Ghahramanian Akram, Rahmani Azad, Aghazadeh Ahmad Mirza, Mehr Lida Emami
Hematology and Oncology Research Center, Medical Surgical Department, Tabriz University of Medical Sciences, Tabriz, Iran E-mail :
Asian Pac J Cancer Prev. 2016;17(9):4427-4432.
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.
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.
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.
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.
恐惧和宿命论被认为是影响乳腺癌筛查的因素，但证据并不充分。本研究旨在确定伊朗大不里士女性中恐惧和宿命论与乳腺癌筛查行为之间的关系。
在一项横断面研究中，采用两阶段整群抽样法选取了大不里士12个健康中心的370名女性，分别通过筛查执行清单、冠军恐惧问卷和力量宿命论问卷收集有关乳腺癌筛查、宿命论和对乳腺癌恐惧的数据。使用SPSS 16版软件进行逻辑回归分析。
仅有43%和23%的参与者进行过乳房自我检查和临床乳房检查。40岁以上女性中，38.2%有乳房X光检查史，其中每年进行该检查的仅占2.7%。尽管宿命论和恐惧对乳腺癌筛查行为有促进作用，但这种关系并不显著（P>0.05）。恐惧与宿命论之间存在显著负相关（r = -0.24，p = 0.000）。逻辑回归分析显示，年龄（OR = 1.037，p<0.01）和收入状况（OR = 0.411，p<0.05）显著影响乳房自我检查，年龄（OR = 1.051，p<0.01）和体重指数（OR = 0.879，p<0.01）影响临床乳房检查。此外，体重指数（OR = 0.074，p<0.05）和收入状况（OR = 0.155，p<0.01）对乳房X光检查有显著影响。
乳腺癌筛查行为不当，受家庭生计状况和导致体重增加的生活方式影响，因此，为促进筛查行为，建议给予家庭经济支持、改变生活方式并开展公众教育。
