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BMC Women-s Health

, 9:37

First Online: 29 December 2009Received: 05 January 2009Accepted: 29 December 2009


BackgroundIranian women, many of whom live in small cities, have limited access to mammography and clinical breast examinations. Thus, breast self examination BSE becomes an important and necessary approach to detecting this disease in its early stages in order to limit its resultant morbidity and mortality. This study examined constructs arising from the Health Belief Model as predictors of breast self examination behavior in a sample of women living in Bandar Abbas, Iran.

MethodsThis study was conducted in eight health centers located in Bandar Abbas, Iran. The sample consisted of 240 eligible women who were selected from referrals to the centers. The inclusion criteria were as follows: aged 30 years and over; and able to read and write Farsi. Women with breast cancer, who were pregnant, or breast feeding, were excluded from the study. Data were collected by using a self administered questionnaire which included demographic characteristics and Champion-s Health Belief Model Scale. This instrument measures the concepts of disease susceptibility 3 items, seriousness 6 items, benefits 4 items, barriers 8 items and self-efficacy 10 items.

ResultsThe subjects- mean age was 37.2 SD = 6.1 years. Just under a third of the subjects 31.7% had performed BSE in the past and 7.1% of them performed it at least monthly. Perceived benefits and perceived self-efficacy of the women who performed BSE were significantly higher compared with women who did not practice BSE p < 0.03. Furthermore, perceived barriers were lower among those who had performed BSE p < 0.001. Logistic regression analysis indicated that women who perceived fewer barriers OR: 0.70, 95% CI: 0.63-0.77, p < 0.001 and had higher self-efficacy OR: 1.08, 95% CI: 1.02-1.13, p = 0.003 were more likely to perform BSE R = 0.52.

ConclusionFindings from this study indicated that perceived barriers and perceived self-efficacy could be predictors of BSE behavior among the sample of women. Therefore, BSE training programs that emphasize self-efficacy and address perceived barriers are recommended.

List of abbreviations UsedBSEBreast Self Examination

HBMHealth Belief Model

CHBMSChampion-s revised Health Belief Model Scale.

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Autor: Sedigheh Sadat Tavafian - Laleh Hasani - Teamur Aghamolaei - Shahram Zare - David Gregory


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