Cancer Nursing
Volume 39, Issue 2, 2016, Pages E40-E50

Effects of interventions based on health behavior models on breast cancer screening behaviors of migrant women in Turkey (Article)

Tuzcu A.* , Bahar Z. , Gözüm S.
  • a Faculty of Nursing, Akdeniz University, Antalya, 07058, Turkey
  • b Koç University, School of Nursing, Istanbul, Turkey
  • c Faculty of Nursing, Akdeniz University, Antalya, 07058, 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. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.

Author Keywords

Migrant woman Health behavior models Consultancy Breast cancer screening behaviors Health training

Index Keywords

Models, Psychological breast cancer psychological model quasi experimental study health promotion Health Promotion Model nursing health care personnel human Health Behavior health belief statistics and numerical data controlled study Turkey (republic) priority journal early cancer diagnosis cancer risk randomized controlled trial cancer screening Early Detection of Cancer breast self examination human relation Young Adult Humans Breast Neoplasms migrant conceptual framework psychology female self concept Health Belief Model Article cancer mortality program evaluation adult migration Turkey Transients and Migrants cancer incidence

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84959423322&doi=10.1097%2fNCC.0000000000000268&partnerID=40&md5=cb9fa19344529da5e74dc4713c6b3072

DOI: 10.1097/NCC.0000000000000268
ISSN: 0162220X
Cited by: 9
Original Language: English