Factors Associated with Breast Cancer Mammographic Screening Behavior among Iranian Women

Document Type : Research Articles


1 Department of Community Medicine, School of Medicine and Research Center for Social Determinants of Health, Hamadan University of Medical Sciences, Hamadan, Iran.

2 General Physician, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.

3 Department of Obstetrics and Gynecology, Fatemieh Hospital, Hamadan University of Medical Sciences, Hamadan, Iran.

4 Department of Public Health, School of Public Health and Research Center of Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran.


Breast cancer is one of the most common diseases of women, which can increase the survival of patients with its early diagnosis. Despite the existence of relatively sensitive methods of early detection of breast cancer, such as mammography, statistics show that a small number of women perform mammography according to the recommended clinical guidelines. Using the health belief model, this study aims to determine the factors affecting mammography among women teachers in Hamedan. Methods: This study was conducted on 458 female teachers aged 40 years and older of Hamadan city, in western part of Iran, during October to December of 2019. The participants were asked about the factors affecting mammography based on the health belief model. Questionnaires were completed by self-reported method and analyzed by SPSS software at 95% confidence interval. Results: The average age of the study participants was 46±4.1 years. Among the participants, about 41.5% had performed mammography at least once. In univariate analysis, the constructs of the health belief model generally predicts performing mammography between 35 and 49 percent. In multivariate analysis, age 46 to 50 years, having supplementary insurance, history of breast disease, perceived barriers with odds ratio of 3.4, 3.4, 10.6 and .89, respectively, were significantly related to mammography. Conclusions: Female teachers over 45 years of age with a history of breast disease, if they do not have financial or other barriers to do mammography, perform breast cancer screening.


Main Subjects

Volume 23, Issue 12
December 2022
Pages 4073-4078
  • Receive Date: 18 April 2022
  • Revise Date: 27 August 2022
  • Accept Date: 02 December 2022
  • First Publish Date: 02 December 2022