The Attitude of Women Visiting Health Centers of the Tehran University of Medical Sciences Toward Breast Cancer
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Abstract
Introduction: Considering changes in the structure of Iran’s population, the prevalence of cancer is increasing. Increasing social awareness about cancer and screening for common cancers are the most cost-effective approaches for breast cancer prevention and control. Studies show a significantly low rate of regular breast cancer screening behaviors. Given the importance of breast cancer and the decreasing effect of screening methods on the financial burden and disease complications, awareness about their attitude can provide appropriate information for decision- and policy-making about breast cancer screening methods in Iran. This study aimed to investigate the attitude of women over 40 years-old visiting health centers affiliated toward breast cancer screening methods.Methods: This is a descriptive/analytical study performed cross-sectionally in the health centers affiliated with TUMS. 255 women from Imam Khomeini Hospital Complex and some health centers that were subsidiaries of the south health centers of TUMS, were enrolled. To collect the required data, we developed a questionnaire based on tools used in similar studies. We used the Chi-square test to investigate the relationship of the attitude score with demographic and socioeconomic variables. The statistical analyses in this study were performed in STATA. Results: 14.5% of the participants had a history of breast cancer, and 18.8% of the participants had a first-degree relative with breast cancer history. About 64.7% of participants underestimated their risk for breast cancer, and 43.1% expressed their concern about breast cancer. About 77.6% of the participants agreed that breast cancers detected earlier are almost treatable. About 18.9% of the participants believed that (agree and highly agree) they will not develop breast cancer in the future, and 47.8% had no idea; 68.2% of the participants disagreed with the item “breast cancer is almost incurable even if detected in early stages;” about 22.0% of them believed that they are at higher risks for breast cancer compared to other women, and 61.3% of the participants agreed to visit a physician in case of feeling pain or a mass in the breast.Conclusion: The attitude of the women’s society toward breast cancer screening is high; this finding can be used in plans aiming to raise awareness and conduct screening in Iran.
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15. Nguyen CP, Adang EM. Cost-effectiveness of breast cancer screening using mammography in Vietnamese women. PLoS One. 2018;13(3):e0194996.
16. Khalili S, Shojaiezadeh D, Azam K, Kheirkhah Rahimabad K, Kharghani Moghadam M, Khazir Z. The effectiveness of education on the health beliefs and practices related to breast cancer screening among women referred to Shahid Behtash Clinic, Lavizan area, Tehran, using health belief model. Journal of Health. 2014;5(1):45-58.
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19. ANSARIFAR, TAHEREH, MOONAGHI HOSSEIN KARIMI, Hossein Ranjbar, and MOSTAFA SADEGHI. "Evaluating the Effect of Education based on the Health Belief Model in taking the preventive behaviors for breast cancer among female health workers." (2020): 14-22.
20. Masoudiyekta L, Rezaei-Bayatiyani H, Dashtbozorgi B, Gheibizadeh M, Malehi AS, Moradi M. Effect of education based on health belief model on the behavior of breast cancer screening in women. Asia-Pacific journal of oncology nursing. 2018;5(1):114-20.
2. Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021;71(3):209-49.
3. Phi X-A, Tagliafico A, Houssami N, Greuter MJ, de Bock GH. Digital breast tomosynthesis for breast cancer screening and diagnosis in women with dense breasts–a systematic review and meta-analysis. BMC cancer. 2018;18:1-9.
4. Mulmi R, Shrestha G, Niraula SR, Yadav DK, Pokharel PK. Screening practices among first degree relatives of breast cancer patients in Nepal: A Cross-sectional Study. Asian Pacific Journal of Cancer Care. 2021;6(3):297-303.
5. Youlden DR, Cramb SM, Yip CH, Baade PD. Incidence and mortality of female breast cancer in the Asia-Pacific region. Cancer biology & medicine. 2014;11(2):101.
6. A Farshbaf K, Sh T. Performance conditions of breast cancer screening methods and its efficient factors among women referring to health centers of Tabriz. 2009.
