Volume 4, Issue 1 (Spring 2017)
J Educ Community Health 2017, 4(1): 1-11 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Najafi A, Nadrian E, Bakri G, Nadrian H, Fathipour A. Skin Cancer Preventive Behaviors and Its Determinants among High School Students in Sanandaj, Iran: An Application of PRECEDE Model. J Educ Community Health. 2017; 4 (1) :1-11
URL: http://jech.umsha.ac.ir/article-1-309-en.html
URL: http://jech.umsha.ac.ir/article-1-309-en.html
1- Department of Nursing, School of Nursing and Midwifery, Islamic Azad University-Sanandaj Branch, Sanandaj, Iran.
2- Department of Psychology, School of Nursing and Midwifery, Islamic Azad University-Sanandaj Branch, Sanandaj, Iran.
3- Department of Health Education and Promotion, School of Health, Tabriz University of Medical Sciences, Tabriz, Iran.
4- Department of Health Education and Promotion, School of Health, Tabriz University of Medical Sciences, Tabriz, Iran. , haidarnadrian@gmail.com
5- Department of Social Medicine, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
2- Department of Psychology, School of Nursing and Midwifery, Islamic Azad University-Sanandaj Branch, Sanandaj, Iran.
3- Department of Health Education and Promotion, School of Health, Tabriz University of Medical Sciences, Tabriz, Iran.
4- Department of Health Education and Promotion, School of Health, Tabriz University of Medical Sciences, Tabriz, Iran. , haidarnadrian@gmail.com
5- Department of Social Medicine, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Abstract: (7322 Views)
Background and Objectives: The prevalence of skin cancer has been rising in Iran in the recent years. This disease is the most common cancer in Kurdistan province, Iran. Regarding this, the present study aimed to investigate the determinants of skin cancer preventive behaviors (SCPBs) among the high school students of Sanandaj, Iran, using the PRECEDE model.
Materials and Methods: This descriptive cross-sectional study was conducted on 225 second- and third-grade high school students (age range: 15-17 years) in Sanandaj during the academic year of 2013-2015. The study population was selected through multistage sampling method. The students filled out some questionnaires covering such data as knowledge, attitude, self-efficacy, social support (as reinforcing factors), enabling factors, and SCPBs. The data were analyzed using one-way ANOVA, independent t-test, Pearson correlation coefficient, and linear regression in SPSS software, version 21.
Results: According to the results, SCPBs showed a direct correlation with attitude (r=0.175), self-efficacy (r=0.509), social support (r=0.332), and enabling factors (r=0.347). The mean SCPBs among the students was lower than moderate. The results of linear regression analysis revealed that the independent variables predicted 29.9% of SCPBs within which self-efficacy was the only significant variable (P<0.001, β=0.416).
Conclusion: As the findings indicated, perceived self-efficacy was a vital factor for performing SCPBs. Therefore, perceived self -efficacy should be considered as the first priority while planning for skin cancer prevention programs for high school students.
Materials and Methods: This descriptive cross-sectional study was conducted on 225 second- and third-grade high school students (age range: 15-17 years) in Sanandaj during the academic year of 2013-2015. The study population was selected through multistage sampling method. The students filled out some questionnaires covering such data as knowledge, attitude, self-efficacy, social support (as reinforcing factors), enabling factors, and SCPBs. The data were analyzed using one-way ANOVA, independent t-test, Pearson correlation coefficient, and linear regression in SPSS software, version 21.
Results: According to the results, SCPBs showed a direct correlation with attitude (r=0.175), self-efficacy (r=0.509), social support (r=0.332), and enabling factors (r=0.347). The mean SCPBs among the students was lower than moderate. The results of linear regression analysis revealed that the independent variables predicted 29.9% of SCPBs within which self-efficacy was the only significant variable (P<0.001, β=0.416).
Conclusion: As the findings indicated, perceived self-efficacy was a vital factor for performing SCPBs. Therefore, perceived self -efficacy should be considered as the first priority while planning for skin cancer prevention programs for high school students.
Type of Study: Research Article |
Subject:
Cancer Prevention
Received: 2017/04/15 | Accepted: 2017/06/12
Received: 2017/04/15 | Accepted: 2017/06/12
References
1. Babazadeh T, Nadrian H, Banayejeddi M, Rezapour B. Determinants of skin cancer preventive behaviors among rural farmers in Iran: an application of protection motivation theory. J Cancer Educ. 2017;32(3):604-12. [DOI] [PubMed]
