Knowledge and Factors Associated with Breast Cancer Self-Screening Intention among Saudi Female College Students: Utilization of the Health Belief Model

Nasser Shubayr; Rola Khmees; Ali Alyami; Naif Majrashi; Nada Alomairy; Siddig Abdelwahab

doi:10.3390/ijerph192013615

Knowledge and Factors Associated with Breast Cancer Self-Screening Intention among Saudi Female College Students: Utilization of the Health Belief Model

Int J Environ Res Public Health. 2022 Oct 20;19(20):13615. doi: 10.3390/ijerph192013615.

Authors

Nasser Shubayr^{1

2}, Rola Khmees³, Ali Alyami¹, Naif Majrashi¹, Nada Alomairy¹, Siddig Abdelwahab²

Affiliations

¹ Department of Diagnostic Radiography Technology, College of Applied Medical Sciences, Jazan University, Jazan 45142, Saudi Arabia.
² Medical Research Centre, Jazan University, Jazan 45142, Saudi Arabia.
³ College of Medicine, Jazan University, Jazan 45142, Saudi Arabia.

Abstract

Breast cancer (BC) screening is vital, as it is linked to a greater likelihood of survival, more effective treatment, and better quality of life. One of the most extensively applied models for conceptualizing probable barriers and facilitators to the adoption of desired health behavior is the health belief model (HBM). This study aimed to assess the impact of health perception and knowledge on breast self-examination intention (BSE) using HBM. HBM measures specific factors (perceived susceptibility, severity, barriers, benefits, cues to action, and self-efficacy) that impact one's intention to use BSE. Data were collected from female undergraduate students (n = 680) using a cross-sectional design, stratified simple random sampling, and a self-administered structured online questionnaire. We used multivariable logistic regression to evaluate our assumptions for students who intended to self-examine for BC. For demographic factors, we modified the multivariate model. Most respondents (93%) were under the age of 24 years. Female students from health colleges (48.5%), in their fourth academic year (42.6%), and from the southern region (57.6%) accounted for the majority of the sample. Respondents with a family history of BC were 9.7% of the total. Categories for age, college, region, residency, and BSE intention showed significant differences in their average knowledge scores. The survey revealed that 72.4% were aware of abnormal breast changes. Three constructs of the health belief model (perceived benefit, perceived barriers, and self-efficacy) are good predictors of BSE intention. Theory-based behavioral change interventions are urgently required for students to improve their prevention practices. Furthermore, these interventions will be effective if they are designed to remove barriers to BSE intention, improve female students' self-efficacy, and enlighten them on the benefits of self-examination.

Keywords: breast cancer; breast self-examination intention; cross-sectional design; health belief model; undergraduate female students.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Adult
Breast Neoplasms* / diagnosis
Breast Neoplasms* / prevention & control
Breast Self-Examination
Cross-Sectional Studies
Early Detection of Cancer*
Female
Health Belief Model
Health Knowledge, Attitudes, Practice
Humans
Intention
Quality of Life
Saudi Arabia
Students
Surveys and Questionnaires
Young Adult

Grants and funding

This research received no external funding.