Relationship of fear and fatalism with breast cancer  screening among women using health belief model

Despite the potential benefits of screening in discovering breast cancer, many women still do not follow recommended screening regimens. Fear of cancer detection and fatalistic beliefs were identified by previous studies as the main reasons given by women for noncompliance with breast cancer screening. The aim of this descriptive study is to explore relationship of fear and fatalism with breast cancer screening among a convenience sample of 136 women recruited during their visit to the Gynecology Clinic at the Maternity University Hospital in Alexandria, Egypt. The study tool consists of four parts: (1) Bio-sociodemographic information; (2) Champion Breast Cancer Fear Scale (CBCFS); (3) Powe Fatalism Inventory (PFI); (4) abridged version of the Champion Health Belief Model Scale (CHBMS). The findings revealed that only 3.7% and 14.7% of women practiced regular breast self-examination and had previously had mammography, respectively. Negative correlations were found between fatalism and health beliefs; and between fear and health belief. A positive correlation was found between fatalism and fear. The findings of this study add some experimental support for the relationships between fear, fatalism, and breast cancer screening behavior.

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Health Beliefs and Breast Cancer Screening in Rural Appalachia: An Evaluation of the Health Belief Model

The Journal of Rural Health ◽

10.1111/jrh.12204 ◽

2016 ◽

Vol 33 (4) ◽

pp. 350-360 ◽

Cited By ~ 12

Author(s):

Santana D. VanDyke ◽

Madelynn D. Shell

Keyword(s):

Breast Cancer ◽

Cancer Screening ◽

Health Belief Model ◽

Breast Cancer Screening ◽

Health Beliefs ◽

Health Belief ◽

Rural Appalachia ◽

Belief Model ◽

The Health Belief Model

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The Impact of the Theory-Based Training on Beliefs of Women towards Breast Cancer Screening Behaviors

Current Women s Health Reviews ◽

10.2174/1573404816999200402120836 ◽

2020 ◽

Vol 16 (3) ◽

pp. 229-235

Author(s):

Alireza Didarloo ◽

Leila Mokhtary ◽

Hamid-Reza Khalkhali ◽

Soheila Ahangarzadeh-Rezaei

Keyword(s):

Breast Cancer ◽

Cancer Screening ◽

Breast Cancer Screening ◽

Health Beliefs ◽

Educational Intervention ◽

Intervention Group ◽

Health Belief ◽

Control Group ◽

Belief Model ◽

Screening Behaviors

Background: Breast cancer is the most prevalent type of cancer among women that is fatal if not diagnosed and treated in due time. Health beliefs play an important role in people's willingness to engage in health-promoting behaviors. Objective: The aim of the study was to examine the effects of the health belief model (HBM)-based training intervention on women’s health beliefs towards breast cancer screening behaviors. Methods: The study of educational intervention was conducted on women referred to healthcare centers. The sample was selected by convenient sampling and randomly assigned to control and intervention groups of 50 subjects. The intervention group received the theory-based training intervention, but the control group received only the routine care. Champion’s Health Belief Model Scale (CHBMS) was used for collecting the study data. Data analysis was performed using independent t-test, paired t-test, Chi-squared test, and correlation coefficient in SPSS software version 16.00. Results: The mean age of the subjects for control and intervention groups was 39.06±9.78, 38.32±8.27, respectively. Overall, 38%, 12% and 13%of the subjects reported breast selfexamination behavior, mammography and clinical breast examinations, respectively. Before the intervention program, the overall mean score of health beliefs in groups of control and intervention was 160.82±23.28, and 159.14±20.61, respectively. After educational intervention, the overall mean score of beliefs in the intervention group changed from 159.14±20.61 to 195.26±24.42, and it was statistically significant (p<0.001). In the control group, after the intervention, no significant changes were observed in the mean score of total health beliefs and were not statistically significant (p>0.05). Among the variables of the HBM, women's perceived self-efficacy toward breast selfexamination experienced the most positive change after an educational intervention. Conclusion: Our results indicated that HBM-based training significantly improved women’s beliefs toward breast cancer screening behaviors. It is suggested that trainers in the healthcare system use these educational approaches to promote people’s beliefs toward breast cancer and its screening methods.

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