Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
권호 표지
DOI QR코드

DOI QR Code

Health Promoting Behavior and Influencing Factors in Iranian Breast Cancer Survivors

  • Tabrizi, Fatemeh Moghaddam (Nursing and Midwifery Department, Reproductive Health Research Center, Urmia University of Medical Sciences)
  • Published : 2015.03.18
Download PDF
⟨ Previous Next ⟩

Abstract

Background: The purpose of this study was to investigate the associations among the internal health locus of control, depression, perceived health status, self efficacy, social support, and health-promoting behavior in Iranian breast cancer survivors and to determine influential variables. Materials and Methods: A predictive design was adopted. By convenient sampling the data of 262 breast cancer survivors in Iran were collected by questionnaires during 2014. Data were analyzed applying descriptive statistics, t-tests, one-way ANOVA, Pearson's correlation coefficients, and stepwise multiple regression. Results: The internal health locus of control, depression, perceived health status, self efficacy, social support and undergoing chemotherapy all correlated significantly with the health-promoting lifestyle. Stepwise multiple regression analysis revealed that social internal health locus of control, depression, perceived health status, self efficacy and social support and chemotherapy accounted for about 39.8% of the variance in health promoting lifestyle. The strongest influence was social support, followed by self efficacy, perceived health status, chemotherapy and depression. Conclusions: The results of the study clarifed the seriousness of social support, self efficacy, perceived health status and depression in determining the health-promoting lifestyle among Iranian breast cancer survivors. Health professionals should concentrate on these variables in designing plans to promoting a healthy lifestyle.

