Author/Authors :
amani, massoomeh School of Nursing and Midwifery - Guilan University of Medical Sciences , mirhaghjou, noshaz Social Determinants of Health Research Center (SDHRC) - Department of Midwifery - School of Nursing and Midwifery - Guilan University of Medical Sciences , niknami, maryam Department of Midwifery - School of Nursing and Midwifery - Guilan University of Medical Sciences , kazem nezhad leyli, ehsan Social Determinants of Health Research Center (SDHRC) - Guilan University of Medical Sciences
Abstract :
introduction: among women’s cancers, breast and cervical cancers are most common with high mortality rate, but they can be rectified in the initial stages with cost-effective, easy and readily available screening programs. the task of informing the community and directing them towards the screening programs is one of the major responsibilities of the health team. objective: determining the screening test status for common female cancers and their associated factors among the personnel working in the health and educational centers. materials and methods: in this cross-sectional and analytical study, 212 employees (physicians, gynecologists, nurses, midwives and family health unit personnel) from al-zahra medical center and the health centers of rasht city (15 centers) were studied. a 4-part questionnaire was prepared and completed by the selected employees. for statistical analysis, descriptive characteristics and independent t test were used. to determine the predictor-related factors for conducting pap smear test, mammography and breast self-examination, multiple analysis and logistic regression model were used. results: the results showed that 76.80% of the subjects with regard to pap smear test, 50% with regard to mammography and 86.60% with regard to breast self-examination had a good performance. age (b=-0.12, p=0.007), age of the first pregnancy (b=0.14, p=0.05) and early diagnosis of cancer by screening (b=1.21, p=0.04) were predictive factors for performing pap smear. duration of the current contraceptive method (p=0.05, b=-0.07), presence of suspicious mass in the breast (b=2.095, p=0.004) and fear of cancer (b=-0.85, p=0.07) were predictive factors for performing mammography. while, fear of cancer (p=0.02, b=6.31) was the only predictor of breast self-examination. conclusion: considering that working personnel in health-care centers are models for the general public, promoting their health behaviors such as performing timely tests can be an effective approach to promote better health in the community.
