Investigation of Factors Influencing Mammography Utilization in Newly Diagnosed Breast Cancer Cases in Iran (2018–2020)

Document Type : Original Article(s)

Authors

1 Assistant Professor of Department of Medical Oncology- Hematology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Assistant Professor of Cardio-oncology, Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

3 Assistant Professor of Biostatistics, Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

4 Resident of internal medicine, department of Internal Medicine, Isfahan university of medical sciences, Isfahan, Iran

5 Internist-cardiologist, Hypertension Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

6 Interventional Cardiology Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

7 PhD of statistician, Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

8 Professor of Cardiology, Founder and Director of Cardio-Oncology Research Center Rajaie Cardiovascular Medical & Research Center, Tehran, Iran

9 Associate Professor of Echocardiography, Department of Cardiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

10 Cancer Prevention Research Center, Isfahan University of Medical Sciences, Isfahan,, Isfahan,, Iran

11 Professor of Hematology & Oncology, Department of Internal Medicine, School of Medicine, Cancer Prevention Research Center, Seyyed AlShohada Hospital, Isfahan University of Medical Sciences, Isfahan, Iran

12 Assistant professor of Radiotherapy, Seyed-Al-Shohada Hospital, Isfahan University of Medical Science; Department of Radio-Oncology, Seyed-Al-Shohada Hospital, Isfahan University of Medical Sciences, Isfahan, Iran

13 Assistant Professor of Radiotherapy, Department of Radiation-Oncology, Isfahan University of Medical Sciences, Isfahan, Iran

14 Assistant professor of Department of Internal Medicine, Oncology and Hematology Section, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

15 Hemato-oncologist, Oncology and Hematology Section, Seyed-Al-Shohada Hospital, Isfahan University of Medical Sciences, Isfahan, Iran

16 Professor of Cardiology, Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

17 Assistant professor of Department of Medical Oncology- Hematology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

18 Resident of Internal Medicine, Department of Internal Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

19 Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

20 Distinguished Professor of Cardiology, Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran, The Iranian Network of Cardiovascular Research

10.48305/jims.v43.i818.0612

Abstract

Background: Breast cancer is the most commonly diagnosed cancer in the world. This study was conducted with the aim of detecting the role of demographic factors, socio-economic status, insurance coverage, medical and family history, smoking and alcohol use on mammography in new cases of breast cancer.
Methods: This cross-sectional study was conducted on 627 new breast cancer patients in Iran province from 2018 to 2020. Data were collected through a questionnaire. Demographic information, past medical history of diseases and breast cancer and familiarity with screening methods (mammography), socio-economic status, psychological mood disorder, type and stage of breast cancer, etc. were collected, and then compared between two groups who did mammogram and who did not. Independent t-test, chi-square and logistic regression were used to analyze the hypotheses.
Findings: There was a significant association between mammography and age, marital status and level of education (P = 0.005, 0.03 and 0.03 respectively). There was a significant association between mammography and menopausal status and average BMI (P = 0.01 and 0.005, respectively). After controlling bias, only the education level variable had a significant association with mammography.
Conclusion: Based on the results of the present study, the level of education was associated with mammography utilization in newly diagnosed breast cancer cases.

