Year 2025,
Volume: 15 Issue: 3, 545 - 552, 30.09.2025
Simge Arik Girgin
Nevin Çıtak Bilgin
References
-
World Health Organization. International Agency for Research on Cancer. Cancer Today: GLOBOCAN (2020). Accessed [15 August 2024]. https://gco.iarc.fr/
-
Ginsburg O, Yip CH, Brooks A, Cabanes A, Caleffi M, Dunstan Yataco JA, Gyawali B, McCormack V, McLaughlin de Anderson M, Mehrotra R, Mohar A, Murillo R, Pace LE, Paskett ED, Romanoff A, Rositch AF, Scheel JR, Schneidman M, Unger-Saldaña K, Vanderpuye V, Anderson BO. Breast cancer early detection: A phased approach to implementation. Cancer. 2020;126(10):2379–2393. https://doi.org/10.1002/cncr.32887
-
American Cancer Society. Breast Cancer Facts & Figures. Accessed [07 June 2024]. http://www.cancer.org/research/cancerfactsstatistics/breast-cancer-facts-figures
-
Ştefănuţ AM, Vintilă M. Psychotherapeutic intervention on breast self-examination based on Health Belief Model. Curr Psychol. 2022;42(18):1–9. https://doi.org/10.1007/s12144-022-02871-z
-
Akhtari-Zavare M, Latiff LA, Juni MH, Said SM, Ismail IZ. Knowledge of female undergraduate students on breast cancer and breast self-examination in Klang Valley, Malaysia. APJCP. 2015;16(15):6231–6235. https://doi.org/10.7314/apjcp.2015.16.15.6231
-
Tuyen DQ, Dung TV, Dong HV, Kien TT, Huong TT. Breast Self-Examination: knowledge and practice among female textile workers in Vietnam. Cancer Control. 2019;26(1):1073274819862788. https://doi.org/10.1177/1073274819862788
-
Azemfac K, Christie SA, Carvalho MM, Nana T, Fonje AN, Halle-Ekane G, Dicker R, Chichom-Mefire A, Juillard C. A community-based assessment of knowledge and practice of breast self-examination and prevalence of breast disease in Southwest Cameroon. J.Cancer Epidemiol. 2019;2928901. https://doi.org/10.1155/2019/2928901
-
Dewi TK, Massar K, Ruiter RAC, Leonardi T. Determinants of breast self-examination practice among women in Surabaya, Indonesia: an application of the Health Belief Model. BMC Public Health. 2019;19(1):1581. https://doi.org/10.1186/s12889-019-7951-2
-
International Labour Organization. The Gender Pay Gap in the Health and Care Sector. Published 2022. Accessed [25 June 2024]. https://live.ilo.org/events/gender-pay-gap-health-and-care-sector-2022-07-13
-
Orhan B. Reşat Yücel Ö. Türkiye’de sağlık hizmetleri sunumuna cinsiyet açısından bakış. Marmara Üniversitesi Kadın ve Toplumsal Cinsiyet Araştırmaları Dergisi. 2017;1(1):53-59. https://doi: 10.26695/mukatcad.2017.5 (Turkish)
-
Türkiye İstatistik Kurumu (TUİK). Sağlık Personeli Sayısı [Number of Health Personnel]. Accessed [15 June 2024]. https://data.tuik.gov.tr/Kategori/GetKategori?p=saglik-ve-sosyal-koruma-101&dil=1 (Turkish)
-
Hansen J. Night shift work and risk of breast cancer. Curr Envir Health Rpt. 2017;4(3):325–339. https://doi.org/10.1007/s40572-017-0155-y
-
Roza D, Terzoni S, Dellafiore F Destrebecq A. Systematic review of shift work and nurses' health. Occupational Medicine. 2019;69(4):237–243. https://doi.org/10.1093/occmed/kqz063
-
