title: Relationships of Fear of Breast Cancer and Fatalism with Screening Behavior in Women Referred to Health Centers of Tabriz in Iran.
abstract: BACKGROUND
  Fear and fatalism have been proposed as factors affecting breast cancer screening, but the evidence is not strong. This study aimed to determine relationships of fear and fatalism with breast cancer screening behavior among Tabriz women in Iran.
  
  
  METHODS
  In a cross- sectional study, 370 women referred to 12 health centers in Tabriz were selected with two-stage cluster sampling and data regarding breast cancer screening, fatalism and fear of breast cancer were collected respectively with a checklist for screening performance, Champions Fear and Pow Fatalism Questionnaires. Data were analyzed by logistic regression with SPSS software version 16.
  
  
  RESULTS
  Only 43% and 23% of participants had undergone breast self- examination and clinical breast examination. Among women older than 40 years, 38.2% had mammography history and only 2.7% of them had done it annually. Although fatalism and fear had a stimulating effects on breast cancer screening performance th relationships were not signi cant (P>0.05). There was a negative significant correlation between fear and fatalism (r= -0.24, p=0.000). On logistic regression analysis, age (OR=1.037, p<0.01) and income status (OR= 0.411, p<0.05) significantly explained BSE and age (OR=1.051, p<0.01) and body mass index (OR= 0.879, p<0.01) explained CBE. Also BMI (OR= 0.074, p<0.05) and income status (OR=0.155, p<0.01) was significantly effective for mammography following.
  
  
  CONCLUSIONS
  Breast cancer screening behavior is inappropriate and affected by family livelihood status and lifestyle leads to weight gain, so that for promoting of screening behavior, economic support to families, lifestyle modification and public education are suggested.
authors: Hematology and Oncology Research Center, Medical Surgical Department, Tabriz University of Medical Sciences, Tabriz, Iran E-mail : leylamehr@yahoo.com.
authors: Akram
authors: A
authors: Ghahramanian
authors: Azad
authors: A
authors: Rahmani
authors: Ahmad Mirza
authors: AM
authors: Aghazadeh
authors: Lida Emami
authors: LE
authors: Mehr
mesh_terms: D000328:Adult; D001519:Behavior / Q000502:physiology*; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000523:psychology*; D016504:Breast Self-Examination / Q000523:psychology; D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer / Q000523:psychology*; D005239:Fear / Q000523:psychology*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007492:Iran; D016015:Logistic Models; D008327:Mammography / Q000523:psychology; D008403:Mass Screening / Q000523:psychology*