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Thomas MK, Gilligan A, Lawson J, Lau T. Breast Cancer Knowledge Among Amish and Mennonite Women. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2024:10.1007/s13187-024-02452-7. [PMID: 38743160 DOI: 10.1007/s13187-024-02452-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 05/06/2024] [Indexed: 05/16/2024]
Abstract
Breast cancer is the most common cancer diagnosis for women in the USA and ranks second in cancer-related deaths. Disproportionately higher breast cancer rates can be found in rural and Appalachian regions due to several social drivers of health, including poverty, access to healthcare, and lack of culturally sensitive health education. Amish and Mennonite communities, religious groups with distinct cultural practices and beliefs, experience lower mammography screening and higher breast cancer mortality rates (among Amish women). This study focuses on knowledge about breast cancer and causes of cancer among Amish and Mennonite women. A total of 473 women participated in the study at 26 separate women's health clinics throughout Ohio, consisting of 348 Amish and 121 Mennonite women, the largest study conducted on breast cancer knowledge spanning dozens of communities. Statistically significant differences were found in total knowledge scores between Amish and Mennonite women (rpb = .178, n = 466, p = .007), with Amish women having lower scores and stronger beliefs in myths associated with breast cancer cause and symptoms (χ(1) = 7.558, p = .006). Both groups often provided scientifically accurate descriptions of cancer etiology. The majority of participants underestimated breast cancer risk, highlighting the need for culturally appropriate health education programs that consider numeracy and health literacy. By implementing targeted interventions and fostering partnerships with community stakeholders using a multifaceted approach that incorporates cultural sensitivity, community engagement, and collaboration, significant progress can be made towards reducing breast cancer disparities and improving health outcomes.
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Affiliation(s)
- Melissa K Thomas
- Department of Primary Care, Ohio University Heritage College of Osteopathic Medicine, Athens, OH, USA.
| | - Ashleigh Gilligan
- Ohio University Heritage College of Osteopathic Medicine, Dublin, OH, USA
| | | | - Ted Lau
- Ohio University Heritage College of Osteopathic Medicine, Dublin, OH, USA
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Jane Ling MY, Ahmad N, Aizuddin AN. Risk perception of non-communicable diseases: A systematic review on its assessment and associated factors. PLoS One 2023; 18:e0286518. [PMID: 37262079 DOI: 10.1371/journal.pone.0286518] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2022] [Accepted: 05/17/2023] [Indexed: 06/03/2023] Open
Abstract
BACKGROUND The burden of non-communicable diseases (NCDs) is increasing. Risk perception of NCDs is an important factor towards the uptake of preventive health interventions. There are various questionnaires assessing risk perception of NCDs, but no internationally standardized questionnaire has been available. Identification of factors associated with risk perception of NCDs may facilitate the development of targeted interventions. This systematic review aims to identify available questionnaire assessing risk perception of NCDs and the factors associated with risk perception of NCDs. METHODS The reporting of this systematic review is in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We carried out a literature search through three databases (Scopus, PubMed, Web of Science) and targeted original article published in English between 2012 and 2021. Quality appraisal of the eligible articles was conducted using the Mixed Methods Appraisal Tool. Findings were synthesized using content analysis. RESULTS A total of 86 studies were included. We found a variety of questionnaires assessing risk perception of NCDs, with many differences in their development, domains, items and validity. We also identified several personal, sociopsychological and structural factors associated with risk perception of NCDs. LIMITATIONS Most of the included studies were of cross-sectional design, and therefore the quality of evidence was considered low and exhibit a high risk of bias. The role of publication bias within this systematic review should be acknowledged as we did not include grey literature. Additionally, language bias must be considered as we only included English-language publications. CONCLUSION Further development and testing of available questionnaire is warranted to ensure their robustness and validity in measuring risk perception of NCDs. All the identified factors deserve further exploration in longitudinal and experimental studies.
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Affiliation(s)
- Miaw Yn Jane Ling
- Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia
| | - Norfazilah Ahmad
- Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia
| | - Azimatun Noor Aizuddin
- Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia
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Jiang X, Zhang L, Gao Y, He C, Tang Z, Sun J. An Empirical Study on Physical Subhealth Risk Perception: A Physical Examination Data of Tertiary Grade-A Hospitals in Anhui Province, China. JOURNAL OF ENVIRONMENTAL AND PUBLIC HEALTH 2023; 2023:3959571. [PMID: 36755784 PMCID: PMC9902138 DOI: 10.1155/2023/3959571] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/17/2022] [Revised: 12/01/2022] [Accepted: 12/28/2022] [Indexed: 01/31/2023]
Abstract
Background Physical subhealth directly correlates to people's work effectiveness and quality of life, so subhealth prevention has become an urgent medical problem. Methods A random sampling method was used to conduct a questionnaire survey of physical examinees from June to September, 2019. In total, 770 people participated in our study. The Pearson correlation and multiple stepwise regression analysis were used to explore the relationship among demographic variables, physical subhealth, and risk perception. Also, this study used a two-way interaction moderated multiple regression approach to examine the moderating effects of demographic variables on physical subhealth and risk perception. Results The risk perception level was negatively associated with physical health. Age, education level, and subhealth proportion in the work unit all significantly and positively influence physical health, whereas living place, subhealth duration, and marital status negatively influence physical health. Living place, average annual household income, number of employees in the work unit, and subhealth proportion in the work unit significantly and positively influence the risk perception, and only age negatively influences the risk perception. The number of children had a moderating effect on physical subhealth and risk perception (Interaction coefficient α = -0.3, P < 0.05). Conclusions To achieve the overall improvement of public health, relevant management departments can provide targeted interventions for the public with different levels of risk perception. Also, the physical subhealth of the public can be addressed by encouraging the public to attach importance to education, improving the public living environment to build a livable city, strengthening psychological guidance and intervention for couples heading toward divorce to reduce the divorce rate, focusing on the health of work unit employees and regularly organizing employees to attend medical checkups, and actively responding to the national policy of family planning.