Çakmak R. Güler G. Kadın sağlık çalışanlarında kanser tarama davranışları. TRSGO Dergisi. 2017;20(1):25-32. (Turkish)
-
Kaya C, Üstü Y, Özyörük E, Aydemir O, Şimşek Ç, Şahin A. Sağlık çalışanlarının kanser taramaları hakkındaki bilgi, tutum ve davranışlarının değerlendirilmesi. Ankara Med J. 2017;17(1):73-83. https://doi.org/10.17098/amj.304666 (Turkish)
-
Madubogwu CI, Egwuonwu AO, Madubogwu NU, Njelita IA. Breast cancer screening practices amongst female tertiary health worker in Nnewi. J Cancer Res Ther. 2017;13(2):268–275. https://pubmed.ncbi.nlm.nih.gov/28643746/
-
Andegiorgish AK, Kidane EA, Gebrezgi MT. Knowledge, attitude, and practice of breast cancer among nurses in hospitals in Asmara, Eritrea. BMC Nurs. 2018;17:33. https://doi.org/10.1186/s12912-018-0300-4
-
Khazaee-Pool M, Majlessi F, Montazeri A, Pashaei T, Gholami A, Ponnet K. Development and psychometric testing of a new instrument to measure factors influencing women's breast cancer prevention behaviors (ASSISTS). BMC Women's Health. 2016;16:40. https://doi.org/10.1186/s12905-016-0318-2
-
Sohbet R, Karasu F. Kadınların meme kanserine yönelik bilgi, davranış ve uygulamalarının incelenmesi. GÜSBD. 2017;6(4):113-121. (Turkish)
-
Segni MT, Tadesse DM, Amdemichael R, Demissie HF. Breast Self-examination: knowledge, attitude, and practice among female health science students at Adama Science and Technology University, Ethiopia. Gynecol Obstet. 2016;6:368. https://doi.org/10.4172/2161-0932.1000368
-
Sapountzi-Krepia DM. Evaluating female nursing students' knowledge and attitudes regarding breast self-examination. Health Care for Women International. 2017;38(8):786–795. https://doi.org/10.1080/07399332.2017.1326921
-
Diarra AS, Fakir SE, Najdi A, Traoré BM, Tachfouti N, Berraho M, Khazraji YC, Abousselham L, Belakhel L, Bekkali R, Nejjari C. Knowledge, attitudes and practices of nurses working in basic health care networks in Morocco about breast cancer. GJMEDPH. 2016;5(3):1 8 https://www.gjmedph.org
-
Roza D, Terzoni S, Dellafiore F, Destrebecq A. Systematic review of shift work and nurses' health. Occupational Medicine. 2019;69(4):237–243. https://doi.org/10.1093/occmed/kqz063
-
Karayurt O, Dramali A. Adaptation of Champion's Health Belief Model Scale for Turkish women and evaluation of the selected variables associated with breast self-examination. Cancer Nursing. 2007;30(1):69–77. https://doi.org/10.1097/00002820-200701000-00013
-
Turan Z, Yiğit F. Kadınların Meme Kanseri Önleme Davranışlarını Etkileyen Faktörleri Belirleme Ölçeği’nin geçerlik ve güvenirlik çalışması. Kocaeli Med J. 2021;10(3):407- 420. https://doi.org/10.5505/ktd.2021.77598 (Turkish)
-
Alamer AS. Behavior Change Theories and Models Within Health Belief Model Research: A Five-Decade Holistic Bibliometric Analysis. Cureus. 2024;16(6):e63143. https:// doi.org/10.7759/cureus.63143.
-
Application of the Health Belief Modelin Breast Self-Examination: A Meta-Analysis. ICPH. 2024;9(1):48. https:// doi.org/10.26911/ICPH11/Promotion/2024.AB09.
