title: Barriers to and factors facilitating breast cancer screening among Iranian women: a qualitative study.
abstract: This study used qualitative methodology to understand Iranian women's views about barriers to and factors facilitating screening for early detection of breast cancer. Using grounded theory with in-depth interviews of 31 participants, themes emerged from the data in 2 main categories (internal and external) with 3 sub-categories: women's attitudes, feelings and beliefs; women's social network experiences; and accessibility. Facilitating factors for screening were self-care, fear, proactive coping, state of mind and advocacy. Barriers were negligence, cancer-related fear, low self-efficacy, fatalism, misinformation, ineffective health communication and competing priorities.
authors.affiliation: Faculty of Medical Science, Department of Health Education, Tarbiat Modares University, Tehran, Islamic Republic of Iran.
authors.forename: M
authors.initials: M
authors.lastname: Lamyian
authors.forename: A
authors.initials: A
authors.lastname: Hydarnia
authors.forename: F
authors.initials: F
authors.lastname: Ahmadi
authors.forename: S
authors.initials: S
authors.lastname: Faghihzadeh
authors.forename: M E
authors.initials: ME
authors.lastname: Aguilar-Vafaie
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000453:epidemiology; D003144:Communication Barriers; D005239:Fear; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility / Q000592:standards*; D006301:Health Services Needs and Demand; D006801:Humans; D007492:Iran / Q000453:epidemiology; D008403:Mass Screening / Q000523:psychology / Q000592:standards; D008875:Middle Aged; D009042:Motivation; D015404:Nursing Methodology Research; D009790:Occupations / Q000706:statistics & numerical data; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D036301:Qualitative Research; D020377:Self Efficacy; D012944:Social Support; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014504:Urban Health / Q000706:statistics & numerical data; D014930:Women / Q000193:education / Q000523:psychology*