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Volume 13, Issue 2 (2025)
Health Educ Health Promot 2025, 13(2): 227-233 |
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Received: 2025/03/3 | Accepted: 2025/05/8 | Published: 2025/05/12
Received: 2025/03/3 | Accepted: 2025/05/8 | Published: 2025/05/12
How to cite this article
Jamei Z, Hosseini F, Mohammadi Zeidi I, Morshedi H. Health Literacy and the Health Action Process Approach in Predicting Breast Cancer Screening Behaviors. Health Educ Health Promot 2025; 13 (2) :227-233
URL: http://hehp.daneshafarand.org/article-4-79759-en.html
URL: http://hehp.daneshafarand.org/article-4-79759-en.html
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1- Department of Public Health, School of Health, Qazvin University of Medical Sciences, Qazvin, Iran
Abstract (1262 Views)
Aims: This study aimed to investigate the role of health literacy and the health action process approach in predicting the adoption of breast cancer screening behaviors among Iranian women.
Instrument & Methods: This cross-sectional (descriptive-analytical) study was conducted on 350 women aged 30 to 69 years who were served by comprehensive health centers in the city of Alborz, Qazvin Province, Iran, selected by multi-stage cluster sampling. The data collection tools included a demographic information form, questionnaires related to the constructs of the health action process approach, and a short version of the Health Literacy Measurement Scale for Iranian Adults. Data analysis was performed by SPSS version 25 software using the Kolmogorov-Smirnov test for assessing data normality, descriptive statistics (mean and standard deviation), and multiple regression analysis to predict screening behavior.
Findings: The mean age of the participating women was 44.73±10.22 years. The average health literacy score was 29.54, indicating a low level of health literacy. Additionally, a significant relationship was found between health literacy and the performance of breast screening tests, such that women with higher education levels, spouses with higher education, a history of mammography and breast self-examination, better financial status, employment, and health insurance coverage had higher health literacy. The constructs of perceived risk, perceived barriers, and coping planning explained 24% of the variance in screening behavior.
Conclusion: The health action process approach enhances women’s participation in breast cancer screening.
Instrument & Methods: This cross-sectional (descriptive-analytical) study was conducted on 350 women aged 30 to 69 years who were served by comprehensive health centers in the city of Alborz, Qazvin Province, Iran, selected by multi-stage cluster sampling. The data collection tools included a demographic information form, questionnaires related to the constructs of the health action process approach, and a short version of the Health Literacy Measurement Scale for Iranian Adults. Data analysis was performed by SPSS version 25 software using the Kolmogorov-Smirnov test for assessing data normality, descriptive statistics (mean and standard deviation), and multiple regression analysis to predict screening behavior.
Findings: The mean age of the participating women was 44.73±10.22 years. The average health literacy score was 29.54, indicating a low level of health literacy. Additionally, a significant relationship was found between health literacy and the performance of breast screening tests, such that women with higher education levels, spouses with higher education, a history of mammography and breast self-examination, better financial status, employment, and health insurance coverage had higher health literacy. The constructs of perceived risk, perceived barriers, and coping planning explained 24% of the variance in screening behavior.
Conclusion: The health action process approach enhances women’s participation in breast cancer screening.
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