Keywords

References

  1. Aleman BM, Moser EC, Nuver J, et al (2014). Cardiovascular disease after cancer therapy. Eur J Cancer Supplements, 12, 18-28. https://doi.org/10.1016/j.ejcsup.2014.03.002
  2. Armitage CJ, Wright CL, Parfitt G, et al (2014). Self-efficacy for temptations is a better predictor of weight loss than motivation and global self-efficacy: Evidence from two prospective studies among overweight/obese women at high risk of breast cancer. Patient Education Counseling, 95, 254-8. https://doi.org/10.1016/j.pec.2014.01.015
  3. Ashing K, Rosales M, Lai L, et al (2014). Occurrence of comorbidities among African-American and Latina breast cancer survivors. J Cancer Survivorship, 8, 312-8. https://doi.org/10.1007/s11764-014-0342-x
  4. Bahar Z, Beser A, Ozbicakci S, et al (2014). Health promotion behaviors of Turkish women. Dokuz Eylul Universitesi HemsirelikYuksekokulu E Dergisi, 6.
  5. Baheiraei A, Mirghafourvand M, Mohammadi E, et al (2012). Social support for women of reproductive age and its predictors: a population-based study. BMC Women's Health, 12, 30. https://doi.org/10.1186/1472-6874-12-30
  6. Bandura A (1997). Self-efficacy: The exercise of control. New York (NY): W.H. Freeman.
  7. Berglund E, Lytsy P, Westerling R (2014). The influence of locus of control on self-rated health in context of chronic disease: a structural equation modeling approach in a cross sectional study. BMC Public Health, 14, 492. https://doi.org/10.1186/1471-2458-14-492
  8. Chon KK, Choi SC, Uang BC (2001). Integrated adaptation of CES-D in Korea. Korean J Health Psychol, 6, 59-76.
  9. Christian LM, Glaser R, Porter K, et al (2011). Poorer self-rated health is associated with elevated inflammatory markers among older adults. Psychoneuroendocrinol, 36, 1495-504. https://doi.org/10.1016/j.psyneuen.2011.04.003
  10. Fallowfield L, Jenkins V (2015). Psychosocial/Survivorship issues in breast cancer: are we doing better? J Natl Cancer Inst, 107, 335.
  11. Falzon C, Chalabaev A, Schuft L, et al (2012). Beliefs about physical activity in sedentary cancer patients: an in-depth interview study in France. Asian Pac J Cancer Prev, 13, 6033-8. https://doi.org/10.7314/APJCP.2012.13.12.6033
  12. Frank-Stromborg M, Pender NJ, Walker SN, et al (1990). Determinants of health-promoting lifestyle in ambulatory cancer patients. Social Science Med, 31, 1159-68. https://doi.org/10.1016/0277-9536(90)90237-M
  13. Gururatana O, Baker SR, Robinson PG (2014). Determinants of children's oral-health-related quality of life over time. Community Dentistry Oral Epidemiol, 42, 206-15. https://doi.org/10.1111/cdoe.12080
  14. Hann D, Winter K, Jacobsen P (1999). Measurement of depressive symptoms in cancer patients: evaluation of the Center for Epidemiological Studies Depression Scale (CES-D). Journal Psychosomatic Res, 46, 437-43. https://doi.org/10.1016/S0022-3999(99)00004-5
  15. Hashemian M, Aminshokravi F, Hidarnia A, et al (JPMA). Farsi version of the Multidimensional Health Locus of Control and God Locus of Health Control Scales: validity and reliability study among Iranian women with a family history of breast cancer. JPMA, 64, 1057.
  16. Hauken MA, Holsen I, Fismen E, et al (2015). Working toward a good life as a cancer survivor: a longitudinal study on positive health outcomes of a rehabilitation program for young adult cancer survivors. Cancer Nursing, 38, 3. https://doi.org/10.1097/NCC.0000000000000138
  17. Hellquist B, Duffy SW, Abdsaleh S, et al (2011). Effectiveness of population-based service screening with mammography for women ages 40 to 49 years. Cancer J, 117, 714-22. https://doi.org/10.1002/cncr.25650
  18. Iskandarsyah A, de Klerk C, Suardi DR, et al (2014). Health locus of control in Indonesian women with breast cancer: a comparison with healthy women. Asian Pac J Cancer Prev, 15, 9191. https://doi.org/10.7314/APJCP.2014.15.21.9191
  19. Koenig HG, Larson DB, Larson SS (2001). Religion and coping with serious medical illness. Ann Pharmacother, 35, 352-9. https://doi.org/10.1345/aph.10215
  20. Korpershoek C, Bijl JV (2011). Selfefficacy and its influence on recovery of patients with stroke: A systematic review. J Adv Nurs, 67, 1876-94. https://doi.org/10.1111/j.1365-2648.2011.05659.x
  21. Lagana L, Fobair P, Spiegel D (2014). Targeting the psychosexual challenges faced by couples with breast cancer: can couples group psychotherapy help. J Women's Health Care, 3, 2167-0420.
  22. Lin Y-H, Tsai E-M, Chan T-F, et al (2009). Health Promoting Lifestyles and Related Factors in Pregnant Women. Chang Gung, 32, 650-61.
  23. Mann T, de Ridder D, Fujita K (2013). Self-regulation of health behavior: Social psychological approaches to goal setting and goal striving. Health Psychol, 32, 487. https://doi.org/10.1037/a0028533
  24. Meraviglia M, Stuifbergen A (2011). Health promoting behaviors of low income cancer survivors. Clin Nurse Specialist, 25, 118-24. https://doi.org/10.1097/NUR.0b013e3182157786
  25. Mishra SI, Scherer RW, Snyder C, et al (2015). The effectiveness of exercise interventions for improving health-related quality of life from diagnosis through active cancer treatment. oncology nursing forum. Onc Nurs Society, 33-53. https://doi.org/10.1188/15.ONF.E33-E53
  26. Moon SH, Lee DT, Son Y (2013). Adherence to health-related lifestyle behavior recommendations and association with quality of life among cancer survivors and age-matched controls in Korea. Asian Pac J Cancer Prev, 14, 2949-54. https://doi.org/10.7314/APJCP.2013.14.5.2949
  27. Mousavi SM, Gouya MM, Ramazani R, et al (2009). Cancer incidence and mortality in Iran. Ann Oncol, 20, 556-63.
  28. Naughton MJ, Weaver KE (2014). Physical and mental health among cancer survivors. Should I get screened?, 75, 283-6.
