Volume 13, Issue 2 (2025)
Health Educ Health Promot 2025, 13(2): 1001-1008 |
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Jamei Z, Hosseini F, Mohammadi Zeidi I, Morshedi H. The Role of Health Literacy and the Health Action Process Approach Model in Predicting Breast Cancer Screening Behaviors: A Cross-Sectional Study in Iranian Women. Health Educ Health Promot 2025; 13 (2) :1001-1008
URL: http://hehp.modares.ac.ir/article-5-79759-en.html
URL: http://hehp.modares.ac.ir/article-5-79759-en.html
1- Department of Health Education and Promotion, School of Health, Qazvin University of Medical Sciences, Qazvin, Iran.
2- Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran
3- Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.
4- Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran. ,hadimorshedi1961@gmail.com
2- Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran
3- Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.
4- Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran. ,
Abstract: (16 Views)
Background: This study aimed to investigate the role of health literacy (HL) and the Health Action Process Approach (HAPA) model in predicting the adoption of breast cancer (BC) screening behaviors among Iranian women.
Methods: A cross-sectional (descriptive-analytical) study was conducted on 350 women aged 30-69 years, selected from comprehensive health centers in Alborz city. Participants were recruited using a multi-stage cluster sampling method. Data were collected through demographic questionnaires, the HAPA model constructs questionnaire, and the short form of the Iranian Adult HL Assessment (HELIA-SF) questionnaire. Data analysis was performed using SPSS version 25, employing appropriate statistical tests including Kolmogorov-Smirnov, descriptive statistics, correlation tests, and multiple regression analysis.
Results: The mean age of the participants was 44.73 ± 10.22 years, and the mean HL score was 29.54, indicating a low level of HL. A significant association was found between HL and BC screening, with higher HL scores observed among women with higher education levels, better-educated spouses, prior mammography and BSE history, better financial status, employment, and insurance coverage. Regression analysis revealed that the constructs of perceived risk, perceived barriers, and coping planning predicted 24% of the variance in screening behavior.
Conclusion: Overall, the findings highlight the significance of psychological variables including perceived risk, perceived barriers, and coping planning as key predictors of BC screening behavior, and recommend using the HAPA model to enhance women’s participation in BC screening by informing the design and delivery of educational interventions.
Methods: A cross-sectional (descriptive-analytical) study was conducted on 350 women aged 30-69 years, selected from comprehensive health centers in Alborz city. Participants were recruited using a multi-stage cluster sampling method. Data were collected through demographic questionnaires, the HAPA model constructs questionnaire, and the short form of the Iranian Adult HL Assessment (HELIA-SF) questionnaire. Data analysis was performed using SPSS version 25, employing appropriate statistical tests including Kolmogorov-Smirnov, descriptive statistics, correlation tests, and multiple regression analysis.
Results: The mean age of the participants was 44.73 ± 10.22 years, and the mean HL score was 29.54, indicating a low level of HL. A significant association was found between HL and BC screening, with higher HL scores observed among women with higher education levels, better-educated spouses, prior mammography and BSE history, better financial status, employment, and insurance coverage. Regression analysis revealed that the constructs of perceived risk, perceived barriers, and coping planning predicted 24% of the variance in screening behavior.
Conclusion: Overall, the findings highlight the significance of psychological variables including perceived risk, perceived barriers, and coping planning as key predictors of BC screening behavior, and recommend using the HAPA model to enhance women’s participation in BC screening by informing the design and delivery of educational interventions.
Keywords: Health Literacy, Breast Cancer, Screening, Pregnancy, Health Action Process Approach, Perceived Barriers, Women, Behavior
Article Type: Original Research |
Subject:
Health Literacy
Received: 2025/03/3 | Accepted: 2025/05/8 | Published: 2025/04/21
Received: 2025/03/3 | Accepted: 2025/05/8 | Published: 2025/04/21
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