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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/18656

Title: Predicting Breast Self Examination among Saudi Women Using Theory of Reasoned Action
Authors: M. Fetohy, Ebtisam.
S. Abdel Gawwad, Ensaf.
J. Hashim, Talal.
Keywords: breast cancer (BC), breast self-examination (BSE),knowledge
Issue Date: 2006
Publisher: High Institute of Public Health
Citation: Bull of High Institute of Public Health; 36 (3)
Abstract: The present study was conducted to assess breast cancer (BC) and breast self-examination (BSE) related knowledge, attitude and performance among educated Saudi women, to identify which groups of women are in need for education about BC & BSE, as well as to examine the utility of theory of reasoned action in predicting BSE among them in Riyadh City. A cross-sectional descriptive study was carried out on 302 educated Saudi women. Their mean age was 27.3±9.4 years. The results show that 26.49% of the participants were ever practicing BSE, 17.88% practiced BSE in the prior 6 months, and only 1.98% practiced it monthly. Only 1.9% of them had good knowledge about BC and BSE. There was a discrepancy between their perceived level of knowledge and the actual knowledge level. The mean BSE proficiency score was moderate (5.13 with actual range of 0-11). Women who were in the age group (40- years); widows, divorced, or married; teachers had higher significant knowledge score than other groups. Younger married women and teachers attained significantly the highest mean score of BSE skills (proficiency). Non-Saudis, diploma graduated women, those who were living in middle Riyadh, and having lower monthly income attained the most favorable attitude toward BSE. Widows and divorced women had significantly higher mean subjective norms. Although there were differences between different groups related to socio-demographic characters as regard BSE intention and performance, these differences were not significant. In agreement with the theory of reasoned action, global subjective norms (GSN), affect (direct attitude) were found to be among the predictors of intention to practice BSE together with marital status, and age (R²=0.233). Intention and affect (direct attitude) scores were proved as the predictors of BSE performance (R²=0.62). It is recommended that health educators should design theory-based interventions that foster positive attitudes, increase knowledge about BSE and motivate women to practice it. These interventions need to be done in the context of the Saudi cultural norms.
URI: http://hdl.handle.net/123456789/18656
Appears in Collections:College of Applied Medical Sciences

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