-
Shubayr N, Khmees R, Alyami A, Majrashi N, Alomairy N, Abdelwahab S. 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; 19(20):13615. https://doi.org/10.3390/ijerph192013615,
-
Abalı Çetin S, Okgün A, Erikmen E. Determining the factors that preventing nurses breast self-examination. Avrasya SBD. 2022;5(1):54-63. https://doi.org/10.53493/avrasyasbd.905648
-
Meram, HE, Bekmezci E, Karakoç H et al. The relationship between nursing and midwifery undergraduate students’ health beliefs and breast cancer knowledge levels and their breast self-examination behaviour. J Public Health. (2024). https://doi.org/10.1007/s10389-024-02221-2
-
Öcalan D, Demir R. Doğurganlık çağındaki kadınların meme kanserini önleme davranışlarını etkileyen faktörler. Anatolian J Health Res. 2024;5(1):15-22. https://doi.org/10.61534/anatoljhr.1385877 (Turkish)
-
Guneş D, Başkan SA, Köse S. Factors affecting women’s breast cancer prevention behaviors. TJHSL. 2022;3(3): 138-146. https://doi.org/10.51972/tfsd.1081529
-
Subramanian P, Oranye N, Masri AM, Taib, N. A., Ahmad N. Breast cancer knowledge and screening behaviour among women with a positive family history: a cross sectional study. APJCP. 2013;14(11):6783–6790. https://doi.org/10.7314/apjcp.2013.14.11.6783
-
Kirag N, Kızılkaya M. Application of the Champion Health Belief Model to determine beliefs and behaviors of Turkish women academicians regarding breast cancer screening: A cross sectional descriptive study. BMC Women's Health. 2019;19(1):132. https://doi.org/10.1186/s12905-019-0828-9
-
Getu MA, Abebe M, Tlaye KG, Goshu AT. Breast Self-Examination knowledge and its determinants among female students at Addis Ababa University, Ethiopia: an institution-based cross-sectional study. BioMed Research International. 2022;2870419. https://doi.org/10.1155/2022/2870419
-
Udoh RH, Tahiru M, Ansu-Mensah M, Bawontuo V, Danquah FI, Kuupiel D. Women’s knowledge, attitude, and practice of breast self- examination in sub-Saharan Africa: a scoping review. Arc Public Health. 2020;78:84. https://doi.org/10.1186/s13690-020-00452-9
-
Wolde, MT, Okova R, Habtu M et al. The practice of breast self-examination and associated factors among female healthcare professionals working in selected hospitals in Kigali, Rwanda: a cross-sectional study. BMC Women's Health. 2023;23:622 https://doi.org/10.1186/s12905-023-02776-4
-
Koç Z, Çelebi P, Memiş A, Sağlam Z. Beyhan F. Evaluation of the impact of nurses healthy lifestyle behaviors on utilization from breast cancer early diagnosis methods. J Breast Health. 2014;10(3):166 - 173. https://doi.org/10.5152/tjbh.2014.2087
-
Moey SF, Mutalib AMA, Saidin N. The relationship of socio-demographic characteristics and knowledge of breast cancer on stage of behavioral adoption of breast self-examination. AIMS Public Health. 2020;7(3):620–633. https://doi.org/10.3934/publichealth.2020049
-
Özmen V, Özmen T, Doğru V. Breast cancer in Turkey; an analysis of 20.000 patients with breast cancer. Eur J Breast Health. 2019;15(3):141–146. https://doi.org/10.5152/ejbh.2019.4890
-
Dagne AH, Ayele AD, Assefa EM. Assessment of breast self- examination practice and associated factors among female workers in Debre Tabor Town Public Health Facilities, North West Ethiopia: Cross-sectional study. PLoS ONE. 2019;14(8):e0221356. https://doi.org/10.1371/ journal.pone.0221356
-
Negeri EL, Heyi WD, Melka AS. Assessment of breast self-examination practice and associated factors among female health professionals in Western Ethiopia: A cross sectional study. International Journal of Medicine and Medical Sciences. 2017;9(12):148–57. https://doi.org/10.5897/IJMMS2016.1269
-
Güçlü Demirtaş S, Gördes Aydoğdu N. Yoksul kadınların meme kanserine yönelik inançlarının mamografi yaptırma davranışlarına etkisinin incelenmesi BAUN Sağ Bil Derg. 2021;10(3):379-385. https://doi.org/10.53424/balikesirsbd.978173 (Turkish)