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Affiliation(s)
- Xueli Jiang
- School of Health Care Management, Anhui Medical University, Hefei 230032, China
| | - Liping Zhang
- School of Marxism, Anhui Medical University, Hefei 230032, Anhui, China
| | - Yufei Gao
- School of Health Care Management, Anhui Medical University, Hefei 230032, China
| | - Chengsen He
- Law School, Anhui Medical University, Hefei 230601, China
| | - Zhiru Tang
- School of Health Care Management, Anhui Medical University, Hefei 230032, China
| | - Jiangjie Sun
- School of Health Care Management, Anhui Medical University, Hefei 230032, China
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Morgan AK, Adei D, Agyemang-Duah W, Mensah AA. An integrative review on individual determinants of enrolment in National Health Insurance Scheme among older adults in Ghana. BMC PRIMARY CARE 2022; 23:190. [PMID: 35907799 PMCID: PMC9338578 DOI: 10.1186/s12875-022-01797-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/24/2022] [Accepted: 07/13/2022] [Indexed: 11/20/2022]
Abstract
BACKGROUND We conducted an integrative review in an attempt to methodically and systematically understand the individual (personal factors) that influence National Health Insurance Scheme [NHIS] enrolment among older adults aged 50 years and above. The study was premised on evidence pointing to a state of little or no change in the enrolment rates [especially among older adults], which contrasts with the initial euphoria that greeted the launch of the scheme - which culminated in high enrolment rates. METHODS The integrative literature review was conducted to synthesise the available evidence on individual determinants of NHIS among older adults. The methodological approach of the integrative literature review follows a five-stage interdependent and interconnected procedure of problem identification, literature search, data evaluation, data analysis and results presentation. Studies that met the inclusion criteria were peer-reviewed articles published in the English Language, from January 2010 to July 2020 and have Ghana as its setting or study area. The Andersen's Behavioural Model was used to categorize the predictor variables. RESULTS Predisposing factors [gender, age, level of education and marital status], enabling factors [income] and need factors [health conditions or health attributes of older adults] were identified as individual predictors of NHIS enrolment among older adults. The findings support argument of Andersen's Behavioural Model [where predisposing, enabling and need factors are considered as individual determinants of health behaviour]. CONCLUSIONS The findings call for policy reforms that take into account the aforementioned individual predictors of NHIS enrolment, especially among the aged.
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Affiliation(s)
- Anthony Kwame Morgan
- Department of Planning, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Dina Adei
- Department of Planning, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | | | - Anthony Acquah Mensah
- Department of Planning, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
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Yao J, Pang Q, Zhang B, Wang L, Huang Y. Public Health and Online MICE Technology During the COVID-19 Pandemic: The Role of Health Beliefs and Technology Innovation. Front Public Health 2021; 9:756987. [PMID: 34660525 PMCID: PMC8517434 DOI: 10.3389/fpubh.2021.756987] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2021] [Accepted: 09/07/2021] [Indexed: 11/18/2022] Open
Abstract
The traditional meetings, incentives, conferences, and exhibitions (MICE) industry has been hit hard by social distancing regulations introduced to combat the COVID-19 pandemic, with concerns about pandemic risks and personal hygiene increasing the demand for online MICE technology. With the introduction of innovative new technologies to the MICE industry, it is important to study the psychology of online MICE attendees, particularly the factors affecting their behavioral intention to adopt online MICE technology during the pandemic. This study investigates the attitudes toward attending online MICE since the start of the epidemic based on the health belief model (HBM) and innovation diffusion theory (IDT). A total of 439 valid questionnaires were collected in China and used for structural equation modeling. The results show that the perceived safety threat, the comparative advantage, trialability, and outcome expectations positively impact the attendees' attitudes. Moreover, this study finds that attitude completely mediates the impact of perceived safety threat, comparative advantages, trialability, and outcome expectation on behavioral intention to attend online MICE events. These findings theoretically enrich the understanding of online MICE technology, the HBM, and the IDT and offer managerial implications for MICE organizers and exhibitors.
