title: Effect of education on preventive behaviors of breast cancer in female teachers of guidance schools of Zahedan city based on health belief model.
abstract: BACKGROUND
  Breast cancer is one of the most common cancers in females. Methods of screening are the best among early detection methods. The goal of this study is effect of education on preventive behaviors of breast cancer in female teachers of guidance schools of Zahedan city based on health belief model.
  
  
  METHODS
  This study was a semi-experimental, a kind of case-control research. This study was carried on 240 female teachers in guidance schools, Zahedan city, in 2011-2012 academic years with multi-stage sampling. Data collection tool was a questionnaire that was used after confirmation of validity and reliability. Data were collected with questionnaire after analysis, educational intervention with lecture, view video, group discussion, question and answer performed. Two month after intervention, secondary evaluation was performed. Collected data with SPSS software and appropriate statistical tests like: Paired t-test, independent t-test, regression analysis, Chi-square were analyzed.
  
  
  RESULTS
  Persons mean age in this study was 39.40(±7.4) years. In awareness item and health belief model constructs (awareness, perceived susceptibility, perceived seriousness, perceived benefits, perceived barriers, self-efficiency, behavior) and also practice, paired t-test showed significant difference among before and after education (P > 0.0001). In two groups based on Chi-square in level of education and married status, there were no significant differences. Also, regression analysis outcomes showed that perceived barriers had the most effect on behavior, and this construct could be predictor of preventive behaviors from breast cancer.
  
  
  CONCLUSIONS
  The findings of this study could conclude that educational programs designed based on the health belief model have significant impact on improving preventive treatment of breast cancer. Given the fact that Iran has a very high incidence of breast cancer, since Iranian women's awareness level and performance specially research samples according to educational level (associate degree and higher) and employment conditions as model for today girls and future mothers in breast cancer screening before educational intervention was very low. So, due to need, increasing women's awareness in health belief model framework to promote preventive behaviors is recommended.
authors.affiliation: Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
authors.forename: Khadijah Kalan Farman
authors.initials: KK
authors.lastname: Farma
authors.affiliation: Department of Health Education, College of Medical Sciences, Sciences and Research Branch, Islamic Azad University, Zahedan, Iran.
authors.forename: Zahra
authors.initials: Z
authors.lastname: Jalili
authors.affiliation: Department of Health Education and Promotion, Zahedan University of Medical Sciences, Zahedan, Iran.
authors.forename: Iraj
authors.initials: I
authors.lastname: Zareban
authors.affiliation: Department of Biostatistics and Epidemiology, School of Health, Zahedan University of Medical Sciences, Zahedan, Iran.
authors.forename: Mahnaz Shahraki
authors.initials: MS
authors.lastname: Pour
keywords: Breast cancer; health belief model; preventive behaviors and female teachers’ education