title: Determinants of breast self-examination performance among Iranian women: an application of the health belief model.
abstract: Breast cancer is one of the most common cancers among women. Screening behavior rates are low in the world. Therefore, the purpose of the current study was to investigate breast self-examination (BSE) rate and the relationships of Health Belief Model (HBM) constructs for predicting BSE. Path analysis was used to examine both one-way direct and indirect effects of HBM factors on BSE in this population (N = 382). Data were collected by a part of Champion's HBM Scale (CHBMS) and a self-administered questionnaire. The results showed that 7.6% of the participants reported performing BSE regularly. The final model provided a good fit to the data, with 13 variables explaining 62% of the variance in BSE. Perceived self-efficacy was intermediate construct between modifying factors and HBM constructs. Also, perceived self-efficacy and perceived benefits were the most highly related to BSE. The results suggest that HBM is a useful framework for identifying factors influencing the use of BSE in Iranian women.
authors.affiliation: Department of Health, Bushehr University of Medical Sciences, Bushehr, Iran. azitanoroozi@yahoo.com
authors.forename: Azita
authors.initials: A
authors.lastname: Noroozi
authors.forename: Tayyebh
authors.initials: T
authors.lastname: Jomand
authors.forename: Rahim
authors.initials: R
authors.lastname: Tahmasebi
mesh_terms: D000328:Adult; D001294:Attitude to Health / Q000208:ethnology*; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000208:ethnology / Q000523:psychology; D016504:Breast Self-Examination / Q000523:psychology*; D003469:Culture; D005260:Female; D015438:Health Behavior / Q000208:ethnology*; D006801:Humans; D007492:Iran; D008875:Middle Aged; D008960:Models, Psychological; D020377:Self Efficacy; D055815:Young Adult