Highlights

Ali Darakhshandeh: Google Scholar, PubMed

Masood Shekarchizadeh: Google Scholar, PubMed

Razieh Hassannejad: Google Scholar

Neda Abdeyazdan: Google Scholar, PubMed

Soraya Massoudi: Google Scholar

Azin Alizadehasl: Google Scholar

Reihaneh Zavar: Google Scholar

Farzaneh Ashrafi: Google Scholar

Mehran Sharifi: Google Scholar

Ali Akhavan : Google Scholar

Nadia Najafizadeh: Google Scholar

Alireza Sadeghi: Google Scholar

Masoumeh Sadeghi: Google Scholar

Mohammadsaleh Peikar: Google Scholar

Nizal Sarrafzadegan: Google Scholar, PubMed

Keywords

Main Subjects

References

  1. Ren W, Chen M, Qiao Y, Zhao F. Global guidelines for breast cancer screening: A systematic review. Breast 2022; 64: 85-99.
  2. Aryannejad A, Saeedi Moghaddam S, Mashinchi B, Tabary M, Rezaei N, Shahin S, et al. National and subnational burden of female and male breast cancer and risk factors in Iran from 1990 to 2019: results from the Global Burden of Disease study 2019. Breast Cancer Res 2023; 25(1): 47.
  3. Esna-Ashari F, Saffari N, Parsapour H, Rezapur-Shahkolai F. Factors Associated with Breast Cancer Mammographic Screening Behavior among Iranian Women. Asian Pac J Cancer Prev 2022; 23(12): 4073-8.
  4. Figueroa JD, Gray E, Pashayan N, Deandrea S, Karch A, Vale DB, et al. The impact of the Covid-19 pandemic on breast cancer early detection and screening. Prev Med 2021; 151: 106585.
  5. Kardan-Souraki M, Moosazadeh M, Khani S, Hamzehgardeshi Z. Factors Related to Breast Cancer Screening in Women in the Northern Part of Iran: A Cross-Sectional Study. Open Access Maced J Med Sci 2019; 7(4): 637-42.
  6. Ghanbari A, Rahmatpour P, Hosseini N, Khalili M. Social Determinants of Breast Cancer Screening among Married Women: A Cross-Sectional Study. J Res Health Sci 2020;20(1):e00467.
  7. Mondragón Márquez LI, Domínguez Bueso DL, González Ruiz LM, Liu JJ. Associations between sociodemographic factors and breast, cervical, and colorectal cancer screening in the United States. Cancer Causes & Control 2023;34(12):1073-84.
  8. Solikhah S, Lianawati L, Matahari R, Rejeki DSS. Determinants of Breast Cancer Screening Practice among Women in Indonesia: A Nationwide Study. Asian Pac J Cancer Prev. 2021;22(5):1435-1441.
  9. Vafaei Z, Najafian J, Shekarchizadeh M, Mostafavi S, Darakhshandeh A, Khosravifarsani M, et al. Validation of a newly developed questionnaire regarding clinical history in patients with breast and colorectal cancers. ARYA Atheroscle 2021; 17(6): 1-10.
  10. Kavyani H, Seifourian H, Sharifi V, Ebrahimkhani N. Reliability and validity of Anxiety and Depression Hospital Scales (HADS): Iranian patients with anxiety and depression disorders ]in Persian[. Tehran Univ Med J 2009; 67(5): 379-85.
  11. Roohafza H, Feizi A, Gharipour M, Khani A, Dianatkhah M, Sarrafzadegan N, et al. Development and validation of a socioeconomic status short-form questionnaire (SES-SQ). ARYA atheroscler 2021; 17(4): 1-9.
  12. Le M, Hofvind S, Tsuruda K, Braaten T, Bhargava S. Lower attendance rates in BreastScreen Norway among immigrants across all levels of socio-demographic factors: a population-based study. J Public Health 2019; 27: 229-40.
  13. Damiani G, Basso D, Acampora A, Bianchi CB, Silvestrini G, Frisicale EM, et al. The impact of level of education on adherence to breast and cervical cancer screening: evidence from a systematic review and meta-analysis. Prev Med 2015; 81: 281-9.
  14. Souza CIdA, Araújo DS, Teles DAdF, Carvalho SGLd, Cavalcante KWM, Rabelo WL, et al. Factors related to non-adherence to mammography in a city of the Brazilian Amazonian area: A population-based study. Rev Assoc Med Bras (1992) 2017; 63(1): 35-42.
  15. Agrawal P, Chen TA, McNeill LH, Acquati C, Connors SK, Nitturi V, et al. Factors associated with breast cancer screening adherence among church-going african American women. Int J Environ Res Public Health 2021; 18(16): 8494.
  16. Romeiro Lopes TC, Franca Gravena AA, Demitto MDO, Brischiliari SCR, Borghesan DHP, Dell Agnolo CM, et al. Mammographic screening of women attending a reference service center in Southern Brazil. Asian Pac J Cancer Prev 2016; 17(3): 1385-91.
