Breast cancer is one of the most frequent malignancies worldwide which is characterized by early onset and diagnosis at advanced stages in Iranian women. Increasing women’s awareness and implementing breast cancer screening programs detect cancer earlier and reduce mortality. Physicians play a pivotal role in this regard. Further, there is limited literature about knowledge, attitude, and screening behaviors in Iranian women. Using a questionnaire, we assessed and compared breast cancer knowledge, attitude, and screening behaviors in 102 female physicians and 94 female non-health care personnel, who were mostly from the hospital’s cleaning and housekeeping sections. Of the physicians and of non-health care personnel, respectively, 93.1 and 24.7 % felt confident about their knowledge and 37.6 and 26.1 % performed monthly breast self-examination. Of physicians aged 40 and over, 31.25 and 18.75 % had clinical breast examination and mammogram, respectively, within 12 months prior to date of data collection. In non-health care personnel aged 40 and over, the results were 27.59 % for clinical breast examination and 17.24 % for mammogram at the same period of time. Despite the higher knowledge and socioeconomic class of physicians, there were no significant difference in screening behaviors between physicians and non-health care personnel (P > 0.05).
Breast cancer screening Iran Breast self-examination Clinical breast examination Mammography
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The authors would like to acknowledge the physicians and non-health care staffs of Imam Khomeini, Mofid, Shariati, and Hazrat Rasoul Akram hospitals that collaborated in data gathering process.
Parkin DM, Pisani P, Ferlay J (1999) Estimates of the worldwide incidence of 25 major cancers in 1990. Int J Cancer 80:827–41PubMedCrossRefGoogle Scholar
Mousavi SM, Gouya MM, Ramazani R, Davanlou M, Hajsadeghi N, Seddighi Z (2009) Cancer incidence and mortality in Iran. Ann Oncol 20(3):556–63PubMedCrossRefGoogle Scholar
Mousavi SM, Montazeri A, Mohagheghi MA, Jarrahi AM, Harirchi I, Najafi M et al (2007) Breast cancer in Iran: an epidemiological review. Breast J 13(4):383–91PubMedCrossRefGoogle Scholar
Mousavi SM, Harirchi I, Ebrahimi M, Mohagheghi MA, Montazeri A, Jarrahi AM et al (2008) Screening for breast cancer in Iran: a challenge for health policy makers. Breast J 14(6):605–6PubMedCrossRefGoogle Scholar
Naghavi M (2005) Epidemiology of mortality in 23 provinces of Iran in 2003. Tehran, Iran Ministry of Health, Deputy to Health Directory, Research and Development Office 102 (Persian)Google Scholar
Naghavi M (2003) Epidemiology of mortality in 18 provinces of Iran in 2001. Tehran, Iran Ministry of Health, Deputy to Health Directory, Research and development office 75 (Persian)Google Scholar
Harirchi I, Karbakhsh M, Kashefi A, Momtahen AJ (2004) Breast cancer in Iran: results of a multi-center study. Asian Pac J Cancer Prev 5(1):24–7PubMedGoogle Scholar
Iran Ministry of Health Report, National Statistics 2001Google Scholar
Luciani S, Vardy L, Paci E, Adewole I, Sasco A, Calvacante T (2009) Cancer prevention and population-based screening. Tumori 95(5):597–609PubMedGoogle Scholar
Olsen O, Gotzsche PC (2001) Screening for breast cancer with mammography. Cochrane Database Syst Rev CD1877Google Scholar
Anderson BO, Yip CH, Smith RA, Shyyan R, Sener SF, Eniu A et al (2008) Guideline implementation for breast healthcare in low-income and middle-income countries: overview of the Breast Health Global Initiative Global Summit 2007. Cancer 113(Suppl 8):2221–43PubMedCrossRefGoogle Scholar
Haji-Mahmoodi M, Montazeri A, Jarvandi S, Ebrahimi M, Haghighat S, Harirchi I (2002) Breast self-examination: knowledge, attitudes, and practices among female health care workers in Tehran, Iran. Breast J 8(4):222–5PubMedCrossRefGoogle Scholar
Jarvandi S, Montazeri A, Harirchi I, Kazemnejad A (2002) Beliefs and behaviors of Iranian teachers toward early detection of breast cancer and breast self-examination. Public Health 116(4):245–9PubMedCrossRefGoogle Scholar
American Cancer Society. California Cancer Facts and Figures 2007. Edited by: California Division and Public Health Institute CCR. Oakland, CA, American Cancer Society, California Division 2006Google Scholar
Sadler GR, Dhanjal SK, Shah NB, Shah RB, Ko C, Anghel M et al (2001) Asian Indian women: knowledge, attitudes and behaviors toward breast cancer early detection. Public health Nurs 18(5):357–363PubMedCrossRefGoogle Scholar
Valdez A, Banerjee K, Ackerson L, Fernandez M, Otero-Sabogal R, Somkin CP (2001) Correlates of breast cancer screening among low-income, low-education Latinas. Prev Med 33(5):495–502PubMedCrossRefGoogle Scholar
Champion V, Miller A (1996) Recent mammography in women aged 35 and older: predisposing variables. Health Care Women Int 17:233–245PubMedCrossRefGoogle Scholar
Friedman LC, Moore A, Webb JA, Puryear LJ (1999) Breast cancer screening among ethnically diverse low-income women in a general hospital psychiatry clinic. Gen Hosp Psychiatry 21:374–381PubMedCrossRefGoogle Scholar
Thomas SM, Fick AC (1995) Women’s health. Part II: individual, environmental and economic factors affecting adherence to recommended screening practice for breast cancer. J La State Med Soc 147(4):149–155PubMedGoogle Scholar