-
Tewelde B, Tamire M, Kaba M. Breast self-examination practice and predictors among female secondary school teachers in Addis Ababa, Ethiopia: using the Health Belief Model. BMC Women's Health. 2022;22(1):317. https://doi.org/10.1186/s12905-022-01904-w
-
Yu J, Gao Y, Wang H, Liu B, Zhang S. Structural equation modeling analysis of determinants of barriers to breast self-examination among Eastern Chinese women. PLoS One. 2023;18(3):e0283525. https://doi.org/10.1371/journal.pone.0283525
-
Kilit DÖ, Eke E. Bireylerin sağlık bilgisi arama davranışlarının değerlendirilmesi: Isparta ili örneği. Hacettepe Sağlık İdaresi Dergisi. 2019;22(2):401-436. (Turkish)
-
Güzel N, Bayraktar N. Determination of women’s awareness and practices on early diagnosis of breast cancer. Journal of Hacettepe University Faculty of Nursing. 2019;6(2):101-110. https://doi.org/10.52880/sagakaderg.1075268
-
Bhandari D, Shibanuma A, Kiriya J, Hirachan S, Ong KIC, Jimba M. Factors associated with breast cancer screening intention in Kathmandu Valley, Nepal. PLoS ONE. 2021;16(1):e0245856. https://doi.org/10.1371/journal.pone.0245856
-
Bulut A, Bulut, A. Knowledge, attitudes and behaviors of primary health care nurses and midwives in breast cancer early diagnosis applications. Breast Cancer. 2017;(9):163–169. https://doi.org/10.2147/BCTT.S126124
Breast Self-Examination Practices and Influencing Factors among Healthcare Professionals Consisting of Nurses and Midwives
Year 2025,
Volume: 15 Issue: 3, 545 - 552, 30.09.2025
Simge Arik Girgin
Nevin Çıtak Bilgin
Abstract
Objective: This study was conducted to determine the status of breast self-examination practices and the influencing factors among healthcare professionals consisting of nurses and midwives.
Methods: Descriptive study was conducted with 500 healthcare professionals, who are nurses and midwives working in four state hospitals. The data were collected using a personal information form, Health Belief Model Scale, and Scale to Measure Factors Influencing Women's Breast Cancer Prevention Behaviors. Descriptive statistics, t-test in independent groups, chi-square test, and logistic regression analysis were used to evaluate the data.
Results: The findings showed that 49.8% of the participants practiced breast self-examination. The risk associated with the lack of breast self-examination practice was two fold higher in those whose income was less than their expenses, who did not experience pregnancy, and who had no history of breast cancer among first-degree relatives. A one-unit decrease in self-efficacy perception and information seeking score increased the risk of not performing breast self-examination 1.1 times.
Conclusion: The results showed that the rate of breast self-examination practices among healthcare professionals were low and income status, pregnancy history, family history of breast cancer, perception of self-efficacy and information-seeking behavior influenced breast self-examination.
Ethical Statement
The study was approved by the Ethics Committee of Bolu Abant Izzet Baysal University Clinical Research Ethics Committee (date: 29.11.2021 no:2021/363) and Provincial Health Directorate (01.12.2021 no:49769843).
We ran the study according to Helsinki Declaration. All participants gave informed consent for the research, and that their anonymity was preserved. We guarantee that all authors have contributed significantly to the manuscript. The authors declare that there is no conflict of interest. This study has not been published or submitted anywhere else.
Supporting Institution
yok
Thanks
The authors would like to thank to all health care providers who participated in this study.
