Volume 28, Issue 4 (9-2018)                   J Holist Nurs Midwifery 2018, 28(4): 246-251 | Back to browse issues page

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1- Nursing (MSN), School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
2- Instructor, Social Determinants of Health Research Center (SDHRC), Department of Midwifery, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
3- Instructor, Department of Midwifery, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
4- Associate Professor, Social Determinants of Health Research Center (SDHRC), Biostatistics, Guilan University of Medical Sciences, Rasht, Iran.
Abstract:   (395 Views)

Introduction: Among women’s cancers, breast and cervical cancers are most common with high mortality rate, but they can be rectified in the initial stages with cost-effective, easy and readily available screening programs. The task of informing the community and directing them towards the screening programs is one of the major responsibilities of the health team.
Objective: Determining the screening test status for common female cancers and their associated factors among the personnel working in the health and educational centers.
Materials and Methods: In this cross-sectional and analytical study, 212 employees (physicians, gynecologists, nurses, midwives and family health unit personnel) from Al-Zahra Medical Center and the health centers of Rasht City (15 centers) were studied. A 4-part questionnaire was prepared and completed by the selected employees. For statistical analysis, descriptive characteristics and Independent t test were used. To determine the predictor-related factors for conducting Pap Smear test, mammography and breast self-examination, multiple analysis and logistic regression model were used.
Results: The results showed that 76.80% of the subjects with regard to Pap Smear test, 50% with regard to mammography and 86.60% with regard to breast self-examination had a good performance. Age (B=-0.12, P=0.007), age of the first pregnancy (B=0.14, P=0.05) and early diagnosis of cancer by screening (B=1.21, P=0.04) were predictive factors for performing Pap Smear. Duration of the current contraceptive method (P=0.05, B=-0.07), presence of suspicious mass in the breast (B=2.095, P=0.004) and fear of cancer (B=-0.85, P=0.07) were predictive factors for performing mammography. While, fear of cancer (P=0.02, B=6.31) was the only predictor of breast self-examination.
Conclusion: Considering that working personnel in health-care centers are models for the general public, promoting their health behaviors such as performing timely tests can be an effective approach to promote better health in the community.

Keywords: Cancer, Screening, Women
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Article Type : Research | Subject: General
Received: 2017/08/27 | Accepted: 2018/04/11 | Published: 2018/09/1

