Korean J Fam Med.  2020 Jan;41(1):20-27. 10.4082/kjfm.18.0054.

Perceived Barriers to Mammography Adoption among Women in Iran: A Qualitative Study

Affiliations
  • 1Department of Health Education and Promotion, Tabriz University of Medical Sciences, Tabriz, Iran
  • 2Research Center of Psychiatry and Behavioral Sciences, Department of Health Education and Promotion, Tabriz University of Medical Sciences, Tabriz, Iran
  • 3Department of Behavioral & Environmental Health, School of Public Health, Jackson State University, MS, USA
  • 4Department of Nursing, Qualitative Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

Abstract

Background
Breast cancer is the most commonly diagnosed tumorous cancer and the second leading cause of cancer-related deaths among women worldwide. This study aimed to qualitatively explore the barriers to mammography adoption among Iranian women.
Methods
This study is a qualitative component of a large research project on exploratory sequential mixed method design, utilizing conventional content analysis. In total, 24 participants were selected from among women who had participated in the first phase of the study. Data were collected through in-depth, semi-structured interviews.
Results
Five main themes were extracted, consisting of unawareness of mammography, fear control, priority of mammography needs, inadequate competency of mammography centers, and a sense of losing family support.
Conclusion
Different perceived barriers within various levels (individual, intrapersonal, health systems, and community) play influential roles in women’s decisions to participate in breast cancer screening program, which indicates the cultural aspect of perceived barriers in different communities and countries. The study provides the basis for intervention planning in this regard.

Keyword

Qualitative Study; Breast Neoplasms; Mammography; Self-Appraisal
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