Can Health Belief Model Predict Breast Cancer Screening Behaviors?
Can Health Belief Model Predict Breast Cancer Screening Behaviors?
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DOI：
10.3889/oamjms.2018.183
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发表时间：
2018-05-20
影响因子：
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通讯作者：
Noroozi, Sara
中科院分区：
文献类型：
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作者：
Darvishpour, Azar;Vajari, Soheila Mazloum;Noroozi, Sara
背景：乳腺癌是女性癌症相关死亡的第二大原因。预防项目坚持早期诊断和筛查，以降低死亡率。 目的：本研究旨在基于健康信念模型确定乳腺癌筛查行为的预测因素。 材料和方法：本横断面研究采用两阶段整群抽样方法，于 2015 年对居住在伊朗北部东桂兰市的 304 名 20 至 65 岁女性进行。研究工具是冠军健康信念模型量表。使用SPSS软件版本18对数据进行回归分析。结果：结果显示感知益处（ExpB = 1.118，p = 0.009）、自我效能（ExpB = 1.122，p = 0.001）和感知障碍（ExpB = 0.851，p = 0.001）作为乳房自我检查的预测因素。此外，研究还表明，感知益处的两个组成部分 (ExpB = 1.202) 和感知障碍是乳房 X 光检查的预测因素 (ExpB = 0.864) (p = 0.001)。健康信念模型成分均未显示出预测临床乳房检查的作用（P > 0.05）。 结论：本研究强调了教育计划的必要性，教育计划应侧重于提高乳房自我检查技能，了解健康行为的好处并消除其障碍。
BACKGROUND: Breast cancer is the second cause of cancer-related death among women. Prevention programs insist on the early diagnosis and screening to reduce the mortality rate.AIM: The study was conducted to determine the predictors of breast cancer screening behaviours based on the health belief model.MATERIAL AND METHODS: The present cross-sectional study was conducted by involving 304 women ranging from 20 to 65 years of age, living in East Guilan cities, the North of Iran, in 2015 using two-stage cluster sampling. The research instrument was Champion's Health Belief Model Scale. The data were analysed based on Regression test by using SPSS software version 18.RESULTS: The results showed perceived benefits (ExpB = 1.118, p = 0.009), self-efficacy (ExpB = 1.122, p = 0.001) and the perceived barriers (ExpB = 0.851, p = 0.001) as the predictors of breast self-examination. In addition, the study revealed that the two components of perceived benefits (ExpB = 1.202), and the perceived barriers were the predictors of mammography (ExpB = 0.864) (p = 0.001). None of the health belief model components showed a role to predict clinical breast examination (P > 0.05).CONCLUSION: The present study highlights the need for educational programs, which should focus on increasing breast self-exam skills and understanding the benefits of healthy behaviours and eliminating their barriers.