A path analytic model of health beliefs on the behavioral adoption of breast self-examination.
Health belief model
behavioral adoption
breast cancer knowledge
breast self-examination
structural equation modeling
Journal
AIMS public health
ISSN: 2327-8994
Titre abrégé: AIMS Public Health
Pays: United States
ID NLM: 101635098
Informations de publication
Date de publication:
2021
2021
Historique:
received:
07
11
2020
accepted:
17
12
2020
entrez:
12
2
2021
pubmed:
13
2
2021
medline:
13
2
2021
Statut:
epublish
Résumé
In Malaysia, breast cancer accounted for 34.1% of all female cancer cases with women presenting breast cancer at late stages. Breast cancer has a higher five-year survival rate if detected early. An increase of approximately 30% in the five-year survival rate is indicated if breast cancer is detected at stage III compared to stage IV. Thus, survival rate of breast cancer can be increased by creating awareness and encouraging breast cancer screening amongst women. Breast self-examination (BSE) is highly recommended for breast cancer screening due to its simplicity with no incurred cost. The Health Belief Model is used in this study to explain and predict the adoptive behavior of BSE amongst women in Kuantan, Pahang. This study employed a multi-stage sampling method using a simple proportion formula at 5% type 1 error, Perceived severity, benefits and barriers were found to significantly influence the behavioral adoption of BSE. Married women aged from 45 to 55 years and knowledge were found to significantly moderate the relationship between perceived benefits and behavioral adoption of BSE. Further, self-efficacy was found as the core construct that mediates the relationship between married women aged 45 to 55 years and the behavioral adoption of BSE. Self-efficacy is found in the study to influence the behavioral adoption of BSE. This is undeniable as self-efficacy can promote confidence in initiating and maintenance of behavioral change if the perceived change is beneficial at an acceptable cost.
Sections du résumé
BACKGROUND
BACKGROUND
In Malaysia, breast cancer accounted for 34.1% of all female cancer cases with women presenting breast cancer at late stages. Breast cancer has a higher five-year survival rate if detected early. An increase of approximately 30% in the five-year survival rate is indicated if breast cancer is detected at stage III compared to stage IV. Thus, survival rate of breast cancer can be increased by creating awareness and encouraging breast cancer screening amongst women. Breast self-examination (BSE) is highly recommended for breast cancer screening due to its simplicity with no incurred cost. The Health Belief Model is used in this study to explain and predict the adoptive behavior of BSE amongst women in Kuantan, Pahang.
MATERIALS AND METHODS
METHODS
This study employed a multi-stage sampling method using a simple proportion formula at 5% type 1 error,
RESULTS
RESULTS
Perceived severity, benefits and barriers were found to significantly influence the behavioral adoption of BSE. Married women aged from 45 to 55 years and knowledge were found to significantly moderate the relationship between perceived benefits and behavioral adoption of BSE. Further, self-efficacy was found as the core construct that mediates the relationship between married women aged 45 to 55 years and the behavioral adoption of BSE.
CONCLUSION
CONCLUSIONS
Self-efficacy is found in the study to influence the behavioral adoption of BSE. This is undeniable as self-efficacy can promote confidence in initiating and maintenance of behavioral change if the perceived change is beneficial at an acceptable cost.
Identifiants
pubmed: 33575404
doi: 10.3934/publichealth.2021002
pii: publichealth-08-01-002
pmc: PMC7870382
doi:
Types de publication
Journal Article
Langues
eng
Pagination
15-31Informations de copyright
© 2021 the Author(s), licensee AIMS Press.
Déclaration de conflit d'intérêts
Conflict of interest: All authors declare no conflicts of interest in this paper.
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