivator factors and self-efficacy between the pre-contemplation, relapse and contemplation stage to that of the referenced (maintenance) stage of mammography adoption. Conclusion: Women in the action stage are more likely to progress towards maintenance stage as they perceived breast cancer as a disease that leads to death and that mammogram screening is beneficial in detecting the disease at an early stage. However, women in the pre-contemplation, relapse and contemplation stage are found unlikely to move towards the maintenance stage as they perceived their risk of getting breast cancer is low.
“…Therefore, if individuals are not engaged in the problem-focused coping, they are likely to avoid stressful situations or deny the existence of a stressful situation and, instead, look on the brighter side of life. 25) Body image, obvious changes in the body shape after mastectomy, and unpleasant feelings about the size and shape of one's breasts, new roles as an 'unattractive' women, or interference in sexual relationships can have negative impacts on woman's decision to undergo mammography screening. 26) As a result, public health professionals and healthcare providers should provide coherent information about the benefits of mammography and the importance of early diagnosis of breast cancer.…”
Background: Breast cancer is the most commonly diagnosed tumorous cancer and the second leading cause of cancer-related deaths among women worldwide. This study aimed to qualitatively explore the barriers to mammography adoption among Iranian women. Methods: This study is a qualitative component of a large research project on exploratory sequential mixed method design, utilizing conventional content analysis. In total, 24 participants were selected from among women who had participated in the first phase of the study. Data were collected through in-depth, semi-structured interviews. Results: Five main themes were extracted, consisting of unawareness of mammography, fear control, priority of mammography needs, inadequate competency of mammography centers, and a sense of losing family support. Conclusion: Different perceived barriers within various levels (individual, intrapersonal, health systems, and community) play influential roles in women's decisions to participate in breast cancer screening program, which indicates the cultural aspect of perceived barriers in different communities and countries. The study provides the basis for intervention planning in this regard.
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