The transtheoretical model, health belief model, and breast cancer screening among Iranian women with a family history of breast cancer.
BACKGROUND
Participation of Iranian women with a family history of breast cancer in breast cancer screening programs is low. This study evaluates the compliance of women having a family history of breast cancer with clinical breast exam (CBE) according to the stage of transtheoretical model (TTM) and health belief model (HBM).


METHODS
In this cross-sectional study, we used Persian version of champion's HBM scale to collect factors associated with TTM stages applied to screening from women over 20 years and older. The obtained data were analyzed by SPSS, using descriptive statistics, Chi-square test, independentt-test, and analysis of covariance.


RESULTS
Final sample size was 162 women. Thirty-three percent were in action/maintenance stage. Older women, family history of breast cancer in first-degree relatives, personal history of breast disease, insurance coverage, and a history of breast self-examination were associated with action/maintenance stage. Furthermore, women in action/maintenance stages had significantly fewer perceived barriers in terms of CBE in comparison to women in other stages (P< 0.05). There was no significant difference in other HBM subscales scores between various stages of CBE screening behavior (P> 0.05).


CONCLUSIONS
The finding indicates that the rate of women in action/maintenance stage of CBE is low. Moreover, results show a strong association between perceived barriers and having a regular CBE. These clarify the necessity of promoting national target programs for breast cancer screening, which should be considered as the first preference for reducing CBE barriers.
Department of Community Medicine, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Ziba
Z
Farajzadegan
Department of Community Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Fariba
F
Fathollahi-Dehkordi
Department of Radiotherapy, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Simin
S
Hematti
Department of Radiology, University of Mississippi, Mississippi, USA.
Reza
R
Sirous
Department of Community Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Neda
N
Tavakoli
Department of Community Medicine, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Reza
R
Rouzbahani
Breast cancer; family history; health belief model; screening; transtheoretical model