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Affiliation(s)
- Jinge Yao
- Department of Economics, Sejong University, Seoul, South Korea
| | - Qiwei Pang
- Department of Economics, Sejong University, Seoul, South Korea
| | - Binyuan Zhang
- Department of Economics, Sejong University, Seoul, South Korea
| | - Lu Wang
- Department of Economics, Sejong University, Seoul, South Korea
| | - Yiling Huang
- College of Arts and Physical Education, Myongji University, Yongin, South Korea
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Factors Associated With Colorectal Cancer Screening Among First-Degree Relatives of Patients With Colorectal Cancer in China. Cancer Nurs 2021; 45:E447-E453. [PMID: 34310390 DOI: 10.1097/ncc.0000000000000985] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/09/2022]
Abstract
BACKGROUND First-degree relatives of patients with colorectal cancer have an elevated risk of colorectal cancer. However, the behavior and factors potential influencing first-degree relatives regarding colorectal cancer screening in China remain unknown. OBJECTIVE The aim of this study was to explore the screening behavior and related factors of first-degree relatives of colorectal cancer patients. METHODS A cross-sectional design was applied, and 201 first-degree relatives participated from August 2018 to July 2019. Data were collected about demographic information, the "Colorectal Cancer Perceptions Scale," and screening behavior of first-degree relatives. Factors associated with screening behavior were identified using logistic regression analysis. RESULTS Only 18.9% of first-degree relatives had participated in colonoscopy screening. Two Health Belief Model factors were the influencing factors of their participation in colorectal cancer screening. Higher possibility of colorectal cancer screening of first-degree relatives was associated with higher perceived susceptibility (odds ratio, 1.224; 95% confidence interval, 1.075-1.395) and lower perception of barriers (odds ratio, 0.880; 95% confidence interval, 0.820-0.944) of first-degree relatives. CONCLUSIONS Participation in colorectal cancer screening by first-degree relatives requires improvement; perceived susceptibility and perception of barriers were the most important predictors. IMPLICATIONS FOR PRACTICE Health professionals can enhance awareness of colorectal cancer susceptibility and address barriers to colorectal cancer screening among first-degree relatives at both individual and social levels.
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Assessing health disparities in breast cancer incidence burden in Tennessee: geospatial analysis. BMC WOMENS HEALTH 2021; 21:186. [PMID: 33941168 PMCID: PMC8091807 DOI: 10.1186/s12905-021-01274-9] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/16/2020] [Accepted: 03/18/2021] [Indexed: 12/22/2022]
Abstract
Background Tennessee women experience the 12th highest breast cancer mortality in the United States. We examined the geographic differences in breast cancer incidence in Tennessee between Appalachian and non-Appalachian counties from 2005 to 2015. Methods We used ArcGIS 10.7 geospatial analysis and logistic regression on the Tennessee Cancer Registry incidence data for adult women aged ≥ 18 years (N = 59,287) who were diagnosed with breast cancer from 2005 to 2015 to evaluate distribution patterns by Appalachian county designation. The Tennessee Cancer Registry is a population-based, central cancer registry serving the citizens of Tennessee and was established by Tennessee law to collect and monitor cancer incidence. The main outcome was breast cancer stage at diagnosis. Independent variables were age, race, marital status, type of health insurance, and county of residence. Results Majority of the sample were White (85.5%), married (58.6%), aged ≥ 70 (31.3%) and diagnosed with an early stage breast cancer (69.6%). More than half of the women had public health insurance (54.2%), followed by private health insurance coverage (44.4%). Over half of the women resided in non-Appalachian counties, whereas 47.6% were in the Appalachian counties. We observed a significant association among breast cancer patients with respect to marital status and type of health insurance coverage (p = < 0.0001). While the logistic regression did not show a significant result between county of residence and breast cancer incidence, the spatial analysis revealed geographic differences between Appalachian and non-Appalachian counties. The highest incidence rates of 997.49–1164.59/100,000 were reported in 6 Appalachian counties (Anderson, Blount, Knox, Rhea, Roane, and Van Buren) compared to 3 non-Appalachian counties (Fayette, Marshall, and Williamson). Conclusions There is a need to expand resources in Appalachian Tennessee to enhance breast cancer screening and early detection. Using geospatial techniques can further elucidate disparities that may be overlooked in conventional linear analyses to improve women’s cancer health and associated outcomes.
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Feng GC, Lin Z, Ou W, Su X, Yan Q. A Model-Based Meta-Analysis of Willingness to Participate in Cancer Screening. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:2580. [PMID: 33806652 PMCID: PMC7967393 DOI: 10.3390/ijerph18052580] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/02/2021] [Revised: 02/26/2021] [Accepted: 02/27/2021] [Indexed: 12/31/2022]
Abstract
Although early screening tests are beneficial for the detection and treatment of cancers, many people have failed to participate in screening tests. The present study aims to explore the theoretical underpinning of low participation in screening programs using the method of meta-analytic structural equation modeling. It was found that the health belief model is the most adopted theoretical framework. Moreover, the intended uptake of screening was positively predicted only by cues to action, health literacy, and perceived susceptibility. As a result, a health intention model, including the three significant variables, is proposed. The practical implications of the findings are that health communication campaigns should focus on enlightening and engaging the public through all necessary means to raise awareness and transfer knowledge in relation to screening procedures as well as cancers per se.
