فهرست نشریات علمی دسترسی آزاد ایران

Background: Stage of Change and Health Belief Models are two the most common modelsthat have been applied in mammography screening behaviors. The purpose of this study was toidentify women in different stages of mammography adoption and to examine association betweenwomen’s beliefs by stage of change among Iranian women. Methods: In this population-basedstudy, mammography screening behavior determined using the Rakoweski stage of change scale,and women beliefs were determined by Farsi version of Champion’s Health Belief Model scale(CHBMS). The obtained data were analyzed by SPSS (version 16.0) using statistical analysisof variance and Chi-square tests that used to determine relation between socio-demographicvariables and HBM scales with stage of mammography. In all of the tests, a significant levelα=0.05 was considered. Results: According to stages of change distributions for mammographyscreening behavior, 36.2% were in pre-contemplation, 21.1% in contemplation, 4.2% in action,6.2% in maintenance, and 32.3% were in relapse stage. There were significant differences inmammography stage by age, education, married status, family monthly income, husband job,information about breast cancer, and history of breast problems. ANOVA test showed significantdifferences by stages for all HBM scales, except to perceived severity. Conclusion: The findingsindicated that women in pre-contemplation, relapse, and contemplation stages are more likely needto educational intervention, which emphasizes the benefits and barriers of mammography, healthmotivation, and self-efficacy. Furthermore, examining individuals’ beliefs about breast cancer andmammography screening by stage of mammography adoption is especially important in orderto development of effectiveness interventions, which targeted to stage of change and promotemammography screening behavior.