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
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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
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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
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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
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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
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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
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Background The purpose of the study was to understand how family physicians managed their primary health care centers and to identify the factors for successful management of their privative clinics. Methods: The data was collected through individual interviews from five family physicians who operated their private clinics. All interviews were tape-recorded and transcribed into verbatim data. The data was analyzed using qualitative content analysis. Results: Three major categories were identified: 1) types of physician based on major value as a doctor; 2) difficulties in operation and management; 3) desirable operating strategies for success. The first category described what kinds of value the physicians pursued as they operated their private clinics. Two different types were identified. One was intrinsic value oriented and the other was extrinsic value oriented. The second category illustrated many difficulties that family physicians faced in operating and managing their private clinics. Lack of private time, social isolation, and gap between mission and reality of practice were identified as major difficulties. Desirable strategies for the successful management were four subcategories: location; self-oriented developmental plan; specialization of the services; and activating network with larger hospitals. Conclusion: The results of the study would be helpful in setting up and operating private clinics through understanding the difficulties and strategies of primary physicians and recognizing mission and major value of them.
Background The North Korean defectors are suffering from multiple psychologic and physical health problems. However, because of their emotional maladaptation, noncooperation and suspiciousness and distrust toward others, it is difficult for South Korean doctors to build effective therapeutic relationships with them. Therefore, we made efforts to clarify the characteristics of North Korean defectors in symptom expressions and illness behaviors which would help South Korean doctors to gain rapport. Methods: We performed qualitative study with focus group interview. Three focus groups were composed of 14 North Korean defectors and group interviews were performed twice for each group. The contents of each interview were analyzed and conclusions were drawn by extracting and arranging significant findings. Results: The North Korean defectors showed psychologic symptoms such as anxiety, depression and various somatic symptoms. Among them, 'Laeng-Dol ('cold mass') and 'Jeog' mean subjective mass-feeling, such as globus sensation. And 'Tag-Gi-Byeong ('chicken heart disease')' means recurrent chest pain. These expressions reflect their anxious, depressive, and somatizing tendency. Among illness concept, 'Laeng-Byeong' ('cold related disease') means that they consider the cold weather to be the cause of various somatic symptoms. Characteristic illness behaviors include continuous complaining of recurrent symptoms, distrusting medical staffs and institutions, self-diagnosis, self- prescription, and reliance upon folk remedies. These illness behaviors were precipitated by the current breakdown of health-care system and economic crisis of the North Korea. Conclusion: South Korean doctors should be able to understand these characteristics of the North Korean defectors in order to build effective therapeutic relationship with them. (J Korean Acad Fam Med 2007;28:352-358)
Background : To understand why primary physicians prescribe antibiotics for some cases of acute upper respiratory infections and to explore the factors that influence their prescribing.
Methods : Qualitative analysis of semi-structured interviews. Participants were 12 primary physicians in the maximum variety sample.
Results : Interviewees were identified the problems of antibiotics abuse and misuse in Korea. Primary physicians were certain that patients will benefit from antibiotics and prescribe for the patients' expectation of fast relief. Doctors are mostly comfortable with their prescribing decisions by their clinical experiences. They are also more likely to prescribe antibiotics in pressures of time and in competitive clinical environment.
Conclusion : Multiple factors are involved in primary physicians' decision of their prescribing for acute upper respiratory infections. Further interventions to reduces prescribing would need to improve identification of patients at risk of complications and be workable in busy clinical situations. Repeating evidence for lack of effectiveness and lack of efficiency in general might be helpful.
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