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Affiliation(s)
| | - Zhiliang Lin
- School of Literature and Media, Nanfang College of Sun Yat-sen University, Guangzhou 510970, China;
| | - Wanhua Ou
- College of Communication, Shenzhen University, Shenzhen 518600, China; (W.O.); (X.S.)
| | - Xianglin Su
- College of Communication, Shenzhen University, Shenzhen 518600, China; (W.O.); (X.S.)
| | - Qing Yan
- School of Journalism and Communication, Jinan University, Guangzhou 510610, China;
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Moreira CB, Dahinten VS, Howard AF, Fernandes AFC. The Revised Champion's Health Belief Model Scale: Predictive Validity Among Brazilian Women. SAGE Open Nurs 2021; 6:2377960820940551. [PMID: 33415294 PMCID: PMC7774489 DOI: 10.1177/2377960820940551] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2020] [Revised: 05/26/2020] [Accepted: 06/13/2020] [Indexed: 11/25/2022] Open
Abstract
Mammography screening is provided free of charge for the recommended target
population in Brazil but participation rates have remained low, and breast
cancer mortality has continued to increase. Thus, it is important to
identify factors that are associated with poor participation in mammography
screening so that service providers can target health promotion messages and
screening programs more effectively. Objective: To evaluate the
predictive validity of the Revised Champion’s Health Belief Model scale
(RCHBMS) for identifying women at high risk of not adhering to national
guidelines for mammography screening in Brazil. Methods: We
used a longitudinal survey design with a 1-year follow-up data from 194
women living in northeastern Brazil, in the city of Fortaleza, Ceará,
participants completed the RCHBMS at baseline, and mammography uptake was
measured 1 year later. Hierarchical logistic regression was used to
determine the predictive validity of the RCHBMS for identifying women who
had not adhered to recommendations for mammography screening, after
accounting for the women’s sociodemographic and clinical characteristics.
The sensitivity and specificity of various cut-off points were calculated to
determine the optimal cut-off point for identifying women at high risk of
not adhering to mammography screening guidelines. Results: Two
subscales of the RCHBMS uniquely predicted nonadherence: susceptibility and
barriers, along with race and family history of cancer. The total scale
score (with barriers reverse coded) was also highly predictive. For our
sample, using only the RCHBMS with a cutoff of ≤ 3.67 (out of a total
possible range of 1–5) yielded a high sensitivity and specificity for
predicting nonadherence. Conclusion: Study findings support the
validity and clinical utility of the RCHBM for identifying women at risk of
not adhering to national guidelines for mammography screening in Brazil.
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Azriful, Bujawati E, Nildawati, Ramdan R, Mallapiang F, Suyuti S. Health Belief Model on women's cancer recovery (a phenomenological study on cancer survivors). GACETA SANITARIA 2021; 35 Suppl 1:S9-S11. [PMID: 33832637 DOI: 10.1016/j.gaceta.2020.12.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/24/2020] [Accepted: 12/04/2020] [Indexed: 10/21/2022]
Abstract
OBJECTIVE This study aimed to determine how the Health Belief Model approach used by cancer survivors, especially women, in order to survive until after treatment. METHOD The data in this research were gathered from in-depth interviews, using content analysis techniques. RESULTS The findings suggest that the cancer symptom self-detection technique helps them to discover the problem and then seek medical help. The findings also indicate that they tried to do the healthy life behavior during the medical treatment, religious coping that could help to overcome stress as a result of the treatment, family and social support to the cancer survivor, being self-confident of the healthy behavior in helping the medical process. CONCLUSIONS The healthy life behavior when supported with religious coping, can be a good alternative to help cancer patients fight against the disease and survive.
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Affiliation(s)
- Azriful
- Department of Public Health, Faculty of Medicine and Health Sciences, Universitas Islam Negeri Alauddin, Makassar, Indonesia.
| | - Emmi Bujawati
- Department of Public Health, Faculty of Medicine and Health Sciences, Universitas Islam Negeri Alauddin, Makassar, Indonesia
| | - Nildawati
- Department of Public Health, Faculty of Medicine and Health Sciences, Universitas Islam Negeri Alauddin, Makassar, Indonesia
| | - Rezki Ramdan
- Department of Public Health, Faculty of Medicine and Health Sciences, Universitas Islam Negeri Alauddin, Makassar, Indonesia
| | - Fatmawaty Mallapiang
- Department of Public Health, Faculty of Medicine and Health Sciences, Universitas Islam Negeri Alauddin, Makassar, Indonesia
| | - Syarfaini Suyuti
- Department of Public Health, Faculty of Medicine and Health Sciences, Universitas Islam Negeri Alauddin, Makassar, Indonesia
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Özkan İ, Taylan S. Barriers to women’s breast cancer screening behaviors in several countries: A meta-synthesis study. Health Care Women Int 2020; 42:1013-1043. [DOI: 10.1080/07399332.2020.1814777] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Affiliation(s)
- İlknur Özkan
- Kumluca Faculty of Health Sciences, İnternal Medicine Nursing Department, Akdeniz University, Kumluca, Antalya, Turkey
| | - Seçil Taylan
- Kumluca Faculty of Health Sciences, Surgical Nursing Department, Akdeniz University, Kumluca, Antalya, Turkey
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Duong LT, Chen HM, Liu CY, Chiou PY. Factors affecting mammography screening behaviour among rural Vietnamese women. Eur J Cancer Care (Engl) 2020; 29:e13300. [PMID: 32851751 DOI: 10.1111/ecc.13300] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2019] [Revised: 02/19/2020] [Accepted: 08/07/2020] [Indexed: 12/24/2022]
Abstract
OBJECTIVES To identify factors associated with mammography screening behaviour and its predictors among rural Vietnamese women. METHOD A predictive correlational study involving 120 women aged ≥ 40 years was conducted in the suburbs of Hanoi, Vietnam, in July 2018 by using Breast Cancer Awareness Measurement and the Champion Health Beliefs Model Scale. Mammography screening behaviour was assessed by asking participants about their previous mammography experience. RESULTS Only 16.7% of participants had undergone mammography screening. High education levels, high monthly family income, having family members or friends with breast cancer, and receiving physicians' recommendations increased the likelihood of participants screening for breast cancer. Mean scores on perceived susceptibility and perceived barriers differed significantly between participants who had and those who had not undergone screening (t = 4.31; p < .001; t = -5.05; p < .001, respectively). Perceived susceptibility and perceived barriers significantly increased the predictive power of the hierarchical logistic model (critical value = 6.16; [df = 2]; p = .046). Perceived barriers were the most significant predictors of screening behaviour (odds ratio 0.84; 95% CI, 0.71-0.99; p = .039). CONCLUSION Efforts are necessary to increase mammography awareness in the community and promote screening rates in Vietnam.
