- Volume 17 Issue 5
DOI QR Code
Mammography Screening Uptake among Female Health Care Workers in Primary Health Care Centers in Palestine - Motivators and Barriers
- Nazzal, Zaher (Faculty of Medicine and Health Sciences, An-Najah National University) ;
- Sholi, Hisham (Faculty of Medicine and Health Sciences, An-Najah National University) ;
- Sholi, Suha (Faculty of Medicine and Health Sciences, An-Najah National University) ;
- Sholi, Mohammad (Faculty of Medicine and Health Sciences, An-Najah National University) ;
- Lahaseh, Rawya (Ministry of Health, Nablus Primary Health Directorate)
- Published : 2016.05.01
Background: Early detection remains the cornerstone of breast cancer control in terms of outcome and survival. Thus far the only breast cancer screening method proven effective is mammography. The awareness of female health care workers (HCW) about breast cancer prevention is of vital importance, as their beliefs and behavior may have a major impact on other women. This study was designed to assess mammography screening uptake among female healthcare workers at primary healthcare centers, and to identify the primary motivators and barriers that affect uptake results. Materials and Methods: A cross sectional study design was used to assess mammography screening by 299 female healthcare workers who completed a self-administered questionnaire that assessed demographics, screening uptake, motivators and barriers. Results: The mean age was 46 years (within age of risk). The majority (95.1%) demonstrated adequate knowledge about breast cancer and mammography screening and 50% of the participants reported having at least one mammogram; however only 21% of them had regularly scheduled mammograms. The most frequent reported motivator was the perceived benefit that early detection of breast cancer is important for its management (89.6%), followed by the belief that mammography can detect breast cancer before its symptoms appear (84.4%). On the other hand, the most frequent barrier reported was being busy (46.7%), followed by the lack of perceived susceptibility (41.5%). Conclusions: Mammography screening was found to be sub-optimal in a population of HCW's with 50 % stating that they received a mammogram at least once, and a minority reported regular screening. There is a pressing need for educational programs aimed at removing the barriers that limit compliance with recommendations for mammography screening, and to emphasize the importance of early detection in breast cancer treatment. Ensuring the availability and accessibility of screening services, particularly for healthcare workers within their work settings are other important factors that would improve the acceptance and compliance for mammography screening programs.
Mammography screening;health care workers;uptake;motivators;barriers;Palestine
- Abu-Helalah MA, Alshraideh HA, Al-Serhan AA, et al (2015). Knowledge, barriers and attitudes towards breast cancer mammography screening in jordan. Asian Pac J Cancer Prev, 16, 3981-90. https://doi.org/10.7314/APJCP.2015.16.9.3981
- Abdullah NN, Aziz NA, Rampal S, et al (2011). Mammography screening uptake among hospital personnel in Kuala Lumpur tertiary hospital. Asian Pac J Cancer Prev, 12, 2643-7.
- Aboyoun J 2009. Introduction to Health Behavior Theory, USA, Jones & Bartlett.
- Akhigbe AO, Omuemu VO (2009). Knowledge, attitudes and practice of breast cancer screening among female health workers in a Nigerian urban city. BMC Cancer, 9, 203. https://doi.org/10.1186/1471-2407-9-203
- Akpinar YY, Baykan Z, Nacar M, et al (2011). Knowledge, attitude about breast cancer and practice of breast cancer screening among female health care professionals: a study from Turkey. Asian Pac J Cancer Prev, 12, 3063-8.
- American Cancer Society. 2014. Breast Cancer Overview [Online].
- Amin TT, Al Mulhim AR, Al Meqihwi A (2009). Breast cancer knowledge, risk factors and screening among adult Saudi women in a primary health care setting. Asian Pac J Cancer Prev, 10, 133-8.
- Bener A, Honein G, Carter AO, et al (2002). The determinants of breast cancer screening behavior: a focus group study of women in the United Arab Emirates. Oncol Nurs Forum, 29, 91-8. https://doi.org/10.1188/02.ONF.E91-E98
- Boston University School of Public Health. (2013). The health belief model [Online]. Boston university school of public health.
- Fotedar V, Seam RK, Gupta MK, et al (2013). Knowledge of risk factors and early detection methods and practices towards breast cancer among nurses in Indira Gandhi Medical College, Shimla, Himachal Pradesh, India. Asian Pac J Cancer Prev, 14, 117-20. https://doi.org/10.7314/APJCP.2013.14.1.117
- International Agency for Research on Cancer. 2013. Latest world cancer statistics [Online]. World Health Organization, Lyon.
- 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. https://doi.org/10.26719/2007.13.5.1160
- Loberg M, Lousdal ML, Bretthauer M, et al (2015). Benefits and harms of mammography screening. Breast Cancer Res, 17.
- Mitchell J, Lannin DR, Mathews HF, et al (2002). Religious beliefs and breast cancer screening. J Womens Health (Larchmt), 11, 907-15. https://doi.org/10.1089/154099902762203740
- Moodi M, Rezaeian M, Mostafavi F, et al (2012). Determinants of mammography screening behavior in Iranian women: A population-based study. J Res Med Sci, 17, 750-9.
- Oche M, Ayode le S, Umar A (2012). Breast Cancer and Mammography: Current Knowledge, Attitudes and Practices of Female Health Workers in a Tertiary Health Institution in Northern Nigeria. Public Healt h Resear ch, 2, 114-9. https://doi.org/10.5923/j.phr.20120205.01
- Oeffinger KC, Fontham ET, Etzioni R, et al (2015). Breast cancer screening for women at average risk: 2015 guideline update from the American Cancer Society. JAMA, 314, 1599-614. https://doi.org/10.1001/jama.2015.12783
- Pace LE, Keating NL (2014). A systematic assessment of benefits and risks to guide breast cancer screening decisions. JAMA, 311, 1327-35. https://doi.org/10.1001/jama.2014.1398
- PAHO, WHO. 2014. Prevention: Breast cancer risk factors and prevention [Online]. Union for International Cancer Control (UICC).
- Parsa P, Kandiah M (2010). Predictors of adherence to clinical breast examination and mammography screening among Malaysian women. Asian Pac J Cancer Prev, 11, 681-8.
- Trigoni M, Griffiths F, Tsiftsis D, et al (2008). Mammography screening: views from women and primary care physicians in Crete. BMC Women's Health, 8, 20. https://doi.org/10.1186/1472-6874-8-20
- WHO. 2014. Breast cancer: prevention and control [Online].
- Kim JH, Kim O (2008). Predictors of perceived barriers to mammography in korean women. Asian Nurs Res, 2, 74-81. https://doi.org/10.1016/S1976-1317(08)60031-6