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صفحه اصلی
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اولین کنگره بین المللی رویکردهای نوین سبک زندگی، پیشگیری و درمان سرطان
The relationship between mental health and breast cancer preventive behaviors in Iranian women
نویسندگان :
Maryam Nikpour (1. Non-Communicable Pediatric Diseases Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran) , Sorya Ghadi (2. Mazandran University of Medical Sciences, Sari, Iran) , Negin Esmaeili (3. Medical Laboratory Sciences, Golestan University of Medical Sciences, Gorgan, Iran) , Romina Fili (کمیته تحقیقات دانشجویی، دانشگاه علوم پزشکی بابل، ایران) , Maryam Abrood (2. Mazandran University of Medical Sciences, Sari, Iran)
کلمات کلیدی :
mental health،breast cancer preventive behaviors،breast cancer،Iranian women
چکیده :
Background Breast cancer is the second cause of cancer-related death (1), and in Iran, the cause of death is 16% of all cancers (2). Iranian women get breast cancer a decade earlier than women in developed countries (2). One of the ways to reduce the risk of mortality from breast cancer is early detection (3). Screening is one of the best approaches for early detection of breast cancer, and the three common screening methods for detecting this disease are breast self-examination, clinical examination by a physician, and mammography (5). Considering the importance of breast cancer preventive behaviors and the limited number of studies in this field in Iran, this study aimed to determine the relationship between mental health and breast cancer preventive behaviors in Iranian women. Method and material This cross-sectional study was conducted on 1025 women who were referred to health centers in the cities of Amol, Babol, and Sari from Mazandaran province in 2017. Sampling was done as available and according to the inclusion criteria. The inclusion criteria were consent to participate in the study, age higher than 18 years, and no history of breast cancer. Women's mental health was examined with the 12-question “Goldberg mental health questionnaire” (GHQ General Health Questionnaire). This questionnaire is designed with a four-point Likert scale (0,1,2,3). A lower score indicates better mental health (8). A score of 14.5 and above indicates a disorder in mental health (9). Also, the women completed the demographic information questionnaire, and breast screening information (breast self-examination, clinical breast examination by a physician, and mammography). A significance level of less than 0.50 was considered. Result The results of the study showed that the average age of the women in the study was 33.57 ± 9.27 years. Most of the women (87.4%) were married, (65.1%) were housewives and lived in the city (67.3%). Also, approximately one-third and one-second of them had a university education (38%) and two children (48.7%) respectively. The results of the study showed that according to the mental health questionnaire, 28.5% of the women studied had a mental health disorder. In terms of the relationship between mental health and breast cancer preventive behaviors, the results of the study showed that there is a statistically significant relationship between breast self-examination by women (P=0.001), examination by a physician (P=0.007), and mammography (P=0.027) with mental health. It was found that women with better mental health were more likely to perform breast cancer preventive behaviors. Discussion This study was conducted with the aim of relating mental health with breast cancer preventive behaviors in Iranian women. The results showed that 52% and 21% of the study women performed breast self-examination and clinical examination at least once a year. Also, %19/7 of them had a breast mammogram once. Conclusion Increasing women's awareness and performing free mammography can be effective in increasing this preventive behavior.
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