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Affiliation(s)
- Linh Thuy Duong
- School of Nursing, College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.,Faculty of Nursing and Midwifery, Hanoi Medical University, Hanoi, Vietnam
| | - Hui-Mei Chen
- School of Nursing, College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan
| | - Chieh-Yu Liu
- Department of Speech Language Pathology and Audiology, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan
| | - Piao-Yi Chiou
- School of Nursing, Medical College, National Taiwan University, Taipei City, Taiwan.,Department of Nursing, National Taiwan University Hospital, Taipei City, Taiwan
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Liu N, Li P, Wang J, Guo PP, Zhang XH, Yang S, Yu L, Zhang XM, Zhang W. Factors influencing breast cancer awareness: a cross-sectional study in China. J Comp Eff Res 2020; 9:679-689. [PMID: 32648473 DOI: 10.2217/cer-2020-0037] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022] Open
Abstract
Aim: This study aimed to explore the factors that influence breast cancer awareness. Materials & methods: A community-based cross-sectional study was conducted between January and April 2019 in Changchun, Jilin Province, China. Results: A total of 274 women were recruited for this cross-sectional study. Participants had a moderate level of breast cancer awareness (median = 76.50 [68.75, 84.00]). Women in the action/maintenance stages reported higher breast cancer awareness (p = 0.044). Women's breast cancer awareness was positively associated with high health information literacy level, husbands' higher educational degrees, seeing doctors after detecting abnormal breast changes and living within a short distance from the nearest hospital. Conclusion: History of screening and higher health information literacy levels are important positive factors linked to higher breast cancer awareness.
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Affiliation(s)
- Na Liu
- Nursing School, Jilin University, Changchun, Jilin Province, China
| | - Ping Li
- Department of Developmental Pediatrics, The Second Hospital of Jilin University, Changchun, Jilin Province, China
| | - Jie Wang
- Nursing School, Jilin University, Changchun, Jilin Province, China
| | - Ping-Ping Guo
- Nursing School, Jilin University, Changchun, Jilin Province, China
| | - Xue-Hui Zhang
- Nursing School, Jilin University, Changchun, Jilin Province, China
| | - Shu Yang
- Nursing School, Jilin University, Changchun, Jilin Province, China
| | - Lin Yu
- Nursing School, Jilin University, Changchun, Jilin Province, China
| | - Xiu-Min Zhang
- School of Public Health of Jilin University, Changchun, Jilin Province, China
| | - Wei Zhang
- Nursing School, Jilin University, Changchun, Jilin Province, China
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Tarı Selçuk K, Avcı D, Yılmaz Dündar G, Mercan Y. Breast Cancer Screening Behaviors in Women Aged 40 Years and Over in a Semi-Urban Region in Turkey: Relationships with Health Beliefs. Healthcare (Basel) 2020; 8:healthcare8020171. [PMID: 32545805 PMCID: PMC7349266 DOI: 10.3390/healthcare8020171] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2020] [Revised: 06/09/2020] [Accepted: 06/11/2020] [Indexed: 12/29/2022] Open
Abstract
In this study, we aimed to determine the breast cancer screening behavior of women and to investigate the relationship between health beliefs and screening behaviors. The study was cross-sectional. It was conducted between April 2017 and June 2017 with 416 women aged ≥40. The Sociodemographic Information Form and the Champion's Health Belief Model Scale were used to collect data. In the statistical analysis, the number, percentage, mean, standard deviation, Pearson chi-square test, and multivariate binary logistic regression analysis were used. The rates for participating women performing breast self-examination, having clinical breast examination, and undergoing mammography were 11.8%, 8.9%, and 11.3%, respectively. Perceived susceptibility, seriousness, self-efficacy, benefits, health motivation, and perceived barriers were found to have strong associations with screening behaviors (p < 0.05). In this study, we found that few women performed breast self-examination, had clinical breast examination and mammography. In the present study, women perceived barriers related to both performing breast self-examination and undergoing mammography.