References
-
World Health Organization. International Agency for Research on Cancer. Cancer Today: GLOBOCAN (2020). Accessed [15 August 2024]. https://gco.iarc.fr/
-
Ginsburg O, Yip CH, Brooks A, Cabanes A, Caleffi M, Dunstan Yataco JA, Gyawali B, McCormack V, McLaughlin de Anderson M, Mehrotra R, Mohar A, Murillo R, Pace LE, Paskett ED, Romanoff A, Rositch AF, Scheel JR, Schneidman M, Unger-Saldaña K, Vanderpuye V, Anderson BO. Breast cancer early detection: A phased approach to implementation. Cancer. 2020;126(10):2379–2393. https://doi.org/10.1002/cncr.32887
-
American Cancer Society. Breast Cancer Facts & Figures. Accessed [07 June 2024]. http://www.cancer.org/research/cancerfactsstatistics/breast-cancer-facts-figures
-
Ştefănuţ AM, Vintilă M. Psychotherapeutic intervention on breast self-examination based on Health Belief Model. Curr Psychol. 2022;42(18):1–9. https://doi.org/10.1007/s12144-022-02871-z
-
Akhtari-Zavare M, Latiff LA, Juni MH, Said SM, Ismail IZ. Knowledge of female undergraduate students on breast cancer and breast self-examination in Klang Valley, Malaysia. APJCP. 2015;16(15):6231–6235. https://doi.org/10.7314/apjcp.2015.16.15.6231
-
Tuyen DQ, Dung TV, Dong HV, Kien TT, Huong TT. Breast Self-Examination: knowledge and practice among female textile workers in Vietnam. Cancer Control. 2019;26(1):1073274819862788. https://doi.org/10.1177/1073274819862788
-
Azemfac K, Christie SA, Carvalho MM, Nana T, Fonje AN, Halle-Ekane G, Dicker R, Chichom-Mefire A, Juillard C. A community-based assessment of knowledge and practice of breast self-examination and prevalence of breast disease in Southwest Cameroon. J.Cancer Epidemiol. 2019;2928901. https://doi.org/10.1155/2019/2928901
-
Dewi TK, Massar K, Ruiter RAC, Leonardi T. Determinants of breast self-examination practice among women in Surabaya, Indonesia: an application of the Health Belief Model. BMC Public Health. 2019;19(1):1581. https://doi.org/10.1186/s12889-019-7951-2
-
International Labour Organization. The Gender Pay Gap in the Health and Care Sector. Published 2022. Accessed [25 June 2024]. https://live.ilo.org/events/gender-pay-gap-health-and-care-sector-2022-07-13
-
Orhan B. Reşat Yücel Ö. Türkiye’de sağlık hizmetleri sunumuna cinsiyet açısından bakış. Marmara Üniversitesi Kadın ve Toplumsal Cinsiyet Araştırmaları Dergisi. 2017;1(1):53-59. https://doi: 10.26695/mukatcad.2017.5 (Turkish)
-
Türkiye İstatistik Kurumu (TUİK). Sağlık Personeli Sayısı [Number of Health Personnel]. Accessed [15 June 2024]. https://data.tuik.gov.tr/Kategori/GetKategori?p=saglik-ve-sosyal-koruma-101&dil=1 (Turkish)
-
Hansen J. Night shift work and risk of breast cancer. Curr Envir Health Rpt. 2017;4(3):325–339. https://doi.org/10.1007/s40572-017-0155-y
-
Roza D, Terzoni S, Dellafiore F Destrebecq A. Systematic review of shift work and nurses' health. Occupational Medicine. 2019;69(4):237–243. https://doi.org/10.1093/occmed/kqz063
-
Çakmak R. Güler G. Kadın sağlık çalışanlarında kanser tarama davranışları. TRSGO Dergisi. 2017;20(1):25-32. (Turkish)
-
Kaya C, Üstü Y, Özyörük E, Aydemir O, Şimşek Ç, Şahin A. Sağlık çalışanlarının kanser taramaları hakkındaki bilgi, tutum ve davranışlarının değerlendirilmesi. Ankara Med J. 2017;17(1):73-83. https://doi.org/10.17098/amj.304666 (Turkish)
-
Madubogwu CI, Egwuonwu AO, Madubogwu NU, Njelita IA. Breast cancer screening practices amongst female tertiary health worker in Nnewi. J Cancer Res Ther. 2017;13(2):268–275. https://pubmed.ncbi.nlm.nih.gov/28643746/
-
Andegiorgish AK, Kidane EA, Gebrezgi MT. Knowledge, attitude, and practice of breast cancer among nurses in hospitals in Asmara, Eritrea. BMC Nurs. 2018;17:33. https://doi.org/10.1186/s12912-018-0300-4
-
