- Volume 15 Issue 17
DOI QR Code
Facilitator Psychological Constructs for Mammography Screening among Iranian Women
- Taymoori, Parvaneh (Kurdistan Environmental Health Research Center, School of Medicine, Kurdistan University of Medical Sciences) ;
- Moshki, Mahdi (Department of Public Health, School of Health, Social Development & Health Promotion Research Center, Gonabad University of Medical Sciences) ;
- Roshani, Daem (Kurdistan Research Center for Social Determinants of Health, School of Medicine, Kurdistan University of Medical Sciences)
- Published : 2014.09.15
Background: While many researchers often use a theoretical framework for mammogram repeat interventions, it seems they do not apply an identified mediation analysis method. The aim of this study was to determine the mediators of mammogram replication behavior in two tailored interventions for non-adherent Iranian women. Materials and Methods: A sample population of 184 women over 50 years old in Sanandaj, Iran, was selected for an experiment. Participants were randomly allocated into one of the three conditions: 1) an intervention based on the Health Belief Model (HBM) 2) an intervention based on an integration of the HBM and selected constructs from the Theory of Planned Behavior (TPB), and 3) a control group. Constructs were measured before the intervention, and after a 6-month follow-up. Results: Perceived self-efficacy, behavioral control, and subjective norms were recognized as mediators in the HBM and selected constructs from the TPB intervention. Perceived susceptibility, severity, barriers, self-efficacy and behavioral control met the criteria for mediation in the HBM intervention. Conclusions: This study was successful in establishing mediation in a sample of women. Our findings enrich the literature on mammography repeat, indicating key intervention factors, and relegating redundant ones in the Iranian populations. The use of strategies to increase mammography repeat, such HBM and TPB constructs is suggested to be important for maintaining a screening behavior, once the behavior has been adopted.
Mammography repeat;mediators;intervention;Iranian women
- Samah AA, Ahmadian M (2012). Socio-demographic correlates of participation in mammography: a survey among women aged between 35-69 in Tehran, Iran. Asian Pac J Cancer Prev, 13, 2717-20. https://doi.org/10.7314/APJCP.2012.13.6.2717
- Sobel ME (1982). Asymptotic confidence intervals for indirect effects in structural equation models. Sociological methodol, 13, 290-312. https://doi.org/10.2307/270723
- Taymoori P, Berry T, D R, et al (2013). Differences in health beliefs across stage of adoption of mammography in Iranian women. Cancer Nurs, 37, 208-17.
- Taymoori P, Berry T (2009). The validity and reliability of champion's health belief model scale for breast cancer screening behaviors among Iranian women. Cancer Nurs, 32, 465. https://doi.org/10.1097/NCC.0b013e3181aaf124
- Taymoori P, Berry T, Farhadifar F (2012). Predicting mammography stage of adoption among Iranian women. J Edu Health Promotion, 1, 13. https://doi.org/10.4103/2277-9531.98571
- Thomas E, Escandon S, Lamyian M, et al (2011). Exploring Iranian women's perceptions regarding control and prevention of breast cancer. The Qualitative Report, 16, 1214-29.
- Tolma EL, Reininger BM, Evans A, et al (2006). Examining the theory of planned behavior and the construct of self-efficacy to predict mammography intention. Health Education Behavior, 33, 233-51. https://doi.org/10.1177/1090198105277393
- Witte K (1992). Putting the fear back into fear appeals: The extended parallel process model. Communications Monographs, 59, 329-49. https://doi.org/10.1080/03637759209376276
- Yoo K-B, Kwon JA, Cho E, et al (2013). Is mammography for breast cancer screening cost-effective in both Western and Asian countries?: results of a systematic review. Asian Pac J Cancer Prev, 14, 4141-9. https://doi.org/10.7314/APJCP.2013.14.7.4141
- Moodi M, Rezaeian M, Mostafavi F, et al (2012). Determinants of mammography screening behavior in Iranian women: A population-based study. J Res in Medical Sciences, 17.
- O'Neill SC, Bowling JM, Brewer NT, et al (2008). Intentions to maintain adherence to mammography. J Women's Health, 17, 1133-41. https://doi.org/10.1089/jwh.2007.0600
- Poss JE (2001). Developing a new model for cross-cultural research: synthesizing the health belief model and the theory of reasoned action. Adv Nursing Science, 23, 1-15.
- Povey R, Conner M, Sparks P, et al (2000). Application of the Theory of Planned Behaviour to two dietary behaviours: Roles of perceived control and self efficacy. Br J Health Psychol, 5, 121-39.
- Preacher KJ, Hayes AF (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments Computers, 36, 717-31. https://doi.org/10.3758/BF03206553
- Rakowski W, Breen N, Meissner H, et al (2004). Prevalence and correlates of repeat mammography among women aged 55-79 in the Year 2000 National Health Interview Survey. Preventive medicine, 39, 1-10.
