The relationship of social support concept and repeat mammography among Iranian women

Farhadifar, Fariba; Taymoori, Parvaneh; Bahrami, Milad; Zarea, Shamsy

doi:10.1186/s12905-015-0253-7

Cited by 18 publications

(24 citation statements)

References 33 publications

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“…Our intervention may be particularly needed by women with no lifetime history of mammography. Simultaneously, we note that repeat mammography is particularly low in Iran [ 54 ]. Thus there is a need for these types of interventions in the context of both mammography behavior initiation and maintenance.…”

Section: Discussionmentioning

confidence: 99%

Mediators of repeat mammography in two tailored interventions for Iranian women

et al. 2016

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BackgroundMany theory-based interventions exist that incorporate theoretical constructs (e.g., self-efficacy, behavioral control) believed to increase the likelihood of mammography. Nonetheless, little work to date has examined if increased screening among women receiving such interventions occurs due to changes in these targeted constructs. The aim of this study is to address this gap in the literature in the context of two interventions for improving regular screening among Iranian women.MethodsA sample of 176 women over 50 years old in Tehran, Iran were randomly allocated into one of these three conditions: 1) an intervention based on Health Belief Model (HBM); 2) an intervention based on an integration of the HBM and selected constructs from the TPB (TPB); and 3) a control group (CON). Questionnaires were administered before the intervention and after a 6-month follow-up. The Preacher and Hayes method of mediation was used in analytic models.ResultsChanges in susceptibility, self-efficacy, and perceived control appeared to mediate HBM-CON differences in screening. Barriers attenuated the mediating effect of self-efficacy. Changes in barriers and self-efficacy appeared to mediate TPB-CON differences in screening.ConclusionThis study was successful in identifying which theory-based constructs appear to underlie the effectiveness of HBM- and TPB-based interventions. Specific constructs have been identified that should be targeted in clinical practice to increase mammography practices among Iranian women.

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Section: Discussionmentioning

confidence: 99%

Mediators of repeat mammography in two tailored interventions for Iranian women

et al. 2016

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“…While the structural and functional characteristics of social interactions can vary widely by demographic and geographic factors (Farhadifar, Taymoori, Bahrami, & Zarea, 2015;Manjer, Emilsson, & Zackrisson, 2015), based on published literature, no study so far has characterized SS for mammography in a predominantly white population in the Midwestern United States. This study aimed to address this gap, and measure both structural and functional characteristics of social interactions as they relate to mammography among women older than 40 years of age.…”

Section: Introductionmentioning

confidence: 99%

Mammography Social Support for Women Living in a Midwestern City: Toward Screening Promotion via Social Interactions

Jayawardene¹,

Torabi²,

Lohrmann³

et al. 2019

Health Behavior Research

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Notwithstanding recommendations and interventions, the percentage of 50-74-year-old U.S. women who reported having had a mammography in the past two years remained below target coverage. Social interactions may influence mammography rates. To measure characteristics of social interactions in a Midwestern city as they relate to social support for mammography received by women older than 40 years of age. A cross-sectional study was conducted in Bloomington, Indiana, sending mail surveys to 3,000 telephone directory addresses selected by simple random sampling. An anonymous, selfadministered, closed-ended, questionnaire with eight checklist items (for demographics) and six multipart semantic differential scale items (for social support), derived from validated instruments, was used. Social support for mammography in women who had undergone regular screening was analyzed using chi-square test and logistic regression. Of 450 respondents with valid responses, 91% were white; 47% were older than 80; 92% had good health insurance coverage; and 82% had undergone regular mammography. Healthcare workers provided the highest support, followed by children, siblings, and relatives. Friends, neighbors, and co-workers were least supportive. In social interactions, emotional support was the most prominent, followed by informational, appraisal, and instrumental supports. Having higher income and being married were associated with receiving greater support. Although mammography provides limited benefits after age 74, women older than 80 years of age received the highest support. Identifying the structural and functional characteristics of social interactions is important for: 1) designing interventions that enhance social support, and 2) expanding breast cancer screening via personalized approaches using existing social interactions.

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“…Early detection is one of the most important strategies for reducing breast cancer mortality followed by treatment for early stage cancer [ 1 ]. According to national data in Iran, a significant number of women (80%) have never obtained a mammogram or are not adherent (73%) with screening guidelines [ 2 , 3 ]. Factors influencing participation with mammography screening among Iranian women reported in previous studies include perceived severity, perceived susceptibility [ 4 – 6 ], higher perceived barriers, and self-efficacy related to receipt of mammography screening [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…Integration of subjective norms and perceived behavioral control with breast cancer screening interventions may increase participation in mammography screening among Iranian women [ 8 ]. Greater perceived social support predicted more repeat mammography behavior among Iranian women than with lower social support scores [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…In terms of measuring social support in the breast cancer screening context [ 17 , 20 , 22 , 24 ], and in mammography specifically [ 18 , 21 , 25 ], it should be noted that most social support measures were not purposely developed for use in these types of screening contexts. Some researchers have studied the potential importance of social support and breast cancer screening practices, [ 17 , 18 , 24 , 34 – 37 ] but none of the studies used a psychometrically validated and tested social support instrument specifically tested for mammography screening [ 3 , 18 , 21 , 25 ]. Another measurement limitation is an insufficient measurement tool to differentiate types of functional social support [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

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Validation of the Farsi version of the medical outcomes study-social support survey for mammography

et al. 2018

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BackgroundSocial support can provide psychosocial benefits to promote positive health behaviors such as mammography screening. The purpose of this study was to assess the psychometric properties of the Mammography Social Support (MSS) scale among Iranian woman.MethodsParticipants were selected from women referring to healthcare centers in Sanandaj, Iran. A total of 434 questionnaires were completed (response rate 91%). The study sample for study 1 included 204 participants for the Exploratory Factor Analysis (EFA). Construct validity was determined by confirmatory factor analysis (CFA) using a study sample of 230 women in study 2. The reliability coefficient for each scale was calculated using Cronbach’s alpha, corrected item-total correlations and test-retest respectively.ResultsCFA affirmed the three-factor structure of the MSS in measuring the functional dimensions of social support for mammography behavior consisting of 19 items. Initial results of the CFA did not fully support the proposed three-factor model. After the model was modified, the fit indices indicated, x2 was 2.3, Comparative Fit Index (CFI) = 0.96, Tucker- Lewis Index (TLI) = 0.95 providing a strong fit to the data. Cronbach’s alphas for the subscales ranged from 0.82 and 0.90, whereas the alpha for the overall scale was 0.91. The 2-week test-retest reliability of MSS was 0.95.ConclusionThis study provides evidence for the psychometric properties to support the Farsi version of the MSS when applied to Iranian women. Exploring the three-factor model in relation to related concepts is suggested for future studies.

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The relationship of social support concept and repeat mammography among Iranian women

Cited by 18 publications

References 33 publications

Mediators of repeat mammography in two tailored interventions for Iranian women

Mediators of repeat mammography in two tailored interventions for Iranian women

Mammography Social Support for Women Living in a Midwestern City: Toward Screening Promotion via Social Interactions

Validation of the Farsi version of the medical outcomes study-social support survey for mammography

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