Khazaee-Pool M, Majlessi F, Montazeri A, Pashaei T, Gholami A, Ponnet K. Development and psychometric testing of a new instrument to measure factors influencing women's breast cancer prevention behaviors (ASSISTS). BMC Women's Health. 2016;16:40. https://doi.org/10.1186/s12905-016-0318-2
-
Sohbet R, Karasu F. Kadınların meme kanserine yönelik bilgi, davranış ve uygulamalarının incelenmesi. GÜSBD. 2017;6(4):113-121. (Turkish)
-
Segni MT, Tadesse DM, Amdemichael R, Demissie HF. Breast Self-examination: knowledge, attitude, and practice among female health science students at Adama Science and Technology University, Ethiopia. Gynecol Obstet. 2016;6:368. https://doi.org/10.4172/2161-0932.1000368
-
Sapountzi-Krepia DM. Evaluating female nursing students' knowledge and attitudes regarding breast self-examination. Health Care for Women International. 2017;38(8):786–795. https://doi.org/10.1080/07399332.2017.1326921
-
Diarra AS, Fakir SE, Najdi A, Traoré BM, Tachfouti N, Berraho M, Khazraji YC, Abousselham L, Belakhel L, Bekkali R, Nejjari C. Knowledge, attitudes and practices of nurses working in basic health care networks in Morocco about breast cancer. GJMEDPH. 2016;5(3):1 8 https://www.gjmedph.org
-
Roza D, Terzoni S, Dellafiore F, Destrebecq A. Systematic review of shift work and nurses' health. Occupational Medicine. 2019;69(4):237–243. https://doi.org/10.1093/occmed/kqz063
-
Karayurt O, Dramali A. Adaptation of Champion's Health Belief Model Scale for Turkish women and evaluation of the selected variables associated with breast self-examination. Cancer Nursing. 2007;30(1):69–77. https://doi.org/10.1097/00002820-200701000-00013
-
Turan Z, Yiğit F. Kadınların Meme Kanseri Önleme Davranışlarını Etkileyen Faktörleri Belirleme Ölçeği’nin geçerlik ve güvenirlik çalışması. Kocaeli Med J. 2021;10(3):407- 420. https://doi.org/10.5505/ktd.2021.77598 (Turkish)
-
Alamer AS. Behavior Change Theories and Models Within Health Belief Model Research: A Five-Decade Holistic Bibliometric Analysis. Cureus. 2024;16(6):e63143. https:// doi.org/10.7759/cureus.63143.
-
Application of the Health Belief Modelin Breast Self-Examination: A Meta-Analysis. ICPH. 2024;9(1):48. https:// doi.org/10.26911/ICPH11/Promotion/2024.AB09.
-
Shubayr N, Khmees R, Alyami A, Majrashi N, Alomairy N, Abdelwahab S. 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; 19(20):13615. https://doi.org/10.3390/ijerph192013615,
-
Abalı Çetin S, Okgün A, Erikmen E. Determining the factors that preventing nurses breast self-examination. Avrasya SBD. 2022;5(1):54-63. https://doi.org/10.53493/avrasyasbd.905648
-
Meram, HE, Bekmezci E, Karakoç H et al. The relationship between nursing and midwifery undergraduate students’ health beliefs and breast cancer knowledge levels and their breast self-examination behaviour. J Public Health. (2024). https://doi.org/10.1007/s10389-024-02221-2
-
Öcalan D, Demir R. Doğurganlık çağındaki kadınların meme kanserini önleme davranışlarını etkileyen faktörler. Anatolian J Health Res. 2024;5(1):15-22. https://doi.org/10.61534/anatoljhr.1385877 (Turkish)
-
Guneş D, Başkan SA, Köse S. Factors affecting women’s breast cancer prevention behaviors. TJHSL. 2022;3(3): 138-146. https://doi.org/10.51972/tfsd.1081529
-
Subramanian P, Oranye N, Masri AM, Taib, N. A., Ahmad N. Breast cancer knowledge and screening behaviour among women with a positive family history: a cross sectional study. APJCP. 2013;14(11):6783–6790. https://doi.org/10.7314/apjcp.2013.14.11.6783
-
Kirag N, Kızılkaya M. Application of the Champion Health Belief Model to determine beliefs and behaviors of Turkish women academicians regarding breast cancer screening: A cross sectional descriptive study. BMC Women's Health. 2019;19(1):132. https://doi.org/10.1186/s12905-019-0828-9