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Affiliation(s)
- Kevser Tarı Selçuk
- Department of Nutrition and Dietetics, Faculty of Health Sciences, Bandırma Onyedi Eylül University, Bandırma, 10200 Balıkesir, Turkey
- Correspondence:
| | - Dilek Avcı
- Nursing Department, Faculty of Health Sciences, Bandırma Onyedi Eylül University, Bandırma, 10200 Balıkesir, Turkey; (D.A.); (G.Y.D.)
| | - Gönül Yılmaz Dündar
- Nursing Department, Faculty of Health Sciences, Bandırma Onyedi Eylül University, Bandırma, 10200 Balıkesir, Turkey; (D.A.); (G.Y.D.)
| | - Yeliz Mercan
- Department of Health Management, Kırklareli University School of Health, 39000 Kırklareli, Turkey;
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15
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Tong KK, Chen JH, Wu AMS. Application of Health Belief Model to Practice of Responsible Gambling. J Gambl Stud 2019; 35:1047-1062. [PMID: 31254140 DOI: 10.1007/s10899-019-09871-y] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Responsible gambling (RG) strategies seem to be effective only to some people and it is unclear why some gamblers are more likely to adhere to RG practices (e.g., self-exclusion and setting limits). The current study investigated whether cognitive factors, including RG awareness and Health Belief Model (HBM) factors (i.e., perceived susceptibility, perceived severity, perceived benefit, perceived barrier, cue to action, and self-efficacy), accounted for individual differences in adherence to ten common RG practices. Eight hundred and ninety-six community-dwelling adults were recruited to participate in a telephone poll in Macao, China, in November 2016. We found that only 56.1% of the respondents had heard of RG, and there was a positive relation between RG awareness and RG practices. Moreover, HBM factors were also shown to explain one's adherence to RG practices in general but the effectiveness of HBM factors varied across RG practices. The findings provided practical implications that there is a need to target different cognitive beliefs for promoting different RG practices in designing intervention.
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Affiliation(s)
- Kwok-Kit Tong
- Department of Psychology, Faculty of Social Sciences, University of Macau, Avenida da Universidade, Taipa, Macau, China
| | - Juliet Honglei Chen
- Department of Psychology, Faculty of Social Sciences, University of Macau, Avenida da Universidade, Taipa, Macau, China
| | - Anise M S Wu
- Department of Psychology, Faculty of Social Sciences, University of Macau, Avenida da Universidade, Taipa, Macau, China.
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16
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Predictors of Pap Smear Screening Behavior Among Rural Women in Tabriz, Iran: An Application of Health Belief Model. INTERNATIONAL JOURNAL OF CANCER MANAGEMENT 2019. [DOI: 10.5812/ijcm.87246] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
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17
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Liu ZY, Zhao JJ, Gao LL, Wang AY. Glucose screening within six months postpartum among Chinese mothers with a history of gestational diabetes mellitus: a prospective cohort study. BMC Pregnancy Childbirth 2019; 19:134. [PMID: 30999888 PMCID: PMC6472025 DOI: 10.1186/s12884-019-2276-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2018] [Accepted: 03/31/2019] [Indexed: 01/21/2023] Open
Abstract
BACKGROUND Gestational diabetes mellitus (GDM) is a risk factor for diabetes mellitus. The 75-g, 2-h oral glucose tolerance test is recommended for mothers with a history of GDM to screen for diabetes in the postnatal period. The aim of this study was to investigate the rate of glucose screening within 6 months postpartum among Chinese mothers with a history of GDM, and to identify its predictors. METHODS A prospective cohort study was conducted in a regional teaching hospital in Guangzhou, China, between July 2016 and June 2017. The participants were Chinese mothers (n = 237) who were diagnosed with GDM, were aged 18 years or older with no serious physical or mental disease and had not been diagnosed with type 1 or type 2 diabetes prior to their pregnancy. The revised Chinese version of the Champion's Health Belief Model Scale and social-demographic and perinatal characteristics factors were collected and used to predict postpartum glucose screening (yes or no). Adjust odds ratio (AOR) and 95% confidence interval (95% CI) were calculated. RESULTS The mean age of the 237 mothers was 32.70 years (range from 22 to 44). Almost half of the mothers (45.6%) were college graduates or higher. Chinese mothers reported a high level of perceived benefits, self-efficacy, and health motivation towards postpartum glucose screening, with a mean score above 3.5. Chinese mothers were more likely to undertake postpartum glucose screening if they were a first-time mother [AOR 2.618 (95% CI: 1.398-4.901)], had a high perceived susceptibility score [AOR 2.173 (95% CI: 1.076-4.389)], a high perceived seriousness score [AOR 1.988 (95%CI: 1.020-3.875)] and high perceived benefits score [AOR 2.978 (95%CI: 1.540-5.759)]. CONCLUSION The results of this study will lead to better identification of mothers with a history of GDM who may not screen for postpartum glucose abnormality. Health care professionals should be cognizant of issues that may affect postpartum glucose screening among mothers with a history of GDM, including parity, perceived susceptibility, perceived seriousness and perceived benefits.
