Shahdadi Naeemeh, Nakhaei Nouzar, Haghdoost AliAkbar
Social Determinants of Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Med J Islam Repub Iran. 2025 Apr 8;39:52. doi: 10.47176/mjiri.39.52. eCollection 2025.
Southeast areas of Iran, particularly Kerman province, are among the deprived areas of the country which have received less attention in research about cancer screening. This study focused on screening behaviors in a relatively deprived population of Jiroft and Rabor districts of Kerman province to determine the effective factors in women's common cancers screening.
In this cross-sectional study, we interviewed 970 women aged 20 to 69 years from urban and rural areas of two counties of Kerman province in Iran (Jiroft and Rabor counties), proportional to their population sizes. Participants were asked about their cancer screening history, knowledge, and attitude toward common cancers, as well as their health literacy, all measured on a scale from 0 to 100. Independent samples t-tests, ANOVA, and Pearson's correlation coefficient were utilized to examine the relationships between variables. Subsequently, a bivariate and multivariate linear regression model was used to investigate the relationship between the screening score and the other variables with 95% confidence intervals.
The scores for screening, knowledge, and attitude were 14.6, 58.1, and 54, respectively, while health literacy was 18.6. The correlation coefficients between screening and health literacy, awareness, attitude, and knowledge ranged from 0.2 to 0.33. Screening history was lower among older women, those with less education, housekeepers, and divorced women. There was a significant relationship between knowledge about risk factors, attitude, and health literacy.
Although studied women had relatively acceptable scores in knowledge and attitude, cancer screening rates were relatively low. This suggests that a comprehensive approach to health promotion, beyond just health education, is needed to improve cancer screening practices among women in studied areas.
伊朗东南部地区，尤其是克尔曼省，是该国贫困地区之一，在癌症筛查研究中受到的关注较少。本研究聚焦于克尔曼省吉罗夫特和拉博尔地区相对贫困人群的筛查行为，以确定女性常见癌症筛查的影响因素。
在这项横断面研究中，我们按照伊朗克尔曼省两个县（吉罗夫特县和拉博尔县）城乡地区的人口规模比例，对970名年龄在20至69岁的女性进行了访谈。参与者被问及她们的癌症筛查史、对常见癌症的知识和态度，以及她们的健康素养，所有这些都在0至100的量表上进行测量。使用独立样本t检验、方差分析和皮尔逊相关系数来检验变量之间的关系。随后，使用双变量和多变量线性回归模型来研究筛查得分与其他变量之间的关系，并给出95%置信区间。
筛查、知识和态度的得分分别为14.6、58.1和54，而健康素养得分为18.6。筛查与健康素养、意识、态度和知识之间的相关系数在0.2至0.33之间。老年女性、受教育程度较低的女性、家庭主妇和离婚女性的筛查史较低。关于风险因素的知识、态度和健康素养之间存在显著关系。
尽管被研究的女性在知识和态度方面得分相对可接受，但癌症筛查率相对较低。这表明，要改善研究地区女性的癌症筛查行为，需要采取一种超越健康教育的全面健康促进方法。