-
Getu MA, Abebe M, Tlaye KG, Goshu AT. Breast Self-Examination knowledge and its determinants among female students at Addis Ababa University, Ethiopia: an institution-based cross-sectional study. BioMed Research International. 2022;2870419. https://doi.org/10.1155/2022/2870419
-
Udoh RH, Tahiru M, Ansu-Mensah M, Bawontuo V, Danquah FI, Kuupiel D. Women’s knowledge, attitude, and practice of breast self- examination in sub-Saharan Africa: a scoping review. Arc Public Health. 2020;78:84. https://doi.org/10.1186/s13690-020-00452-9
-
Wolde, MT, Okova R, Habtu M et al. The practice of breast self-examination and associated factors among female healthcare professionals working in selected hospitals in Kigali, Rwanda: a cross-sectional study. BMC Women's Health. 2023;23:622 https://doi.org/10.1186/s12905-023-02776-4
-
Koç Z, Çelebi P, Memiş A, Sağlam Z. Beyhan F. Evaluation of the impact of nurses healthy lifestyle behaviors on utilization from breast cancer early diagnosis methods. J Breast Health. 2014;10(3):166 - 173. https://doi.org/10.5152/tjbh.2014.2087
-
Moey SF, Mutalib AMA, Saidin N. The relationship of socio-demographic characteristics and knowledge of breast cancer on stage of behavioral adoption of breast self-examination. AIMS Public Health. 2020;7(3):620–633. https://doi.org/10.3934/publichealth.2020049
-
Özmen V, Özmen T, Doğru V. Breast cancer in Turkey; an analysis of 20.000 patients with breast cancer. Eur J Breast Health. 2019;15(3):141–146. https://doi.org/10.5152/ejbh.2019.4890
-
Dagne AH, Ayele AD, Assefa EM. Assessment of breast self- examination practice and associated factors among female workers in Debre Tabor Town Public Health Facilities, North West Ethiopia: Cross-sectional study. PLoS ONE. 2019;14(8):e0221356. https://doi.org/10.1371/ journal.pone.0221356
-
Negeri EL, Heyi WD, Melka AS. Assessment of breast self-examination practice and associated factors among female health professionals in Western Ethiopia: A cross sectional study. International Journal of Medicine and Medical Sciences. 2017;9(12):148–57. https://doi.org/10.5897/IJMMS2016.1269
-
Güçlü Demirtaş S, Gördes Aydoğdu N. Yoksul kadınların meme kanserine yönelik inançlarının mamografi yaptırma davranışlarına etkisinin incelenmesi BAUN Sağ Bil Derg. 2021;10(3):379-385. https://doi.org/10.53424/balikesirsbd.978173 (Turkish)
-
Tewelde B, Tamire M, Kaba M. Breast self-examination practice and predictors among female secondary school teachers in Addis Ababa, Ethiopia: using the Health Belief Model. BMC Women's Health. 2022;22(1):317. https://doi.org/10.1186/s12905-022-01904-w
-
Yu J, Gao Y, Wang H, Liu B, Zhang S. Structural equation modeling analysis of determinants of barriers to breast self-examination among Eastern Chinese women. PLoS One. 2023;18(3):e0283525. https://doi.org/10.1371/journal.pone.0283525
-
Kilit DÖ, Eke E. Bireylerin sağlık bilgisi arama davranışlarının değerlendirilmesi: Isparta ili örneği. Hacettepe Sağlık İdaresi Dergisi. 2019;22(2):401-436. (Turkish)
-
Güzel N, Bayraktar N. Determination of women’s awareness and practices on early diagnosis of breast cancer. Journal of Hacettepe University Faculty of Nursing. 2019;6(2):101-110. https://doi.org/10.52880/sagakaderg.1075268
-
Bhandari D, Shibanuma A, Kiriya J, Hirachan S, Ong KIC, Jimba M. Factors associated with breast cancer screening intention in Kathmandu Valley, Nepal. PLoS ONE. 2021;16(1):e0245856. https://doi.org/10.1371/journal.pone.0245856
-
Bulut A, Bulut, A. Knowledge, attitudes and behaviors of primary health care nurses and midwives in breast cancer early diagnosis applications. Breast Cancer. 2017;(9):163–169. https://doi.org/10.2147/BCTT.S126124