Stage of Breast Cancer Screening Adoption; The Role of Cognitive Predictors

Document Type : Research Articles


1 Department of Public Health, Faculty of Health, Yasuj University of Medical Sciences, Yasuj, Iran.

2 Social Development and Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.

3 Clinical Research Development Center, Imam Khomeini Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.

4 Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Kurdistan, Iran.

5 Infectious Disease and Tropical Medicine Center, Health Research Institute, Babol University of Medical Science, Babol, Iran.


Breast cancer is the most common cancer among women. The present study investigated the stage of breast cancer
screening adoption and the role of some of the cognitive predictors in a sample of Iranian married women. There were
a total of 334 married women clients of eight health centers in Kermanshah city, the west of Iran, were randomly
selected to participate voluntarily. Women filled out a self-report questionnaire. Data were analyzed by SPSS version
20 using One-way ANOVA, χ2-test, Fisher’s exact test, and bivariate correlations statistical tests at 95% significant
level. The mean age was 39.75 years [SD: 7.73]. Nearly 58.4%, 26.9%, 3%, 9.6%, and 2.1% of the respondents were
reported pre-contemplation, contemplation, preparation, action, and maintenance of breast cancer screening adoption,
respectively. There was a significant association between age (P=0.005), and positive family history of breast cancer
(P=0.037), perceived susceptibility (P=0.005), perceived severity (P=0.001) and knowledge of symptoms (P=0.018)
with breast cancer stage of screening adoption. Our findings can provide better knowledge for the development and
implementing of stage-targeted breast cancer screening adoption promotion programs. We conclude that it seems that
the focus of health planner should be to rise to perceived severity; perceived susceptibility and knowledge of symptoms
of breast cancer about the promotion of breast cancer screening adoption an Iranian woman.


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