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19918

Mammography Screening Utilization Behavior among Egyptian Female Employees in Alexandria

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Last updated: 22 Jan 2023

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Abstract

Background: Breast cancer (BC) has become a health priority due to its increasing incidence. It is curable when detected at an early stage, so there is an urgent need for its early detection. Mammography screening (MS) is the main recommended test for early detection of BC. Objectives: The aim of the study was to assess MS utilization behavior among female employees and to identify some factors based on the Health Belief Model that determines the likelihood of MS utilization behavior in terms of: health beliefs, knowledge about BC and its risk factors, and access and need for MS. Methods: The study was conducted among 400 female employees aged 40 years and older in four workplace sectors in Alexandria using a cross sectional approach. A predesigned interview questionnaire was used to collect socio-demographic data, habits, reproductive history, family history, culture affiliation, access to MS, reproductive health screening behavior, MS utilization behavior, need for MS, knowledge about BC and MS, perceptions towards BC and MS, perceived threat (susceptibility and severity), perceived benefits and perceived barriers to MS, (personal barriers, economic barriers, health care system barriers). Results: More than two thirds of females (69.7%) had bad MS utilization. Seventy two percent of females had poor knowledge about BC protective factors, signs and symptoms and risk factors of BC and about MS. The perception of the studied females was high concerning susceptibility and seriousness of BC and benefits of screening but there were some perceived personal, economic and health care system barriers to MS. Multiple linear regression analysis of the factors predicting MS utilization shows that age, accessibility, perceived need, total knowledge of BC, MS, and occupation sector were the significant predictors. Conclusion: The majority of female employees had poor knowledge about BC and MS. Increasing the females' knowledge about BC and accessibility to screening areas are important strategies influencing their decisions about whether or not to participate in cancer preventive practices.

DOI

10.21608/jhiph.2018.19918

Keywords

breast cancer, mammography screening, screening utilization

Authors

First Name

Seham

Last Name

Diab

MiddleName

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Affiliation

Alexandria Regional Center for Women's and Health Development, Ministry of Health and Population, Egypt

Email

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City

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Orcid

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First Name

Iman

Last Name

Wahdan

MiddleName

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Affiliation

Department of Epidemiology, High Institute of Public Health, Alexandria University, Egypt

Email

imanwahdan@yahoo.com

City

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Orcid

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First Name

Ensaf

Last Name

Abdel Gawwad

MiddleName

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Affiliation

Department of Health Administration and Behavioral Sciences, High Institute of Public Health, Alexandria University, Egypt

Email

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City

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Orcid

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First Name

Sunny

Last Name

Sallam

MiddleName

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Affiliation

Department of Epidemiology, High Institute of Public Health, Alexandria University, Egypt

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City

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Orcid

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Volume

48

Article Issue

2

Related Issue

4030

Issue Date

2018-10-01

Receive Date

2018-11-28

Publish Date

2018-10-01

Page Start

114

Page End

124

Print ISSN

2357-0601

Online ISSN

2357-061X

Link

https://jhiphalexu.journals.ekb.eg/article_19918.html

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https://jhiphalexu.journals.ekb.eg/service?article_code=19918

Order

8

Type

Original Article

Type Code

511

Publication Type

Journal

Publication Title

Journal of High Institute of Public Health

Publication Link

https://jhiphalexu.journals.ekb.eg/

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Article

Created At

22 Jan 2023