1. Asgharnia M, Faraji R, Zahiri Z, Salamat F, Mosavi CS, Sefati S. [A study of knowledge and practice of woman about breast cancer and its screening, in the case of women who referred to Alzahra hospital in Rasht during 2010-2011 (Persian)]. Journal of Iran Surgery. 2013; 21(1):1-9.
2. Khalili S, Shojaiezadeh D, Azam K, Kheirkhah Rahimabad K, Kharghani Moghadam M, Khazir Z. [The effectiveness of education on the health beliefs and practices related to breast cancer screening among women referred to Shahid Behtash Clinic, Lavizan area, Tehran, using health belief model (Persian)]. Journal of Health. 2014; 5(1):45-58.
3. Tahergorabi Z, Moodi M, Mesbahzadeh B. [Breast cancer: A preventable disease (Persian)]. Journal of Birjand University of Medical Sciences. 2014; 21(2):126-41.
4. Akbari H, Jaddi Arani T, Gilasi H, Moazemi-Goodarzi A, Ghalipoor Z, Alinaghi Poor A, et al. [Study of motivational factors and causes of nonparticipation to breast and cervical cancer screening tests among women attending health centers in Kashan city (Persian)]. Scientific Journal of Ilam University of Medical Sciences. 2014; 22(3):137-48.
5. Hajializadeh K, Ahadi H, Jomehri F. [The role of health beliefs in predicting barriers to cervical cancer screening (Persian)]. Journal of Kerman University of Medical Sciences. 2014; 21(5):416-25.
6. Mirzaei-Alavijeh M, Karami-Matin B, Jalilian F, Rakhshani F, Mahboubi M, Emdadi S. [Pap Smear test promotion among women: An educational intervention based on theory of planned behavior (Persian)]. Journal of Biology and Today's World. 2014; 3(4):100-3. [DOI:10.15412/J.JBTW.01030405]
7. Sargazi M, Mohseni M, Safar-Navadeh M, Iran-Pour A, Mirzaee M, Jahani Y. [Effect of an educational intervention based on the theory of planned behavior on behaviors leading to early diagnosis of Breast Cancer among women referred to health care centers in Zahedan in 2013 (Persian)]. Iranian Journal of Breast Diseases. 2014; 7(2):45-55.
8. Enjezab B, Faraj khoda T, Mojahed S, Bokaee M. [Barriers and motivators related to cervical and Breast Cancer screening (Persian)]. Journal of Shahid Sadoughi University of Medical Sciences. 2004; 12(3):78-84.
9. Morowatisharifabad M, Norouzi S, Layeghy S, Norouzi A. [Survey of Cervix Cancer screening determinants among 20-65 years old women based on health belief model in Lordegan, Chahar Mahal Bakhtiyaree, 2009 (Persian)]. The Journal of Toloo-e-Behdasht. 2013; 12(1):98-106.
10. Alavi Gh, Hoseininejad J, Fattahi Masoom AS, Shakeri MT. [Evaluation of prevalence of Cervical and Breast Cancer screening programs between gynecologists (Persian)]. Iranian Journal of Obstetrics, Gynecology and Infertility. 2010; 13(1)1-6.
11. Amasha HA. Breast self-examination and risk factors of breast cancer: Awareness of Jordanian nurses. Health Science Journal. 2013; 7(3):303-14.
12. Esmailpour N, Mirblouk F, Shodjaei Tehrani H, Poorseyad Reza A, Dalil Heirati SF. [Survey the knowledge, attitude and practice on popsmear in nurses and midwives (Persian)]. Journal of Guilan University of Medical Sciences. 2011; 20(77):81-8.
13. Nilaweera R, Perera S, Paranagama N, Anushyanthan A. Knowledge and practices on breast and cervical cancer screening methods among female health care workers: A SriLankan experience. Asian Pacific Journal of Cancer Prevention. 2012; 13(4):1193-6. [DOI:10.7314/APJCP.2012.13.4.1193] [PMID] [DOI:10.7314/APJCP.2012.13.4.1193]
14. Saberi F, Sadat Z, Abedzadeh Kolahrodi M. [Factors related to servix cancer screening and barriers to trying it in women (Persian)]. Journal of the Iranian Institute for Health Sciences Research. 2012; 11(3):365-70.
15. Jalilian F, Mirzaei Alavijeh M, Emdadi SH, Barati M, Nasirzadeh M, Hatamzadeh S. [Predicting factors related with Pap Smear results among women based on health belief model (Persian)]. Journal of Health System Research. 2011; 7(6):1226-34.
16. Farshbaf-Khalili A, Salehi-Pourmehr H, Shahnazi M, Yaghoubi S, Gahremani-Nasab P. [Cervical cancer screening in women referred to healthcare centres in Tabriz, Iran (Persian)]. Nigerian Medical Journal: Journal of the Nigeria Medical Association. 2015; 56(1):28-34. [DOI:10.4103/0300-1652.149167] [PMID] [PMCID]
17. Ncube B, Bey A, Knight J, Bessler P, Jolly PE. Factors associated with the uptake of cervical cancer screening among women in Portland, Jamaica. North American Journal of Medical Sciences. 2015; 7(3):104-13. [DOI:10.4103/1947-2714.153922] [PMID] [PMCID] [DOI:10.4103/1947-2714.153922]
18. Shiryazdi SM, Kargar S, Farahbod AR, Neamatzadeh H, Ghasemi N, Aboueian-Jahromi M. [Knowledge, attitude, and practice of women referring to Yazd city health centers regarding breast cancer screening (Persian)]. Journal of Community Health Research. 2014; 3(2):80-95.
19. Ahmadian M, Samah AA, Redzuan M, Emby Z. [Barriers to mammography among women attending gynecologic outpatient clinics in Tehran, Iran (Persian)]. Scientific Research and Essays. 2011; 6(27):5803-11. [DOI:10.5897/SRE11.1384] [DOI:10.5897/SRE11.1384]
20. Karimi M, Shamsi M, Araban M, Gholamnia Z, Kasmaie P. [Health beliefs and performance regarding Pap Smear test in Zarandieh City women's (Persian)]. Journal of Guilan University of Medical Sciences. 2011; 20(80):42-8.
21. Keshavarz Z, Simbar M, Ramezankhani A, Majd Alavi H. [Factors influencing the behavior of female-workers in the reproductive age regarding breast and cervical cancer screening based on the Integrated Model of Planned Behavior and Self-Efficacy: A qualitative approach (Persian)]. Journal of Health Institute and Health Surveys Institution. 2011; 9(3):23-36.
22. Aam ES, Dma ES, El Shorbagy D, Zaid H. Knowledge, attitude and practice of female medical students of Tanta University towards Breast Cancer and its screening. Egyptian Journal of Community Medicine. 2014; 32(3):27-45. [DOI:10.12816/0011961] [DOI:10.12816/0011961]