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Affiliation(s)
- Zhu-Yun Liu
- Guangdong Provincial Hospital of Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China
| | - Juan-Juan Zhao
- School of Nursing, Sun Yat-sen University, 74#, Zhongshan Road II, Guangzhou, 510089, China
| | - Ling-Ling Gao
- School of Nursing, Sun Yat-sen University, 74#, Zhongshan Road II, Guangzhou, 510089, China.
| | - Alex Y Wang
- Faculty of Health, University of Technology Sydney, Sydney, New South Wales, Australia
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18
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Onega T, Weiss JE, Alford-Teaster J, Goodrich M, Eliassen MS, Kim SJ. Concordance of Rural-Urban Self-identity and ZIP Code-Derived Rural-Urban Commuting Area (RUCA) Designation. J Rural Health 2019; 36:274-280. [PMID: 30913340 DOI: 10.1111/jrh.12364] [Citation(s) in RCA: 33] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2018] [Revised: 01/09/2019] [Accepted: 02/04/2019] [Indexed: 01/11/2023]
Abstract
PURPOSE This study examined the concordance between individuals' self-reported rural-urban category of their community and ZIP Code-derived Rural-Urban Commuting Area (RUCA) category. METHODS An Internet-based survey, administered from August 2017 through November 2017, was used to collect participants' sociodemographic characteristics, self-reported ZIP Code of residence, and perception of which RUCA category best describes the community in which they live. We calculated weighted kappa (ĸ) coefficients (95% confidence interval [CI]) to test for concordance between participants' ZIP Code-derived RUCA category and their selection of RUCA descriptor. Descriptive frequency distributions of participants' demographics are presented. FINDINGS A total of 622 survey participants, residents of New Hampshire (63%) and Vermont (37%), responded to the survey's self-reported rural-urban category. The overall ĸ was 0.33 (95% CI: 0.27-0.38). The highest concordance was found among those living in a small rural area (N = 81, 13%): 62% of this group identified their communities as small rural. Sixty-five percent (300/459) of participants residing in urban or large rural areas reported their community as more rural (small rural or isolated). Sixty-eight percent (111/163) of participants living in small rural or isolated areas identified their community as more urban (large rural or urban). CONCLUSIONS Discordance was found between self-report of rural-urban category and ZIP Code-derived RUCA designation. Caution is warranted when attributing rural-urban designation to individuals based on geographic unit, since perceived rurality/urbanicity of their community that relates to health behaviors may not be reflected.
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Affiliation(s)
- Tracy Onega
- Department of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire.,Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire.,Norris Cotton Cancer Center, Lebanon, New Hampshire.,Department of Epidemiology, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire
| | - Julie E Weiss
- Department of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire.,Norris Cotton Cancer Center, Lebanon, New Hampshire
| | - Jennifer Alford-Teaster
- Department of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire.,Norris Cotton Cancer Center, Lebanon, New Hampshire.,Department of Epidemiology, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire
| | - Martha Goodrich
- Department of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire.,Norris Cotton Cancer Center, Lebanon, New Hampshire
| | - M Scottie Eliassen
- Departments of Community and Family Medicine and Medical Education, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire
| | - Sunny Jung Kim
- Department of Health Behavior and Policy, School of Medicine, Virginia Commonwealth University, Richmond, Virginia.,Massey Cancer Center, Virginia Commonwealth University, Richmond, Virginia
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19
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Sharifikia I, Rohani C, Estebsari F, Matbouei M, Salmani F, Hossein-Nejad A. Health Belief Model-based Intervention on Women's Knowledge and Perceived Beliefs about Warning Signs of Cancer. Asia Pac J Oncol Nurs 2019; 6:431-439. [PMID: 31572765 PMCID: PMC6696815 DOI: 10.4103/apjon.apjon_32_19] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
Objective: Early detection of cancers essentially depends on knowledge of the warning signs. This study, therefore, aimed at investigating the effect of Health Belief Model (HBM)-based educational intervention on the knowledge and perceived beliefs of women about the warning signs of cancer. Methods: This experimental study with intervention (n = 80) and control (n = 80) groups was performed at four urban health centers affiliated to the university. Data collection was done in two phases, before and one month after the educational intervention, using three instruments, a demographic-clinical information questionnaire, the awareness questionnaire on cancer warning signs, and the cancer warning signs-HBM questionnaire. Results: The results of the multivariate repeated-measures analyses of variance indicated that the hypothesis of this study was confirmed. It means that “women's knowledge and their perceived beliefs of cancer warning signs” improved after HBM-based educational intervention in the intervention group, compared to the controls over time. Thus, the “level of knowledge” and perceived beliefs of the women in the intervention group compared to the controls increased, in terms of perceived “sensitivity,” “severity,” “benefits,” “barriers,” “cue to action,” and “self-efficacy” over time (P < 0.001). Conclusions: It could be hoped that this intervention would be effective for improving the performance of women in health-promoting behaviors of cancer prevention. It is recommended that health-care providers plan for HBM-based educational interventions, based on educational needs of the target groups at different community levels.