  17. Lee Y-S, Roh S, Moon H, Lee KH, McKinley C, LaPlante K. Andersen’s behavioral model to identify correlates of breast cancer screening behaviors among Indigenous women. J Evid Based Soc Work 2020; 17(1): 117-35.
  18. Sun Y, Ma Y, Cao M, Hu Z, Lin W, Chen M, et al. Breast and cervical cancer screening adherence in Jiangsu, China: An ecological perspective. Front Public Health 2022; 10: 967495.
  19. Melo ECP, de Oliveira EXG, Chor D, Carvalho MS, Pinheiro RS. Inequalities in socioeconomic status and race and the odds of undergoing a mammogram in Brazil. Int J Equity Health 2016; 15(1): 144.
  20. Lagerlund M, Sontrop JM, Zackrisson S. Do reproductive and hormonal risk factors for breast cancer associate with attendance at mammography screening? Cancer Causes Control 2013; 24(9): 1687-94.
  21. Heinig M, Schwarz S, Haug U. Self-selection for mammography screening according to use of hormone replacement therapy: A systematic literature review. Cancer Epidemiol 2021; 71(Pt A): 101812.
  22. Charkhchi P, Schabath MB, Carlos RC. Breast, cervical, and colorectal cancer screening adherence: effect of low body mass index in women. J Womens Health (Larchmt) 2020; 29(7): 996-1006.
  23. Sun Y, Ma Y, Chen M, He Y. Breast and cervical cancer screening adherence in Jiangsu, China: An ecological perspective. Front Public Health 2022; 10: 967495.
  24. Eichholzer M, Richard A, Rohrmann S, Schmid S, Güth U. Overweight, obesity, and breast cancer screening: results from the 2012 Swiss Health Survey. Eur J Cancer Prev 2016; 25(2): 130-6.
  25. Yazgan I, Chagpar A. The effect of emotional disorders on adherence to mammography screening guidelines. Breast Cancer Res Treat 2022; 192(3): 623-7.
  26. Katz D, Tengekyon AJ, Kahan NR, Calderon-Margalit R. Patient and physician characteristics affect adherence to screening mammography: A population-based cohort study. PloS One 2018; 13(3): e0194409.
  27. Consedine NS, Magai C, Krivoshekova YS, Ryzewicz L, Neugut AI. Fear, anxiety, worry, and breast cancer screening behavior: a critical review. Cancer Epidemiol Biomarkers Prev 2004; 13(4): 501-10.
  28. Wu Z, Liu Y, Li X, Song B, Ni C, Lin F. Factors associated with breast cancer screening participation among women in mainland China: a systematic review. BMJ Open 2019; 9(8): e028705.
  29. Tolma EL, Stoner JA, Li J, Kim Y, Engelman KK. Predictors of regular mammography use among American Indian women in Oklahoma: a cross-sectional study. BMC Womens Health 2014; 14: 101.
  30. Acheson LS, Wang C, Zyzanski SJ, Lynn A, Ruffin MT, Gramling R, et al. Family history and perceptions about risk and prevention for chronic diseases in primary care: a report from the Family Healthware™ Impact Trial. Genet Med 2010; 12(4): 212-8.
  31. Hong SJ, Goodman M, Kaphingst KA. Relationships of family history-related factors and causal beliefs to cancer risk perception and mammography screening adherence among medically underserved women. J Health Commun 2020; 25(7): 531-42.
  32. Zamorano-Leon JJ, López-de-Andres A, Álvarez-González A, Astasio-Arbiza P, López-Farré AJ, de-Miguel-Diez J, et al. Reduction from 2011 to 2017 in adherence to breast cancer screening and non-improvement in the uptake of cervical cancer screening among women living in Spain. Maturitas 2020; 135: 27-33.
  33. Farshbaf A, Shahnazi M, Ghahvehchi A, Torabi SH. Status of breast cancer screening methods and factors affecting it in women referring to health care units in Tabriz [in Persian]. (IJNR)Iranian Journal of Nursing Research 1388; 4(12-13): 27-38.
  34. Mohsenzadeh KH, Rezaei R. Screening and prevention of breast cancer (systematic review) [in Persian]. [cited 2013]. available from: https://sid.ir/paper/883421/fa.
Journal of Isfahan Medical School
Volume 43, Issue 818
2nd Week, August
July and August 2025
Pages 612-622

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History

  • Receive Date: 11 November 2024
  • Accept Date: 19 July 2025

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