Background Breast cancer is the most commonly diagnosed tumorous cancer and the second leading cause of cancer-related deaths among women worldwide. This study aimed to qualitatively explore the barriers to mammography adoption among Iranian women.
Methods This study is a qualitative component of a large research project on exploratory sequential mixed method design, utilizing conventional content analysis. In total, 24 participants were selected from among women who had participated in the first phase of the study. Data were collected through in-depth, semi-structured interviews.
Results Five main themes were extracted, consisting of unawareness of mammography, fear control, priority of mammography needs, inadequate competency of mammography centers, and a sense of losing family support.
Conclusion Different perceived barriers within various levels (individual, intrapersonal, health systems, and community) play influential roles in women’s decisions to participate in breast cancer screening program, which indicates the cultural aspect of perceived barriers in different communities and countries. The study provides the basis for intervention planning in this regard.
Citations
Citations to this article as recorded by
Barriers to screening amongst first-degree female relatives of patients with breast cancer: a qualitative study Yanyan Shi, Jing Xu, Qing Zhang, Zhuyue Ma, Shanshan Yao, Yidan Dong BMC Women's Health.2026;[Epub] CrossRef
Behind the Screen: An Exploratory Study of Factors Influencing Breast Screening Uptake in Lancashire (UK) Yik Nok Bryan Lee, Alexander Montasem, Lauren Haworth, Jonathan Sinclair, Kim McGuire, Ambreen Chohan Health Expectations.2025;[Epub] CrossRef
Anxiety Levels Among Women Undergoing Mammogram Screening Wedad M. Almutairi, Salwa Hassan Alzahrani Current Oncology.2025; 32(3): 160. CrossRef
Development and validation of the psychometric properties of the perceived barriers of mammography scale Shayesteh Shirzadi, Mohammad Asghari-Jafarabadi, Mahnaz M. Harrison, Hamid Allahverdipour Health Care for Women International.2024; 45(6): 621. CrossRef
Overcoming obstacles to mammography screening: Examining the role of offline healthcare barriers and online patient–provider communication Yuyuan Kylie Lai, Jizhou Francis Ye, Song Harris Ao, Xinshu Zhao Journal of Health Psychology.2024; 29(5): 452. CrossRef
Exploring the practice of Iranian adolescent females during menstruation and related beliefs: a qualitative study Mojgan Mirghafourvand, Abbas Ebadi, Shayesteh Jahanfar, Fatemeh Khorashadizadeh, Shayesteh Shirzadi BMC Public Health.2024;[Epub] CrossRef
Risk perception regarding social determinants of health among women with breast cancer in Iran: a qualitative study Arezou Ashari, Neda SoleimanvandiAzar, Marzieh Nojomi, Hadi Ranjbar, Kamran Mirzaei, Nahid Nafissi, Mahshid Roohravan Benis, Zahra Rampisheh BMJ Open.2024; 14(8): e081839. CrossRef
Need assessment for the content of educational programs about breast cancer from the viewpoint of unaffected women Sadaf Alipour, Marzieh Orouji, Yas Eskandari, Amirhossein Eskandari BMC Women's Health.2023;[Epub] CrossRef
Acceptability and compliance with a breast cancer prevention campaign in the Northwest Region, Iran Saeed Dastgiri, Geertruida H de Bock, Zohreh Sanaat, Mahnaz Ranjkesh, Zhila Abbasi, Pooneh Jabbaripour, Shima Pashaie, Soheila Poorsaberi, Roya Dolatkhah Breast Cancer Management.2022;[Epub] CrossRef
Qualitative factors influencing breast and cervical cancer screening in women: A scoping review Jerrald Lau, Pami Shrestha, Janelle Shaina Ng, Gretel Jianlin Wong, Helena Legido-Quigley, Ker-Kan Tan Preventive Medicine Reports.2022; 27: 101816. CrossRef
Factors Associated with Screening Mammogram Uptake among Women Attending an Urban University Primary Care Clinic in Malaysia Nasturah Abdullah, Noorhida Baharudin, Mariam Mohamad, Mohamed-Syarif Mohamed-Yassin International Journal of Environmental Research and Public Health.2022; 19(10): 6103. CrossRef
Breast Cancer in Asia: Incidence, Mortality, Early Detection, Mammography Programs, and Risk-Based Screening Initiatives Yu Xian Lim, Zi Lin Lim, Peh Joo Ho, Jingmei Li Cancers.2022; 14(17): 4218. CrossRef
Barriers to women’s breast cancer screening behaviors in several countries: A meta-synthesis study İlknur Özkan, Seçil Taylan Health Care for Women International.2021; 42(7-9): 1013. CrossRef
Beliefs, fear and awareness of women about breast cancer: Effects on mammography screening practices Lida Emami, Akram Ghahramanian, Azad Rahmani, Ahmad Mirza Aghazadeh, Tonia C. Onyeka, Amirreza Nabighadim Nursing Open.2021; 8(2): 890. CrossRef
A systematic review of decision aids for mammography screening: Focus on outcomes and characteristics Marzieh Esmaeili, Seyed Mohammad Ayyoubzadeh, Zohreh Javanmard, Sharareh R. Niakan Kalhori International Journal of Medical Informatics.2021; 149: 104406. CrossRef
Breast cancer screening behavior and its associated factors in female employees in South Khorasan Zoya Tahergorabi, Mahyar Mohammadifard, Fatemeh Salmani, Mitra Moodi Journal of Education and Health Promotion.2021;[Epub] CrossRef
Fear of negative appearance evaluation and attitude towards mammography: Moderating role of internal health locus of control,cancer worry and age Saeed Pahlevan Sharif, Ashraf Sadat Ahadzadeh, Fon Sim Ong, Navaz Naghavi Health Promotion Perspectives.2020; 10(3): 220. CrossRef
Factors affecting mammography screening behaviour among rural Vietnamese women Linh Thuy Duong, Hui‐Mei Chen, Chieh‐Yu Liu, Piao‐Yi Chiou European Journal of Cancer Care.2020;[Epub] CrossRef
Perceived Barriers and Awareness of Mammography Screening Among Saudi Women Attending Primary Health Centers
Doaa M Abdel-Salam, Rehab A Mohamed, Hind Y Alyousef, Wahaj A Almasoud, Mashael B Alanzi, Atheer Z Mubarak, Doaa M Osman Risk Management and Healthcare Policy.2020; Volume 13: 2553. CrossRef