Determinants of mammography screening in Tehranian women in 2018 based on the health belief model: A cross‑sectional study
نویسندگان
1 Health Promotion Research Center, Iran University of Medical Sciences, Tehran, Iran
2 Department of Social Welfare Management, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran, Social Welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
3 Department of Social Welfare Management, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
4 Social Welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
5 Shoushtar Faculty of Medical Sciences, Shoushtar, Iran
6 Health Promotion Research Center, Iran University of Medical Sciences, Tehran, Iran
7 Department of Social Welfare Management, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran, Social Welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
8 Clinical Research Development Unit, Ayatollah Kashani Hospital, Shahrekord University of Medical Science, Shahrekord, Iran
9 Social Determinants of Health Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
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doi
چکیده
BACKGROUND: Breast cancer is the most common type of cancer among women. Mammographyis the most sensitive and important method for screening and early diagnosis of breast cancer.Considering the importance of using mammography in breast cancer screening, this study wasperformed to evaluate mammographic determinants.MATERIALS AND METHODS: In the cross‑sectional study, we surveyed 985 women over 40 years inTehran concerning demographic characteristics: age, socioeconomic status, a problem in the breast,alcohol use, drug use, and health belief model. Logistic regression was used to identify determinantfactors associated with mammography performance.RESULTS: The results of this study showed that 42.1% (95% confidence interval [CI]: 38, 45)participant performed mammography at least once during their lifetime. Age (odds ratio [OR] = 4.252;95% CI = 2.041–8.857); housing situation (OR = 1.706; 95% CI = 1.178–2.469); having breastproblems (OR = 5.224; 95% CI = 3.501–7.795); socioeconomic status (OR = 1.855; 95%CI = 1.035–3.325); family income level (OR = 1.998; 95% CI = 1.028–3.884); alcoholconsumption (OR = 2.676; 95% CI = 1.344–5.328); smoking (OR = 2.824; 95% CI = 1.418–5.623);self‑efficacy (OR = 1.935; 95% CI = 1.242–3.015); perceived barriers (OR = 2.017; 95%CI = 1.348–3.019); self‑care (OR = 4.901; 95% CI = 3.152–7.620); perceived susceptibility (OR = 1.971;95% CI = 1.271–3.057) and perceived severity (OR = 1.830; 95% CI = 1.170–2.860) weremammography behaviors determinants.CONCLUSION: The findings indicated that the rate of mammography screening among Tehranianwomen is low and highlights the need for developing a comprehensive national breast cancer controlprogram, which should be considered as the priority for health‑care providers. Furthermore, theidentification of these factors can help to design an appropriate educational intervention that focuseson the benefits of mammography screening.
