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      Factors Related to Breast Cancer Screening in Women in the Northern Part of Iran: A Cross-Sectional Study

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          Abstract

          BACKGROUND:

          Breast cancer is the most common type of cancer in women and affects many women around the world each year. Breast cancer screening is one of the best strategies that can be used to reduce the death rate from the disease. Different factors influence the breast cancer screening rate.

          AIM:

          This study aimed to investigate the factors that affect the screening of women for breast cancer in the northern part of Iran.

          MATERIAL AND METHODS:

          This cross-sectional study was conducted in the Mazandaran Province of Iran in 2016 on 1,165 women who participate in breast cancer screening programs, using a cluster-sampling method. A valid and reliable researcher-made questionnaire was used to collect the data. The collected data were analysed using descriptive and inferential statistics via SPSS 21.

          RESULTS:

          In this study, 62% of the women had a history of breast self-examinations, 41.1% had breast examinations by healthcare staff, and 21.7% received mammography. The woman’s age, age at first marriage, age at onset of sexual intercourse, occupation, spouse’s occupation, household income, health status, history of infertility, smoking, and decision-maker on issues of sexual and reproductive health (SRH) were the best predictors of participation in screening for breast cancer (P < 0.05).

          CONCLUSION:

          To encourage participation in breast cancer screening programs, women should be encouraged to seek preventive care. Also, factors that

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          Most cited references29

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          Breast Cancer Screening in Women at Higher-Than-Average Risk: Recommendations From the ACR

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            Breast cancer screening in developing countries

            Developing countries have limited healthcare resources and use different strategies to diagnose breast cancer. Most of the population depends on the public healthcare system, which affects the diagnosis of the tumor. Thus, the indicators observed in developed countries cannot be directly compared with those observed in developing countries because the healthcare infrastructures in developing countries are deficient. The aim of this study was to evaluate breast cancer screening strategies and indicators in developing countries. A systematic review and the Population, Intervention, Comparison, Outcomes, Timing, and Setting methodology were performed to identify possible indicators of presentation at diagnosis and the methodologies used in developing countries. We searched PubMed for the terms “Breast Cancer” or “Breast Cancer Screening” and “Developing Country” or “Developing Countries”. In all, 1,149 articles were identified. Of these articles, 45 full articles were selected, which allowed us to identify indicators related to epidemiology, diagnostic intervention (diagnostic strategy, diagnostic infrastructure, percentage of women undergoing mammography), quality of intervention (presentation of symptoms at diagnosis, time to diagnosis, early stage disease), comparisons (trend curves, subpopulations at risk) and survival among different countries. The identification of these indicators will improve the reporting of methodologies used in developing countries and will allow us to evaluate improvements in public health related to breast cancer.
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              Awareness Levels about Breast Cancer Risk Factors, Early Warning Signs, and Screening and Therapeutic Approaches among Iranian Adult Women: A large Population Based Study Using Latent Class Analysis

              Background and Objective. Breast cancer (BC) continues to be a major cause of morbidity and mortality among women throughout the world and in Iran. Lack of awareness and early detection program in developing country is a main reason for escalating the mortality. The present research was conducted to assess the Iranian women's level of knowledge about breast cancer risk factors, early warning signs, and therapeutic and screening approaches, and their correlated determinants. Methods. In a cross-sectional study, 2250 women before participating at a community based screening and public educational program in an institute of cancer research in Isfahan, Iran, in 2012 were investigated using a self-administered questionnaire about risk factors, early warning signs, and therapeutic and screening approaches of BC. Latent class regression as a comprehensive statistical method was used for evaluating the level of knowledge and its correlated determinants. Results. Only 33.2%, 31.9%, 26.7%, and 35.8% of study participants had high awareness levels about screening approaches, risk factors, early warning signs and therapeutic modalities of breast cancer, respectively, and majority had poor to moderate knowledge levels. Most effective predictors of high level of awareness were higher educational qualifications, attending in screening and public educational programs, personal problem, and family history of BC, respectively. Conclusion. Results of current study indicated that the levels of awareness among study population about key elements of BC are low. These findings reenforce the continuing need for more BC education through conducting public and professional programs that are intended to raise awareness among younger, single women and those with low educational attainments and without family history.
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                Author and article information

                Journal
                Open Access Maced J Med Sci
                Open Access Maced J Med Sci
                Open Access Macedonian Journal of Medical Sciences
                Republic of Macedonia (ID Design 2012/DOOEL Skopje )
                1857-9655
                28 February 2019
                15 February 2019
                : 7
                : 4
                : 637-642
                Affiliations
                [1 ]Sexual and Reproductive Health Research Center, Mazandaran University of Medical Sciences, Sari, Iran
                [2 ]Health Sciences Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran
                Author notes
                [* ] Correspondence: Soghra Khani. Sexual and Reproductive Health Research Center, Mazandaran University of Medical Sciences, Sari, Iran. E-mail: s.khani@ 123456mazums.ac.ir
                Article
                OAMJMS-7-637
                10.3889/oamjms.2019.045
                6420934
                f7eaedd9-5073-47ca-8a5c-d282c0c66ee1
                Copyright: © 2019 Maryam Kardan-Souraki, Mahmood Moosazadeh, Soghra Khani, Zeinab Hamzehgardeshi.

                This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0).

                History
                : 16 November 2018
                : 24 December 2018
                : 25 December 2018
                Categories
                Public Health

                women,breast cancer,screening,early detection of cancer
                women, breast cancer, screening, early detection of cancer

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