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Affiliation(s)
- Iman Sharifikia
- Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Camelia Rohani
- Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Fatemeh Estebsari
- Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mahsa Matbouei
- Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Fatemeh Salmani
- Department of Epidemiology and Biostatistics, Faculty of Health, Birjand University of Medical Sciences, Birjand, Iran
| | - Azam Hossein-Nejad
- Department of Nursing, School of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran
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20
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Roh S, Burnette CE, Lee YS, Jun JS, Lee HY, Lee KH. Breast cancer literacy and health beliefs related to breast cancer screening among American Indian women. SOCIAL WORK IN HEALTH CARE 2018; 57:465-482. [PMID: 29589809 PMCID: PMC5997550 DOI: 10.1080/00981389.2018.1455789] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
The purpose of this article is to examine the health beliefs and literacy about breast cancer and their relationship with breast cancer screening among American Indian (AI) women. Using the Health Belief Model (HBM) and hierarchical logistic regression with data from a sample of 286 AI female adults residing in the Northern Plains, we found that greater awareness of breast cancer screening was linked to breast cancer screening practices. However, perceived barriers, one of the HBM constructs, prevented such screening practices. This study suggested that culturally relevant HBM factors should be targeted when developing culturally sensitive breast cancer prevention efforts.
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Affiliation(s)
- Soonhee Roh
- Department of Social Work, University of South Dakota, Sioux Falls, SD, USA
| | | | - Yeon-Shim Lee
- School of Social Work, San Francisco State University, San Francisco, CA, USA
| | - Jung Sim Jun
- Community Engagement Institute, Wichita State University, Wichita, KS, USA
| | - Hee Yun Lee
- School of Social Work, University of Alabama, Tuscaloosa, AL, USA
| | - Kyoung Hag Lee
- School of Social Work, Wichita State University, Wichita, KS, USA
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21
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Carcioppolo N, Christy KR, Jensen JD, King AJ, Goonewardene J, Raftery D. Biomarker profiling for breast cancer detection: translational research to determine acceptance of a novel breast cancer screening technique. Health Syst (Basingstoke) 2018; 8:44-51. [PMID: 31214353 DOI: 10.1080/20476965.2017.1414740] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2016] [Revised: 09/29/2017] [Accepted: 11/25/2017] [Indexed: 10/26/2022] Open
Abstract
The current study seeks to determine how the psychosocial predictors of the health belief model are related to willingness to adopt biomarker screening practices among women above and below current screening age recommendations, as biomarker profiling can potentially detect cancer much earlier than current breast cancer detection methods. Patients (N = 205) at an Obstetrician/Gynaecology office in a mid-sized Midwest city. Participants completed a survey in the waiting room before their doctor appointment. Results revealed that benefits (p < .001), barriers (p = .02), cancer worry severity (p = .01), and self-efficacy (p = .002) were significant predictors of willingness to adopt biomarker profiling, and susceptibility was marginally related (p = .09). The direct effects are qualified by two interactions between psychosocial predictors of the health belief model and participants' age. The model predicted willingness to adopt biomarker screening well (R 2 = 28%), and may be used successfully as a framework to assess the diffusion of biomarker screening acceptability.
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Affiliation(s)
- Nick Carcioppolo
- Department of Communication Studies and Affiliate Faculty at the Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL, USA
| | - Katheryn R Christy
- Department of Communication and Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA
| | - Jakob D Jensen
- Department of Communication and Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA
| | - Andy J King
- Department of Public Relations, Texas Tech University, Lubbock, TX, USA
| | - Julie Goonewardene
- American Medical Association, Chicago, IL, USA.,Innovation and Entrepreneurship, University of Kansas, Lawrence, KS, USA
| | - Daniel Raftery
- Department of Anesthesiology and Pain Medicine, University of Washington and Fred Hutchinson Cancer Research Center, Seattle, WA, USA
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22
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Wheeler SB, Davis MM. "Taking the Bull by the Horns": Four Principles to Align Public Health, Primary Care, and Community Efforts to Improve Rural Cancer Control. J Rural Health 2017; 33:345-349. [PMID: 28905432 PMCID: PMC5824432 DOI: 10.1111/jrh.12263] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2017] [Accepted: 07/24/2017] [Indexed: 12/27/2022]
Affiliation(s)
- Stephanie B. Wheeler
- Department of Health Policy & Management, Lineberger Comprehensive Cancer Center, and Center for Health Promotion & Disease Prevention, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
| | - Melinda M. Davis
- Department of Family Medicine, OHSU-PSU School of Public Health, and Oregon Rural Practice-based Research Network, Oregon Health & Science University, Portland, Oregon
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23
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Wiese LK, Williams CL, Tappen R, Newman D, Rosselli M. Assessment of Basic Knowledge About Alzheimer’s Disease Among Older Rural Residents: A Pilot Test of a New Measure. J Nurs Meas 2017; 25:519-548. [DOI: 10.1891/1061-3749.25.3.519] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Background and Purpose: Underserved rural populations face a higher risk of Alzheimer’s disease (AD), yet studies investigating AD knowledge in this population are lacking. The purpose of this research was to develop an AD basic knowledge measure that is appropriate for use with underserved populations. Method: A content domain map, content validity index, and cognitive interviews were used in developing the first version of the basic knowledge of Alzheimer’s disease (BKAD; Study 1). Reliability and validity of the measure in this descriptive study were examined using Rasch modeling and tests for construct, concurrent, and discriminate validity (Study 2). Multiple regression was employed to examine AD knowledge predictors. Results: Findings included that the BKAD instrument discriminated well between persons with varied education levels. Psychometric analysis yielded important information to guide revision of the BKAD measure. Conclusion: The BKAD measure shows promise in meeting the need for a culturally relevant measure to assess basic Alzheimer’s disease knowledge in underserved rural populations.
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