Ayla Tuzcu1, Zuhal Bahar, Sebahat Gözüm. 1. Author Affiliations: Faculty of Nursing, Akdeniz University, Antalya (Drs Tuzcu and Gözüm); and Koç University, School of Nursing, Istanbul (Dr Bahar), Turkey.
Abstract
BACKGROUND: Antalya is a city receiving internal and external migration in Turkey, including migrant women in need of developing breast cancer screening behaviors. OBJECTIVE: The aim of this study was to develop breast cancer screening behaviors of migrant women through nursing interventions based on the Health Belief Model and the Health Promotion Model. METHODS: This quasi-experimental study was conducted with 200 women (100 women in the intervention group, 100 women in the control group) in Antalya. The intervention group received training, consultancy service, and reminders and was followed up at 3 and 6 months after interventions. RESULTS: The rates of breast self-examination, clinical breast examination and mammography were higher at months 3 and 6 in women in the intervention group compared with the women in the control group. In the intervention group, perceptions of susceptibility and barriers decreased after the interventions, and benefit, health motivation, and self-efficacy perceptions increased. According to month 6 data, in the intervention group, the decrease of each unit in perception of barriers increased the rate of breast self-examination 0.8 times and the rate of mammography 0.7 times. An increase of each unit in health motivation increased the rate of clinical breast examination 1.3 times and the rate of mammography 1.5 times. CONCLUSION:Interventions based on health behavior models positively affected breast cancer screening behaviors of migrant women. Health motivations and perceptions of barriers are determinants in performing the screening behaviors. IMPLICATIONS FOR PRACTICE: Migrant women should be supported more by healthcare professionals regarding recognition of breast health and disease and in transportation to screening centers in their new location.
RCT Entities:
BACKGROUND: Antalya is a city receiving internal and external migration in Turkey, including migrant women in need of developing breast cancer screening behaviors. OBJECTIVE: The aim of this study was to develop breast cancer screening behaviors of migrant women through nursing interventions based on the Health Belief Model and the Health Promotion Model. METHODS: This quasi-experimental study was conducted with 200 women (100 women in the intervention group, 100 women in the control group) in Antalya. The intervention group received training, consultancy service, and reminders and was followed up at 3 and 6 months after interventions. RESULTS: The rates of breast self-examination, clinical breast examination and mammography were higher at months 3 and 6 in women in the intervention group compared with the women in the control group. In the intervention group, perceptions of susceptibility and barriers decreased after the interventions, and benefit, health motivation, and self-efficacy perceptions increased. According to month 6 data, in the intervention group, the decrease of each unit in perception of barriers increased the rate of breast self-examination 0.8 times and the rate of mammography 0.7 times. An increase of each unit in health motivation increased the rate of clinical breast examination 1.3 times and the rate of mammography 1.5 times. CONCLUSION: Interventions based on health behavior models positively affected breast cancer screening behaviors of migrant women. Health motivations and perceptions of barriers are determinants in performing the screening behaviors. IMPLICATIONS FOR PRACTICE: Migrant women should be supported more by healthcare professionals regarding recognition of breast health and disease and in transportation to screening centers in their new location.
Authors: Sarah Noman; Hayati Kadir Shahar; Hejar Abdul Rahman; Suriani Ismail; Musheer Abdulwahid Al-Jaberi; Meram Azzani Journal: Int J Environ Res Public Health Date: 2020-12-31 Impact factor: 4.614