The Transtheoretical Model, Health Belief Model, and Breast Cancer Screening Among Iranian Women With a Family History of Breast Cancer Publisher

Summary: Study shows low compliance with clinical breast exams in Iranian women with family history of breast cancer, tied to perceived barriers. #BreastCancer #Screening

Farajzadegan Z¹ ; Fathollahidehkordi F³ ; Hematti S² ; Sirous R⁴ ; Tavakoli N³ ; Rouzbahani R¹
Source: Journal of Research in Medical Sciences Published:2016

Abstract

Background: Participation of Iranian women with a family history of breast cancer in breast cancer screening programs is low. This study evaluates the compliance of women having a family history of breast cancer with clinical breast exam (CBE) according to the stage of transtheoretical model (TTM) and health belief model (HBM). Materials and Methods: In this cross-sectional study, we used Persian version of champion’s HBM scale to collect factors associated with TTM stages applied to screening from women over 20 years and older. The obtained data were analyzed by SPSS, using descriptive statistics, Chi-square test, independent t-test, and analysis of covariance. Results: Final sample size was 162 women. Thirty-three percent were in action/maintenance stage. Older women, family history of breast cancer in first-degree relatives, personal history of breast disease, insurance coverage, and a history of breast self-examination were associated with action/maintenance stage. Furthermore, women in action/maintenance stages had significantly fewer perceived barriers in terms of CBE in comparison to women in other stages (P < 0.05). There was no significant difference in other HBM subscales scores between various stages of CBE screening behavior (P > 0.05). Conclusion: The finding indicates that the rate of women in action/maintenance stage of CBE is low. Moreover, results show a strong association between perceived barriers and having a regular CBE. These clarify the necessity of promoting national target programs for breast cancer screening, which should be considered as the first preference for reducing CBE barriers. © 2016 Journal of Research in Medical Sciences.