Predicting factors for breast cancer screening in Middle Eastern women based on health belief model: a systematic review

Abstract

Background Breast cancer screening can reduce mortality and improve the quality of life in affected women. The present study aimed to determine the predictive factors of breast cancer screening in Iranian women based on the health belief model (HBM). Methods This review was conducted by searching electronic databases of Google Scholar; electronic databases, including Scopus, PubMed/MEDLINE, Cochrane Library, Web of Science, ProQuest, Embase, and Google scholar Magiran; and SID with the English keywords of “breast cancer,” “mammography,” “health belief model,” and “breast self-exam” and the equivalent Persian keywords. The results were evaluated based on the health belief model (HBM) constructs. Articles were evaluated for quality and the findings were extracted and reviewed. Results A total of 8 relevant articles were selected for review. Women’s awareness of breast cancer screening methods was moderate in two studies and poor in two other studies. Among the constructs of HBM, knowledge, perceived susceptibility, perceived severity, perceived benefits, and action plan were poor in the majority of the studies, while perceived barriers, cues to action, and self-efficacy were mainly good. Conclusion Considering the observed weakness of many HBM constructs, it is recommended that special attention be given to all HBM constructs in implementing HBM-based education programs.

Behavior Change Theories and Models Within Health Belief Model Research: A Five-Decade Holistic Bibliometric Analysis

“…Thematic mapping indicates that breast cancer and related health behaviors, such as breast selfexamination and mammography screening, are niche themes within the broader research landscape [41].…”

“…Thematic mapping indicates that breast cancer and related health behaviors, such as breast self-examination and mammography screening, are niche themes within the broader research landscape [ 41 ]. Although specialized, these topics appear to be areas of ongoing investigation, focusing on examining the validity and reliability of the measures and constructs associated with HBM in the context of breast cancer prevention and early detection [ 12 , 42 ].…”

“…Although specialized, these topics appear to be areas of ongoing investigation, focusing on examining the validity and reliability of the measures and constructs associated with HBM in the context of breast cancer prevention and early detection [ 12 , 42 ]. The research likely explores the role of perceived susceptibility, perceived severity, perceived benefits, and other HBM constructs in shaping women's attitudes, intentions, and behaviors regarding breast self-examination and participation in mammography screening programs [ 12 , 41 , 42 ]. This specialized line of inquiry contributes to a deeper understanding of the psychological and social factors that influence breast cancer-related health practices, which is crucial for the development of more effective health promotion and early detection strategies targeting this critical public health issue [ 30 ].…”

Sub-Saharan Women: Breast Cancer Screening, What WE can do

“…The researcher used the Health Belief Model (HBM) as the framework to understand and explain health-related behaviors, including decision-making regarding screening exercises. The model suggests that individuals' responses to preventive actions and health behaviors change may be the perceptions of the threat of illness and the benefits and barriers associated with specific health actions [34][35][36].…”