Breast cancer screening behavior and its associated factors in female employees in South Khorasan
نویسندگان
1 Social Determinants of Health Research Center, Departments of Epidemiology and Biostatistics, School of Health, Birjand University of Medical Sciences, Birjand, Iran
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3 Department of Radiology, School of Medicine, Birjand University of Medical Sciences, Birjand, Iran
4 Social Determinants of Health Research Center, Department of Health Promotion and Education, School of Health, Birjand University of Medical Sciences, Birjand, Iran
doi
چکیده
BACKGROUND: Breast cancer is a preventable disease, using three secondary preventive methodsof mammography, clinical breast examination (CBE), and breast self‑examination (BSE) that canlead to early detection of breast cancer. This study was designed to assess breast cancer screeningbehavior and its associated factors in females employed in South Khorasan.MATERIALS AND METHODS: In this analytic‑descriptive study, 2256 female personnel ofgovernmental organizations were investigated in Birjand city in 2016–2017. The data collection toolwas a three‑part questionnaire: sociodemographic characteristics, knowledge about breast cancerscreening methods plus women’s performance, and stage of change regarding screening behaviorsof mammography, CBE, and BSE. The data were analyzed by SPSS 16 and one‑way analysisvariance, Tukey’s post hoc, and multiple logistic regression model statistical tests.RESULTS: The mean ± standard deviation score of knowledge of the women was 3.45 ± 1.5. Therewas a significant difference of the mean score of knowledge between the single and married (P = 0.03)and age group (P = 0.04). The stage action of mammography, CBE, and BSE was 6.8%, 12.3%,and 16.8%, respectively. Logistic regression model showed that variables such as age and familyhistory of breast cancer were highly significant related to mammography and also CBE. Knowledgewas also highly significant in mammography, CBE, and BSE. Education level in CBE, marital statusin BSE and mammography, and job in BSE were also significant (P < 0.001).CONCLUSIONS: This study reveals insufficient knowledge of female workers about breast cancerand the negative influence of low knowledge on the practice of breast cancer screening behavior.Therefore, the establishment and maintenance of regular educational courses for female employeesis essential.