  29. Nazik E, Nazik H, Ozdemir F, et al (2014). Social support and quality of life in Turkish patients with gynecologic cancer. Asian Pac J Cancer Prev, 15, 3081-6. https://doi.org/10.7314/APJCP.2014.15.7.3081
  30. Pender NJ, Murdaugh CL (2006). Health promotion in nursing practice. 5th ed. Upper Saddle River (NJ): Pearson Education.
  31. Phillips SM, McAuley E (2015). Associations between selfreported post-diagnosis physical activity changes, body weight changes, and psychosocial well-being in breast cancer survivors. Supportive Care Cancer, 23, 159-67. https://doi.org/10.1007/s00520-014-2346-5
  32. Pongthavornkamol K, Wanavarodom P, Sareeso P, et al (2014). Improving health-promoting behaviors and quality of life through breast cancer support groups for Thai women. Pacific Rim Int J Nurs Res, 18, 125-37.
  33. Radloff LS (1977). The CES-D scale a self-report depression scale for research in the general population. Appl Psychol Measurement, 1, 385-401. https://doi.org/10.1177/014662167700100306
  34. Rizalar S, Altay B (2010). Early diagnosis practices for women with breast cancer. J Firat Hlth Services, 5, 73-87.
  35. Rosenstock IM, Strecher VJ, Becker MH (1988). Social learning theory and the health belief model. Health Education Q, 15, 175-83. https://doi.org/10.1177/109019818801500203
  36. Rottenberg Y, Litwin H, Manor O, et al (2014). Prediagnostic self-assessed health and extent of social networks predict survival in older individuals with cancer: A population based cohort study. J Geriatric Oncol, 5, 400-7. https://doi.org/10.1016/j.jgo.2014.08.001
  37. Rugbjerg K, Mellemkjaer L, Boice JD, et al (2014). Cardiovascular disease in survivors of adolescent and young adult cancer: a Danish cohort study, 1943-2009. J Natl Cancer Inst, 106, 110. https://doi.org/10.1093/jnci/dju110
  38. Sahin ZA, Tan M, Polat H (2013). Hopelessness, depression and social support with end of life Turkish cancer patients. Asian Pac J Cancer Prev, 14, 2823-8. https://doi.org/10.7314/APJCP.2013.14.5.2823
  39. Schiavon CC, Vieira FG, Ceccatto V, et al (2015). Nutrition Education Intervention for Women With Breast Cancer: effect on nutritional factors and oxidative stress. J Nutrition Education Behavior, 47, 2-9. https://doi.org/10.1016/j.jneb.2014.09.005
  40. Schytt E, Lindmark G, Waldenstrom U (2005). Physical symptoms after childbirth: prevalence and associations with self-rated health. Br J Obstet Gynaecol, 112, 210-7. https://doi.org/10.1111/j.1471-0528.2004.00319.x
  41. Shaheen Al Ahwal M, Al Zaben F, Khalifa DA, et al (2014). Depression in patients with colorectal cancer in Saudi Arabia. Psycho-Oncol, (Epub ahead of print).
  42. Sotelo JL, Musselman D, Nemeroff C (2014). The biology of depression in cancer and the relationship between depression and cancer progression. Int Review Psychiatry, 26, 16-30. https://doi.org/10.3109/09540261.2013.875891
  43. Stewart S, Pearson S, Luke CG, et al (1998). Effects of a homebased intervention on unplanned readmissions and out-of hospital deaths. J Am Geriatr Soc, 46, 174-80. https://doi.org/10.1111/j.1532-5415.1998.tb02535.x
  44. Swinney JE (2002). African Americans with cancer: the relationships among self-esteem, locus of control, and health perception. Res Nursing Health, 25, 371-82. https://doi.org/10.1002/nur.10050
  45. Thaewpia S, Clark MJ, Howland LC, et al (2012). Factors Predicting Health Promoting Behaviors among Older Pregnant Thais. Pacific Rim Int J Nurs Res, 16, 113-23.
  46. Travier N, Fonseca-Nunes A, Javierre C, et al (2014). Effect of a diet and physical activity intervention on body weight and nutritional patterns in overweight and obese breast cancer survivors. Medical Oncol, 31, 1-11.
  47. Walker SN, Sechrist KR, Pender NJ (1987). The healthpromoting lifestyle profile: development and psychometric characteristics. Nursing Res, 36, 76-81.
  48. Wallston KA, Stein MJ, Smith CA (1994). Form C of the MHLC scales: a condition-specific measure of locus of control. J Personality Assessment, 63, 534-53. https://doi.org/10.1207/s15327752jpa6303_10
  49. Wallston KA, Wallston BS, DeVellis R (1978). Development of the multidimensional health locus of control (MHLC) scales. Health Educ Behavior, 6, 160-70. https://doi.org/10.1177/109019817800600107
  50. Weinert C (1988). Measuring social support: Revision and further development of the Personal Resource Questionnaire. Measurement Nursing Outcomes, 1, 309-27.
  51. White M, Elander G (1992). Translation of an instrument. Scandinavian J Caring Sci, 6, 161-4. https://doi.org/10.1111/j.1471-6712.1992.tb00145.x
  52. World Health Organization (2014). Breast cancer:prevention and control,WHO 2014.Available at:http://www.who.int/cancer/detection/breastcancer/en/index1.html. [Last accessed 2013 January 3].
  53. Yi M, Kim J (2013). Factors influencing health-promoting behaviors in Korean breast cancer survivors. Eur J Oncol Nurs, 17, 138-45.
  54. Yoo MS, Lee H, Yoon JA (2009). Effects of a cognitivebehavioral nursing intervention on anxiety and depression in women with breast cancer undergoing radiotherapy. J Korean Acad Nurs, 39, 157-65. https://doi.org/10.4040/jkan.2009.39.2.157

Cited by

  1. Evaluation of Common Risk Factors for Breast Carcinoma in Females: a Hospital Based Study in Karachi, Pakistan vol.16, pp.15, 2015, https://doi.org/10.7314/APJCP.2015.16.15.6347
  2. Association Assessment among Risk Factors and Breast Cancer in a Low Income Country: Bangladesh vol.16, pp.17, 2015, https://doi.org/10.7314/APJCP.2015.16.17.7507
  3. Effective Factors on Health-Promoting Lifestyle Among Iranian Chemical Veterans in 2014 Based on Health Promotion Model: A Path Analysis vol.18, pp.8, 2016, https://doi.org/10.5812/ircmj.33467
  4. Effects of supportive-expressive discussion groups on loneliness, hope and quality of life in breast cancer survivors: a randomized control trial vol.25, pp.9, 2016, https://doi.org/10.1002/pon.4169