Survey of breast cancer mammography screening behaviors in Eastern Taiwan based on a health belief model

Wen-Li Wang; Sheng-Der Hsu; Jen-Hung Wang; Li-Chuan Huang; Wen-Lin Hsu

doi:10.1016/j.kjms.2014.04.007

Survey of breast cancer mammography screening behaviors in Eastern Taiwan based on a health belief model

Kaohsiung J Med Sci. 2014 Aug;30(8):422-7. doi: 10.1016/j.kjms.2014.04.007. Epub 2014 Jun 11.

Authors

Wen-Li Wang¹, Sheng-Der Hsu², Jen-Hung Wang³, Li-Chuan Huang⁴, Wen-Lin Hsu⁵

Affiliations

¹ Department of Community Medicine, Buddhist Tzu Chi General Hospital, Hualien, Taiwan; Department of Health Promotion and Health Education, National Taiwan Normal University, Taipei, Taiwan.
² Department of Health Promotion and Health Education, National Taiwan Normal University, Taipei, Taiwan; Division of Trauma Surgery, Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
³ Department of Medical Research, Buddhist Tzu Chi General Hospital, Hualien, Taiwan; Department of Health Administration, Tzu Chi College of Technology, Hualien, Taiwan.
⁴ Department of Radiology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan.
⁵ Department of Community Medicine, Buddhist Tzu Chi General Hospital, Hualien, Taiwan; Department of Radiation Oncology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan; School of Medicine, College of Medicine, Buddhist Tzu Chi University, Hualien, Taiwan. Electronic address: hwl@tzuchi.com.tw.

PMID: 25002381
DOI: 10.1016/j.kjms.2014.04.007

Abstract

Breast cancer is the main form of cancer affecting women and the fourth most common cause of cancer mortality in women. The aim of this study was to explore regular mammography screening in Hualien women and to identify the factors that influence its uptake based on a health belief model. This cross-sectional study was performed between July 2012 and December 2012. A total of 776 women aged 45-69 years were enrolled in the study. The results of crude and adjusted analyses showed that there were significant differences in the prevalence of regular mammography screening, which were related to different age groups, residence areas, educational levels, hormone replacement therapy status, and history of breast cancer. Women in the older age groups, with a higher educational level, in receipt of hormone replacement therapy, and with a personal history of breast cancer had significantly higher odds ratios for regular mammography screening (2.75, 1.68, 1.75, and 1.98, respectively; all p < 0.05).

Keywords: Breast cancer; Health belief model; Mammography.

MeSH terms

Aged
Breast Neoplasms / diagnostic imaging*
Cross-Sectional Studies
Early Detection of Cancer
Female
Health Knowledge, Attitudes, Practice
Humans
Mammography / statistics & numerical data*
Middle Aged
Taiwan