A path analytic model of health beliefs on the behavioral adoption of breast self-examination

Background: In Malaysia, breast cancer accounted for 34.1% of all female cancer cases with women presenting breast cancer at late stages. Breast cancer has a higher five-year survival rate if detected early. An increase of approximately 30% in the five-year survival rate is indicated if breast cance...

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Main Authors: Moey, Soo Foon, Che Mohamed, Norfariha, Lim, Bee Chiu
Format: Article
Language:English
English
Published: AIMS Press 2020
Subjects:
Online Access:http://irep.iium.edu.my/86914/13/86914_Appendices.pdf
http://irep.iium.edu.my/86914/14/86914_A%20path%20analytic%20model%20of%20health%20beliefs%20on%20the%20behavioral%20adoption%20of%20breast%20self-examination.pdf
http://irep.iium.edu.my/86914/
https://www.aimspress.com/article/doi/10.3934/publichealth.2021002
https://doi.org/10.3934/publichealth.2021002
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spelling my.iium.irep.869142020-12-29T17:37:06Z http://irep.iium.edu.my/86914/ A path analytic model of health beliefs on the behavioral adoption of breast self-examination Moey, Soo Foon Che Mohamed, Norfariha Lim, Bee Chiu H Social Sciences (General) H10 Societies HM Sociology Background: In Malaysia, breast cancer accounted for 34.1% of all female cancer cases with women presenting breast cancer at late stages. Breast cancer has a higher five-year survival rate if detected early. An increase of approximately 30% in the five-year survival rate is indicated if breast cancer is detected at stage III compared to stage IV. Thus, the survival rate of breast cancer can be increased by creating awareness and encouraging breast cancer screening amongst women. Breast self-examination (BSE) is highly recommended for breast cancer screening due to its simplicity with no incurred cost. The Health Belief Model is used in this study to explain and predict the adoptive behaviour of BSE amongst women in Kuantan, Pahang. Materials and methods: This study employed a multi-stage sampling method using a simple proportion formula at 5% type 1 error, p < 0.05 and absolute error at 2% which resulted in a sample of 520 participants. The data for the study was obtained using a validated bilingual self-constructed questionnaire and the model constructed using Mplus software. Results: Perceived severity, benefits and barriers were found to significantly influence the behavioural adoption of BSE. Married women aged from 45 to 55 years and knowledge were found to significantly moderate the relationship between perceived benefits and behavioural adoption of BSE. Further, self-efficacy was found as the core construct that mediates the relationship between married women aged 45 to 55 years and the behavioural adoption of BSE. Conclusion: Self-efficacy is found in the study to influence the behavioural adoption of BSE. This is undeniable as self-efficacy can promote confidence in initiating and maintenance of behavioural change if the perceived change is beneficial at an acceptable cost. AIMS Press 2020-12-21 Article PeerReviewed application/pdf en http://irep.iium.edu.my/86914/13/86914_Appendices.pdf application/pdf en http://irep.iium.edu.my/86914/14/86914_A%20path%20analytic%20model%20of%20health%20beliefs%20on%20the%20behavioral%20adoption%20of%20breast%20self-examination.pdf Moey, Soo Foon and Che Mohamed, Norfariha and Lim, Bee Chiu (2020) A path analytic model of health beliefs on the behavioral adoption of breast self-examination. AIMS Public Health, 8 (1). pp. 15-31. ISSN 2327-8994 https://www.aimspress.com/article/doi/10.3934/publichealth.2021002 https://doi.org/10.3934/publichealth.2021002
institution Universiti Islam Antarabangsa Malaysia
building IIUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider International Islamic University Malaysia
content_source IIUM Repository (IREP)
url_provider http://irep.iium.edu.my/
language English
English
topic H Social Sciences (General)
H10 Societies
HM Sociology
spellingShingle H Social Sciences (General)
H10 Societies
HM Sociology
Moey, Soo Foon
Che Mohamed, Norfariha
Lim, Bee Chiu
A path analytic model of health beliefs on the behavioral adoption of breast self-examination
description Background: In Malaysia, breast cancer accounted for 34.1% of all female cancer cases with women presenting breast cancer at late stages. Breast cancer has a higher five-year survival rate if detected early. An increase of approximately 30% in the five-year survival rate is indicated if breast cancer is detected at stage III compared to stage IV. Thus, the survival rate of breast cancer can be increased by creating awareness and encouraging breast cancer screening amongst women. Breast self-examination (BSE) is highly recommended for breast cancer screening due to its simplicity with no incurred cost. The Health Belief Model is used in this study to explain and predict the adoptive behaviour of BSE amongst women in Kuantan, Pahang. Materials and methods: This study employed a multi-stage sampling method using a simple proportion formula at 5% type 1 error, p < 0.05 and absolute error at 2% which resulted in a sample of 520 participants. The data for the study was obtained using a validated bilingual self-constructed questionnaire and the model constructed using Mplus software. Results: Perceived severity, benefits and barriers were found to significantly influence the behavioural adoption of BSE. Married women aged from 45 to 55 years and knowledge were found to significantly moderate the relationship between perceived benefits and behavioural adoption of BSE. Further, self-efficacy was found as the core construct that mediates the relationship between married women aged 45 to 55 years and the behavioural adoption of BSE. Conclusion: Self-efficacy is found in the study to influence the behavioural adoption of BSE. This is undeniable as self-efficacy can promote confidence in initiating and maintenance of behavioural change if the perceived change is beneficial at an acceptable cost.
format Article
author Moey, Soo Foon
Che Mohamed, Norfariha
Lim, Bee Chiu
author_facet Moey, Soo Foon
Che Mohamed, Norfariha
Lim, Bee Chiu
author_sort Moey, Soo Foon
title A path analytic model of health beliefs on the behavioral adoption of breast self-examination
title_short A path analytic model of health beliefs on the behavioral adoption of breast self-examination
title_full A path analytic model of health beliefs on the behavioral adoption of breast self-examination
title_fullStr A path analytic model of health beliefs on the behavioral adoption of breast self-examination
title_full_unstemmed A path analytic model of health beliefs on the behavioral adoption of breast self-examination
title_sort path analytic model of health beliefs on the behavioral adoption of breast self-examination
publisher AIMS Press
publishDate 2020
url http://irep.iium.edu.my/86914/13/86914_Appendices.pdf
http://irep.iium.edu.my/86914/14/86914_A%20path%20analytic%20model%20of%20health%20beliefs%20on%20the%20behavioral%20adoption%20of%20breast%20self-examination.pdf
http://irep.iium.edu.my/86914/
https://www.aimspress.com/article/doi/10.3934/publichealth.2021002
https://doi.org/10.3934/publichealth.2021002
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