Abstract
Although the Champion’s Health Belief Model Scale for breast cancer screening has been adapted and validated in different populations worldwide, a Spanish version for the Latin American population is still not available. The aim of this study was to adapt and validate the Spanish version of the Champion’s Health Belief Model Scale for mammograms for use with Mexican women and determine the sociodemographic, clinical, and health belief model variables which influence undergoing a mammogram. A descriptive, cross-sectional study was designed. Participants included 612 women aged 40 years and above who attended a public tertiary hospital. An exploratory factor analysis was conducted, from which six factors with adequate loadings were obtained. In addition, Cronbach’s alpha was used to obtain a reliability coefficient of 0.68–0.94. To obtain criterion validity, a binary logistic regression analysis was conducted, with the mammogram being the dependent variable and sociodemographic, clinical, and health belief model dimensions being the predictors; perceived benefits was the variable that most influenced the obtaining of mammography. This Spanish version of the Champion’s Health Belief Model Scale for breast cancer screening for Mexican women was found to be valid and reliable, which means it could be a useful tool in identifying beliefs surrounding breast cancer screening.
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Herrera-Torres A, García- Rodríguez FM, Gil-García R, Jiménez-Villanueva X, Hernández-Rubio Á, Aboharp-Hasan Z (2014) Frecuencia de cáncer en un hospital de tercer nivel de la Ciudad de México. Implicaciones para el desarrollo de métodos de detección oportuna. Cirugía y Cirujanos 82:28–37
INEGI, 2017. “Estadísticas A Propósito Del … Día Mundial Contra El Cáncer (4 De Febrero)” Datos Nacionales http://www.inegi.org.mx/saladeprensa/aproposito/2017/cancer2017_Nal.pdf. Accessed 20 January 2018
Secretaría de Salud. 2017. Detecta a tiempo el cáncer de mama. https://www.gob.mx/salud/articulos/deteccion-oportuna?idiom=es. Accessed 15 April 2018
Secretaría de Salud. NORMA Oficial Mexicana NOM-041-SSA2-2011 Para la prevención, diagnóstico, tratamiento, control y vigilancia epidemiológica del cáncer de mama. http://dof.gob.mx/nota_detalle.php?codigo=5194157&fecha=09/06/2011. Accessed 15 April 2018
Instituto Nacional del Cáncer, 2018. Exámenes de detección del cáncer de mama. Disponible en: https://www.cancer.gov/espanol/tipos/seno/paciente/deteccion-seno-pdq#section/_13. Accessed 15 April 2018
Organización Mundial de la Salud, 2014. WHO position paper on mammography screening. Disponible en: https://apps.who.int/iris/bitstream/handle/10665/137339/?sequence=1. Accessed 19 June 2017
López-Carrillo L, Torres-Sánchez L, Blanco-Muñoz J, Hernández-Ramírez RU, Knaul FM (2014) Utilización correcta de las técnicas de detección de cáncer de mama en mujeres mexicanas. Salud Publica Mex 56:538–546
Knaul FM, Nigenda G, Lozano R, Arreola-Ornelas H, Langer A, Frenk J (2009) Cáncer de mama en México: una prioridad apremiante. Salud Publica Mex 51:s335–s344
Ortiz-Mendoza CM, Meza-Ramos E (2015) Utilización de la mastografía en mujeres de 40 a 49 años en un hospital de segundo nivel. Revista Especialidades Médico-Quirúrgicas 20:31–35
Jacobo-Galindo T, Villalobos-Arámbula L, Gallegos-Torres R, Xeque-Morales AS, Reyes-Rocha B, Palomé-Vega G (2014) Patrones de comportamiento para la detección de CA mamario en trabajadoras de una institución hospitalaria. Enfermería Universitaria 11:101–109
Gustavo N, Caballero M, González-Robledo LM (2009) Barreras de acceso al diagnóstico temprano del cáncer de mama en el Distrito Federal y en Oaxaca. Salud Publica Mex 51(supl 2):S254–S262
Wall KM, Núñez-Rocha GM, Salinas-Martínez AM, Sánchez-Peña SR (2008) Determinants of the use of breast cancer screening among women workers in urban Mexico. Prev Chronic Dis 5:A50
Champion V, Skinner CS (2008) The health belief model. In: En Glanz B, Rimer K, Viswanath K (eds) Health behavior and health education: theory, research, and practice, 4th edn. John Wiley & Sons, San Francisco
Champion V (1995) Development of a benefits and barriers scale for mammography utilization. Cancer Nurs 18:53–59
Champion VL (1999) Revised susceptibility, benefits, and barriers scale for mammography screening. Res Nurs Health 22:341–348
Champion V, Skinner CS, Menon U (2005) Development of a self-efficacy scale for mammography. Res Nurs Health 28:329–336
Champion V, Scott C (1997) Reliability and validity of breast cancer screening belief scales in African American women. Nurs Res 46:331–337
Medina-Shepherd R, Kleier JA (2010) Spanish translation and adaptation of Victoria Champion’s Health Belief Model Scales for breast cancer screening: mammography. Cancer Nurs 33:93–101
Esteva M, Ripoll J, Sánchez-Contador C, Collado F, Tebé C, Castaño E, Torrent M (2007) Adaptación y validación del cuestionario de susceptibilidad, beneficios y barreras ante el cribado con mamografía. Gac Sanit 21:282–289
Parsa P, Kandiah M, Mohd Taib MN, Hejar AR, Afiah MZN (2008) Reliability and validity of Champion’s Health Belief Model Scale for breast cancer screening among Malaysian women. Singap Med J 49:897–903
Taymoori P, Berry T (2009) The validity and reliability of Champion’s health belief model scale for breast cancer screening behaviors among Iranian women. Cancer Nurs 32:465–472
Cronan TA, Villalta I, Gottfried E, Vaden Y, Ribas M, Conway TL (2008) Predictors of mammography screening among ethnically diverse low-income women. J Women's Health 17:527–537
Fouladi N, Pourfarzi F, Mazaheri E, Asl HA, Rezaie M, Amani F, Nejad MR (2013) Beliefs and behaviors of breast cancer screening in women referring to health care centers in northwest Iran according to the champion health belief model scale. Asian Pac J Cancer Prev 14:6857–6862
Moodi M, Rezaeian M, Mostafavi F, Sharifirad GR (2012) Determinants of mammography screening behavior in Iranian women: a population-based study. J Res Med Sci 17:750–759
Wang W-L, Hsu S-D, Wang J-H, Huang L-C, Hsu W-L (2014) Survey of breast cancer mammography screening behaviors in Eastern Taiwan based on a health belief model. Kaohsiung J Med Sci 30:422–427
Lostao L, Joiner TE, Pettit JW, Chorot P, Sandin B (2001) Health beliefs and illness attitudes as predictors of breast cancer screening attendance. Eur J Pub Health 11:274–279
Champion VL, Monahan PO, Springston JK, Russell K, Zollinger TW, Saywell RM Jr, Maraj M (2008) Measuring mammography and breast cancer beliefs in African American women. J Health Psychol 13:827–837
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Foundation AVON Crusade against breast cancer.
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Juárez-García, D.M., Valenciano-Salas, I.A., de Jesús García-Solís, M. et al. Development and Validation of a Mexican Version of the Champion’s Health Belief Model Scale for Breast Cancer Screening. J Canc Educ 36, 100–105 (2021). https://doi.org/10.1007/s13187-019-01603-5
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DOI: https://doi.org/10.1007/s13187-019-01603-5