- Rakowski W, Meissner H, Vernon SW, et al (2006). Correlates of repeat and recent mammography for women ages 45 to 75 in the 2002 to 2003 Health Information National Trends Survey (HINTS 2003). Cancer Epidemiology Biomarkers Prevention, 15, 2093-101. https://doi.org/10.1158/1055-9965.EPI-06-0301
- Russell KM, Champion VL, Skinner CS (2006). Psychosocial factors related to repeat mammography screening over 5 years in African American women. Cancer Nurs, 29, 236-43. https://doi.org/10.1097/00002820-200605000-00012
- Rutter D (2000). Attendance and reattendance for breast cancer screening: A prospective 3 year test of the Theory of Planned Behaviour. Br J Health Psychol, 5, 1-13. https://doi.org/10.1348/135910700168720
- Heidari Z, Mahmoudzadeh-Sagheb HR, Sakhavar N (2008). Breast cancer screening knowledge and practice among women in southeast of Iran. Acta Medica Iranica, 46, 321-8.
- Katapodi MC, Lee KA, Facione NC, et al (2004). Predictors of perceived breast cancer risk and the relation between perceived risk and breast cancer screening: a meta-analytic review. Preventive Medicine, 38, 388-402. https://doi.org/10.1016/j.ypmed.2003.11.012
- Keshavarz Z, Simbar M, A. R (2011). Factors for performing breast and cervix cancer screening by Iranian female workers: a qualitative-model study. Asian Pac J Cancer Prev, 12, 1517-22.
- Lamyian M, Hydarnia A, Ahmadi F, et al (2007). Barriers to and factors facilitating breast cancer screening among Iranian women: a qualitative study. Eastern Mediterranean Health J, 13, 1160-9.
- Luquis RR, IJ VC (2006). Knowledge, attitudes, and perceptions about breast cancer and breast cancer screening among Hispanic women residing in South Central Pennsylvania. J Community Health, 31, 25-42. https://doi.org/10.1007/s10900-005-8187-x
- Luquis RR, Cruz IJV (2006). Knowledge, attitudes, and perceptions about breast cancer and breast cancer screening among Hispanic women residing in South Central Pennsylvania. J Comm Health, 31, 25-42. https://doi.org/10.1007/s10900-005-8187-x
- Molina Y, Martinez-Gutierrez J, Puschel K, et al (2013). Plans to obtain a mammogram among Chilean women: the roles of recommendations and self-efficacy. Health Educ Res, 28, 784-92. https://doi.org/10.1093/her/cyt047
- Montazeri A, Haji-Mahmoodi M (2003). Breast self-examination: do religious beliefs matter? A descriptive study. J Public Health Med, 25, 154-5. https://doi.org/10.1093/pubmed/fdg031
- Montazeri A, Vahdaninia M, Harirchi I, et al (2008). Breast cancer in Iran: need for greater women awareness of warning signs and effective screening methods. Asia Pac Fam Med, 7, 6. https://doi.org/10.1186/1447-056X-7-6
- Garbers S, Chiasson M (2004). Patterns of agreement on breast cancer screening knowledge and practices among women in Dominican and Mexican families in New York City. Med Sci Monitor, 10, 628.
- Gierisch JM, DeFrank JT, Bowling JM, et al (2010a). Finding the minimal intervention needed for sustained mammography adherence. Am J Preventive Med, 39, 334-44. https://doi.org/10.1016/j.amepre.2010.05.020
- Gierisch JM, Earp JA, Brewer NT, et al (2010b). Longitudinal predictors of nonadherence to maintenance of mammography. Cancer Epidemiology Biomarkers Prevention, 19, 1103-11. https://doi.org/10.1158/1055-9965.EPI-09-1120
- Glanz K, Rimer BK, Viswanath K 2008. Health behavior and health education: theory, research, and practice, San Francisco Jossey-Bass.
- Godin G, Gagne C, J M, et al (2001). Breast cancer: The intention to have a mammography and a clinical breast examinationapplication of the theory of planned behavior. Psychology and Health, 16, 423-41. https://doi.org/10.1080/08870440108405517
- Guvenc I, Guvenc G, Tastan S, et al (2012). Identifying women's knowledge about risk factors of breast cancer and reasons for having mammography. Asian Pac J Cancer Prev, 13, 4191-7. https://doi.org/10.7314/APJCP.2012.13.8.4191
- Haber G (2010). Use of structural equation modeling to examine the association between breast cancer risk perception and repeat screening mammography among United States women.
- Hajian S, Vakilian K, Najabadi KM, et al (2011). Effects of education based on the health belief model on screening behavior in high risk women for breast cancer, Tehran, Iran. Asian Pac J Cancer Prev, 12, 49-54.
