Ahmadian Maryam, Samah Asnarulkhadi Abu, Redzuan Ma'rof, Emby Zahid
Department of Social and Development Sciences, Faculty of Human Ecology, Universiti Putra Malaysia, 43400, UPM Serdang, Selangor, Malaysia.
Glob J Health Sci. 2012 Jan 1;4(1):42-56. doi: 10.5539/gjhs.v4n1p42.
Although significant consideration has been devoted to women participation in breast cancer prevention programs, our understanding about the psychosocial factors which influence participation remains incomplete.
The study applied a quantitative approach based on the cross-sectional survey design and multistage cluster random sampling. A total of 400 women aged 35-69 years, were surveyed at 4 obstetric and gynecologic clinics affiliated to Tehran University of Medical Sciences in Tehran: the participation levels of 86 women who have had a mammogram were analyzed based on their self-efficacy, belief, social influence, and barriers concerning mammography utilization.
Consistent with the study framework, in bivariate analysis, the higher level of women's participation in breast cancer prevention programs was significantly related to more positive belief about mammography (p< .05), greater social influence on mammography (p< .01) and fewer barriers to mammography (p< .01). Self efficacy (p= .114) was not significantly related to the higher level of participation.
Results suggest that women's participation levels in breast cancer prevention programs might be associated with the specific psychosocial factors on breast cancer preventive behavior such as mammography screening.
尽管已经对女性参与乳腺癌预防项目给予了大量关注，但我们对影响参与的心理社会因素的理解仍不完整。
本研究采用基于横断面调查设计和多阶段整群随机抽样的定量方法。在德黑兰医科大学附属的4家妇产科诊所对总共400名年龄在35 - 69岁的女性进行了调查：根据86名接受过乳房X光检查的女性的自我效能感、信念、社会影响以及乳房X光检查使用方面的障碍，分析了她们的参与水平。
与研究框架一致，在双变量分析中，女性较高水平地参与乳腺癌预防项目与对乳房X光检查更积极的信念（p <.05）、对乳房X光检查更大的社会影响（p <.01）以及乳房X光检查的更少障碍（p <.01）显著相关。自我效能感（p =.114）与较高的参与水平无显著相关性。
结果表明，女性参与乳腺癌预防项目的水平可能与乳腺癌预防行为（如乳房X光检查筛查）的特定心理社会因素有关。
