فهرست نشریات علمی دسترسی آزاد ایران

Objective: Despite evidence that screening for breast cancer is effective, adherence withscreening recommendations in Iranian women is low. The purposes of this study were to(1) identify the associations between individual characteristics, related health beliefs, and stagesof mammography behavior and (2) examine the socio‑demographic factors and the healthbeliefs that predicate stages of mammography behavior. Design: All health care centers wereconsidered as clusters and 30 women were randomly selected from each of them. A sample of689 Iranian women completed a questionnaire. Materials and Methods: The questionnaireused was based on Champion’s revised Health Belief Model Scale (CHBMS). One‑way analysisof covariance (ANCOVA) was used to assess differences in the outcome variables (perceivedseverity, susceptibility, benefits, and barriers) across the stages. Multinomial logistic regressionwas conducted to test multivariate relationships. Results: The percentage of participants ineach stage was: 40.1% in pre‑contemplation, 34.7 in contemplation, 7.5% in relapse, 12%in action, and 5.7% in maintenance stage of mammography adoption. Older women weremost likely to be in the pre‑contemplation stage and action stage, and the youngest womenwere most likely to be in the relapse stage. Differences across stages of change were foundfor related beliefs for all participants except those in the relapse stage. Conclusion: Iranianwomen are less likely to be in maintenance and action stages than ot er Asian women andthis study identifies constructs that may be targeted in interventions.