- Hay JL, Buckley TR, Ostroff JS (2005). The role of cancer worry in cancer screening: a theoretical and empirical review of the literature. Psycho Oncol, 14, 517-34. https://doi.org/10.1002/pon.864
- Hay JL, McCaul KD, Magnan RE (2006). Does worry about breast cancer predict screening behaviors? A meta-analysis of the prospective evidence. Preventive Med, 42, 401-8. https://doi.org/10.1016/j.ypmed.2006.03.002
- Babu GR, Samari G, Cohen SP, et al (2011). Breast cancer screening among females in Iran and recommendations for improved practice: a review. Asian Pac J Cancer Prev, 12, 1647-51.
- Baron-Epel O, Friedman N, Lernau O (2009). Fatalism and mammography in a multicultural population. Oncology nursing forum. Onc Nurs Society, 353-61.
- Baron RM, Kenny DA (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. J Personality Social Psychol, 51, 1173. https://doi.org/10.1037/0022-3518.104.22.1683
- Burke NJ, Bird JA, Clark MA, et al (2009). Social and cultural meanings of self-efficacy. Health Education Behavior, 36, 111-28. https://doi.org/10.1177/1090198109338916
- Champion V, Skinner CS, Menon U (2005). Development of a self efficacy scale for mammography. Res Nursing Health, 28, 329-36. https://doi.org/10.1002/nur.20088
- Charkazi A, Samimi A, Razzaghi K, et al (2013). Adherence to Recommended Breast Cancer Screening in Iranian Turkmen Women: The Role of Knowledge and Beliefs. ISRN Prev Med, doi: 10.5402/2013/581027. eCollection 2013. https://doi.org/10.5402/2013/581027
- Consedine NS, Magai C, Krivoshekova YS, et al (2004). Fear, anxiety, worry, and breast cancer screening behavior: a critical review. Cancer Epidemiology Biomarkers Prevention, 13, 501-10.
- Fernandez ME, Palmer RC, Leong-Wu CA (2005). Repeat mammography screening among low-income and minority women: a qualitative study. Cancer Control, 12, 77-83.
- Fishbein MI A (1975). Belief, attitude, intention and behavior: An introduction to theory and research.
- Fouladi N, Pourfarzi F, Mazaheri E, et al (2013). Beliefs and behaviors of breast cancer screening in women referring to health care centers in northwest Iran according to the Champion health belief model scale. Asian Pac J Cancer Prev, 14, 6857-62. https://doi.org/10.7314/APJCP.2013.14.11.6857
- Ajzen I (2002). Perceived behavioral control, self efficacy, locus of control, and the theory of planned behavior. J Applied Social Psychology, 32, 665-83. https://doi.org/10.1111/j.1559-1816.2002.tb00236.x
- Ajzen I 2005. Attitudes, Personality, and Behavior. McGraw-Hill International.
- Al-Naggar RA, Bobryshev YV (2012). Practice and barriers of mammography among Malaysian women in the general population. Asian Pac J Cancer Prev, 13, 3595-600. https://doi.org/10.7314/APJCP.2012.13.8.3595
- Ahmadian M, Samah AA, Redzuan Mr, et al (2011). Barriers to mammography among women attending gynecologic outpatient clinics in Tehran, Iran. J Scientific Res Essays, 6, 5803-11.
- Ahmadian M, Samah AA, Redzuan Mr, et al (2012). Predictors of mammography screening among Iranian women attending outpatient clinics in Tehran, Iran. Asian Pac J Cancer Prev, 13, 969-74. https://doi.org/10.7314/APJCP.2012.13.3.969
- Allahverdipour H, Asghari-Jafarabadi M, Emami A (2011). Breast cancer risk perception, benefits of and barriers to mammography adherence among a group of Iranian women. Women Health. 51, 204-19. https://doi.org/10.1080/03630242.2011.564273
- Allen JD, Stoddard AM, Sorensen G (2008). Do social network characteristics predict mammography screening practices? Health Education & Behavior, 35, 763-76.
- Readability, Suitability and Health Content Assessment of Cancer Screening Announcements in Municipal Newspapers in Japan vol.16, pp.15, 2015, https://doi.org/10.7314/APJCP.2015.16.15.6719
- Development and psychometric testing of a new instrument to measure factors influencing women’s breast cancer prevention behaviors (ASSISTS) vol.16, pp.1, 2016, https://doi.org/10.1186/s12905-016-0318-2
- Assessing the mediating role of breast conflict on cognitive factors associated with adopting mammography pp.1541-0331, 2018, https://doi.org/10.1080/03630242.2018.1500414
- Surveillance for cancer recurrence in long-term young breast cancer survivors randomly selected from a statewide cancer registry vol.169, pp.1, 2018, https://doi.org/10.1007/s10549-018-4674-5