7. Bahrami M, Taymoori P, Bahrami A, Farazi E, Farhadifar F. The Prevalence of breast and Cervical Cancer screening and related factors in woman who refereeing to health center of Sanandaj city in 2014. Zanko Journal of Medical Sciences. 2015;16(50):1-12.
8. SalimiPormehr S, Kariman N, Sheykhan Z, AlaviMajd H. Investigation of breast cancer screening tests performance and affecting factors in women referred to Ardebil’s health and medical centers, 2009. Journal of Ardabil University of medical sciences. 2010;10(4):310-8.
9. Khani H, Moslemizade N, Montazeri A, Godazande Gh GA. Knowledge, attitude & performance of health care staff about breast cancer prevention programs in southern border of khazar seal (Caspian sea). Iran Breast Diseases Period. 2008;1(2):29-37.
10. Lancsar E, Louviere J. Conducting discrete choice experiments to inform healthcare decision making: a user’s guide. Pharmacoeconomics. 2008;26:661-77.
11. Bridges JF, Hauber AB, Marshall D, Lloyd A, Prosser LA, Regier DA, et al. Conjoint analysis applications in health—a checklist: a report of the ISPOR Good Research Practices for Conjoint Analysis Task Force. Value in health. 2011;14(4):403-13.
12. Johnson FR, Lancsar E, Marshall D, Kilambi V, Mühlbacher A, Regier DA, et al. Constructing experimental designs for discrete-choice experiments: report of the ISPOR conjoint analysis experimental design good research practices task force. Value in health. 2013;16(1):3-13.
13. Harapan H, Anwar S, Bustamam A, Radiansyah A, Angraini P, Fasli R, et al. Willingness to pay for a dengue vaccine and its associated determinants in Indonesia: a community-based, cross-sectional survey in Aceh. Acta tropica. 2017;166:249-56.
14. Organization WH. Latest world cancer statistics—GLOBOCAN 2012: Estimated cancer incidence, mortality and prevalence worldwide in 2012. 2019.
15. Nguyen CP, Adang EM. Cost-effectiveness of breast cancer screening using mammography in Vietnamese women. PLoS One. 2018;13(3):e0194996.
16. Khalili S, Shojaiezadeh D, Azam K, Kheirkhah Rahimabad K, Kharghani Moghadam M, Khazir Z. The effectiveness of education on the health beliefs and practices related to breast cancer screening among women referred to Shahid Behtash Clinic, Lavizan area, Tehran, using health belief model. Journal of Health. 2014;5(1):45-58.
17. Mandrik O, Yaumenenka A, Herrero R, Jonker MF. Population preferences for breast cancer screening policies: Discrete choice experiment in Belarus. PloS one. 2019;14(11):e0224667.
18. Blouin-Bougie J, Amara N, Bouchard K, Simard J, Dorval M. Disentangling the determinants of interest and willingness-to-pay for breast cancer susceptibility testing in the general population: a cross-sectional Web-based survey among women of Québec (Canada). BMJ open. 2018;8(2):e016662.
19. ANSARIFAR, TAHEREH, MOONAGHI HOSSEIN KARIMI, Hossein Ranjbar, and MOSTAFA SADEGHI. "Evaluating the Effect of Education based on the Health Belief Model in taking the preventive behaviors for breast cancer among female health workers." (2020): 14-22.
20. Masoudiyekta L, Rezaei-Bayatiyani H, Dashtbozorgi B, Gheibizadeh M, Malehi AS, Moradi M. Effect of education based on health belief model on the behavior of breast cancer screening in women. Asia-Pacific journal of oncology nursing. 2018;5(1):114-20.
| Files | ||
| Issue | Vol 15 No 1 (2023) | |
| Section | Original Articles | |
| Keywords | ||
| Breast cancer Screening Attitude | ||
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How to Cite
1.
Tahal R, Nahvijou A, Daroudi R, Akbari Sari A. The Attitude of Women Visiting Health Centers of the Tehran University of Medical Sciences Toward Breast Cancer. Basic Clin Cancer Res. 2024;15(1):42-50.
