Association between sociodemographic factors and health beliefs related to breast cancer screening behavior among Northern Thai women: a hospital-based study

Abstract Early diagnosis of breast cancer is crucial for reducing mortality rates. The purpose of this study is to determine the impact of demographics/social determinants of health on beliefs about the practice of self-breast examination, using mammogram and ultrasound in the context of breast canc...

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Main Authors: Surin Jiraniramai, Kanokporn Pinyopornpanish, Nahathai Wongpakaran, Chaisiri Angkurawaranon, Victoria L. Champion, Imjai Chitapanarux, Wichuda Jiraporncharoen, Tinakon Wongpakaran
Format: Article
Language:English
Published: Nature Portfolio 2024-03-01
Series:Scientific Reports
Subjects:
Online Access:https://doi.org/10.1038/s41598-024-58155-y
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author Surin Jiraniramai
Kanokporn Pinyopornpanish
Nahathai Wongpakaran
Chaisiri Angkurawaranon
Victoria L. Champion
Imjai Chitapanarux
Wichuda Jiraporncharoen
Tinakon Wongpakaran
author_facet Surin Jiraniramai
Kanokporn Pinyopornpanish
Nahathai Wongpakaran
Chaisiri Angkurawaranon
Victoria L. Champion
Imjai Chitapanarux
Wichuda Jiraporncharoen
Tinakon Wongpakaran
author_sort Surin Jiraniramai
collection DOAJ
description Abstract Early diagnosis of breast cancer is crucial for reducing mortality rates. The purpose of this study is to determine the impact of demographics/social determinants of health on beliefs about the practice of self-breast examination, using mammogram and ultrasound in the context of breast cancer screening among Thai women in a hospital-based setting for implying program planning and future research. A cross-sectional study was conducted in two health centers in Chiang Mai Province from August 2021 to December 2021, involving 130 Thai women ages 40 to 70 years. Data were collected by a survey using a questionnaire to gather sociodemographic information, and health beliefs about breast cancer and screening behavior utilizing the modified Thai version of Champion's Health Belief Model Scale (MT-CHBMS). Descriptive statistics, t-tests, ANOVA, and linear regression models were employed for examining association between sociodemographic factors and health beliefs about the practice of self-breast examination (BSE), using mammogram (MG) and ultrasound (UTS). Health insurance schemes were associated with Benefit-MG, Barrier-BSE, Barrier-MG and Barrier-UTS subscales. Additionally, monthly income was associated with Barrier-MG and Barrier-UTS subscales. The most common barriers reported were “embarrassment”, “worry”, and “takes too much time”. To enhance breast cancer screening in Thailand, program planning and future research should focus on health insurance schemes, especially women with social security schemes, as they may be the most appropriate target group for intervention.
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spelling doaj.art-528725cf2fbf468a86fd2e19a52fe2412024-03-31T11:17:22ZengNature PortfolioScientific Reports2045-23222024-03-0114111110.1038/s41598-024-58155-yAssociation between sociodemographic factors and health beliefs related to breast cancer screening behavior among Northern Thai women: a hospital-based studySurin Jiraniramai0Kanokporn Pinyopornpanish1Nahathai Wongpakaran2Chaisiri Angkurawaranon3Victoria L. Champion4Imjai Chitapanarux5Wichuda Jiraporncharoen6Tinakon Wongpakaran7Department of Family Medicine, Faculty of Medicine, Chiang Mai UniversityDepartment of Family Medicine, Faculty of Medicine, Chiang Mai UniversityDepartment of Psychiatry, Faculty of Medicine, Chiang Mai UniversityDepartment of Family Medicine, Faculty of Medicine, Chiang Mai UniversitySchool of Nursing, Indiana UniversityDepartment of Radiology, Faculty of Medicine, Chiang Mai UniversityDepartment of Family Medicine, Faculty of Medicine, Chiang Mai UniversityDepartment of Psychiatry, Faculty of Medicine, Chiang Mai UniversityAbstract Early diagnosis of breast cancer is crucial for reducing mortality rates. The purpose of this study is to determine the impact of demographics/social determinants of health on beliefs about the practice of self-breast examination, using mammogram and ultrasound in the context of breast cancer screening among Thai women in a hospital-based setting for implying program planning and future research. A cross-sectional study was conducted in two health centers in Chiang Mai Province from August 2021 to December 2021, involving 130 Thai women ages 40 to 70 years. Data were collected by a survey using a questionnaire to gather sociodemographic information, and health beliefs about breast cancer and screening behavior utilizing the modified Thai version of Champion's Health Belief Model Scale (MT-CHBMS). Descriptive statistics, t-tests, ANOVA, and linear regression models were employed for examining association between sociodemographic factors and health beliefs about the practice of self-breast examination (BSE), using mammogram (MG) and ultrasound (UTS). Health insurance schemes were associated with Benefit-MG, Barrier-BSE, Barrier-MG and Barrier-UTS subscales. Additionally, monthly income was associated with Barrier-MG and Barrier-UTS subscales. The most common barriers reported were “embarrassment”, “worry”, and “takes too much time”. To enhance breast cancer screening in Thailand, program planning and future research should focus on health insurance schemes, especially women with social security schemes, as they may be the most appropriate target group for intervention.https://doi.org/10.1038/s41598-024-58155-yBreast cancerScreeningHealth beliefsPerception
spellingShingle Surin Jiraniramai
Kanokporn Pinyopornpanish
Nahathai Wongpakaran
Chaisiri Angkurawaranon
Victoria L. Champion
Imjai Chitapanarux
Wichuda Jiraporncharoen
Tinakon Wongpakaran
Association between sociodemographic factors and health beliefs related to breast cancer screening behavior among Northern Thai women: a hospital-based study
Scientific Reports
Breast cancer
Screening
Health beliefs
Perception
title Association between sociodemographic factors and health beliefs related to breast cancer screening behavior among Northern Thai women: a hospital-based study
title_full Association between sociodemographic factors and health beliefs related to breast cancer screening behavior among Northern Thai women: a hospital-based study
title_fullStr Association between sociodemographic factors and health beliefs related to breast cancer screening behavior among Northern Thai women: a hospital-based study
title_full_unstemmed Association between sociodemographic factors and health beliefs related to breast cancer screening behavior among Northern Thai women: a hospital-based study
title_short Association between sociodemographic factors and health beliefs related to breast cancer screening behavior among Northern Thai women: a hospital-based study
title_sort association between sociodemographic factors and health beliefs related to breast cancer screening behavior among northern thai women a hospital based study
topic Breast cancer
Screening
Health beliefs
Perception
url https://doi.org/10.1038/s41598-024-58155-y
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