2. Arndt KA, Leboit PE, Robinson JK, Wintroub BU. Cutaneous medicine and surgery. Philadelphia: WB Saunders; 1996.
3. Mahmoodabad SS, Noorbala MT, Mohammadi M, Rahaei Z, Ehrampush MH. Knowledge, attitude, and performance of students toward skin cancer in Yazd, 2009. Int J Dermatol. 2011;50(10):1262–5. [DOI] [PubMed]
4. Siegel R, Naishadham D, Jemal A. Cancer statistics, 2012. CA Cancer J Clin. 2012;62(1):10–29. [DOI] [PubMed]
5. Pakseresht M, Shojaeifard H. State of Cancer. Yazd: Salamt; 2001. [Persian]
6. Esmail Nasab N, Moradi G, Zareie M, Ghaderi E, Gheytasi B. Survey of epidemiologic status and incidence rates of cancers in the patients above 15 years old in Kurdistan province. Sci J Kurdistan Univ Med Sci. 2007;11(4):18-25. [Persian]
7. Ahmadi G, Asadi-Lari M, Amani S, Solaymani-Dodaran M. Survival from skin cancer and its associated factors in Kurdistan province of Iran. Med J Islam Repub Iran. 2015;29:277. [PubMed]
8. Siegel R, Ma J, Zou Z, Jemal A. Cancer statistics, 2014. CA Cancer J Clin. 2014;64(1):9-29. [DOI]
9. Emmett AJ, Orourke MG. Malignant skin tumors. London: Churchill Livingstone; 2013.
10. Demierre MF, Maguire-Eisen M, O'connell N, Sorenson K, Berger J, Williams C, et al. A sun protection community intervention in Quincy middle schools: insights from the use of ultraviolet photography and its impact on sunburn.J Dermatol Nurses Assoc. 2009;1(2):111-8. [DOI]
11. Fathi Y, Zakeripour G. Identifying the psychological causes of willingness toward risky behaviors among adolescents and the strategies to approach it. Quart Polic Knowl Cap Police. 2014;7(1):95-126. [Persian]
12. Alberg AJ, Herbst RM, Genkinger JM, Duszynski KR. Knowledge, attitudes, and behaviors toward skin cancer in Maryland youths. J Adolesc Health. 2002;31(4):372-7. [PubMed]
13. Montague M, Borland R, Sinclair G. Slip slop slap and sun smart 1980-2000: skin cancer control and 20 years of population based campaigning. Health Educ Behav. 2001;28(3):290-305. [DOI] [PubMed]
14. Mazloomy Mahmoodabad SS, Noorbala MT, Rahaee Z, Mohammadi M. Knowledge, attitude and performance study of secondary school teachers of Yazd city regarding skin cancer. J Eur Acad Dermatol Venereol. 2010;24(4):424-8. [DOI] [PubMed]
15. Cottrell R, McClamroch L, Bernard AL. Melanoma knowledge and sun protection attitudes and behaviors among college students by gender and skin type. J Health Educ. 2005;36(5):274-8. [DOI]
16. Michie S, Abraham C. Interventions to change health behaviors: evidence-based or evidence-inspired? Psychol Health. 2004;19(1):29-49. [DOI]
17. Nadrian H, Tol A, Shojaeizadeh D, Khalili Z, Hossaini M, BeigomAghamiri F. Development an educational program in order to promote skin cancer preventive behaviors using PRECEDE Model among students in Tehran City. J Health Syst Res. 2013;12(4):979-92.
18. Yates P, Edwards H, Nash R, Aranda S, Purdie D, Najman J, et al. A randomized controlled trial of a nurse-administered educational intervention for improving cancer pain management in ambulatory settings. Patient Educ Couns. 2004;53(2):227-37. [DOI] [PubMed]
19. Nadrian H, Rahaee Z, Mazloomy Mahmoodabad SS, Bahrevar V, Khajeh Z, Najafi S, et al. Effects of educational intervention on promoting skin cancer preventive behaviors and its predisposing factors among female students in Yazd city: an application of some PRECEDE Model constructs. Razi J Med Sci. 2014;21(126):55-64. [Persian]
20. Matthews AK, Sellergren SA, Manfredi C, Williams M. Factors influencing medical information seeking among African American cancer patients. J Health Commun. 2002;7(3):205-19. [DOI] [PubMed]
21. Green LW, Kreuter MW. Health program planning: an educational and ecological approach. 5th ed. New York: McGraw-Hill Publication; 2005.
22. Porter CM. Revisiting precede–proceed: a leading model for ecological and ethical health promotion. Health Educ J. 2016;75(6):753-64.
23. Vakili M, Rahaei Z, Nadrian H, Yarmohammadi P. Determinants of oral health behaviors among high school students in Shahrekord, Iran based on Health Promotion Model. J Dent Hyg. 2011;85(1):39-48. [PubMed]
24. Morowatisharifabad MA, Fallahi A, Nadrian H, Haerian A, Babaki BN. Interdental cleaning behavior and its relationship with psychological constructs based, on the transtheoretical model. Oral Health Prev Dent. 2011;9(3) 211-20. [PubMed]
25. Peláez S, Lamontagne AJ, Collin J, Gauthier A, Grad RM, Blais L, et al. Patients’ perspective of barriers and facilitators to taking long-term controller medication for asthma: a novel taxonomy. BMC Pulm Med. 2015;15(1):42. [DOI] [PubMed]
26. Chaudoir SR, Dugan AG, Barr CH. Measuring factors affecting implementation of health innovations: a systematic review of structural, organizational, provider, patient, and innovation level measures. Implement Sci. 2013;8:22. [DOI] [PubMed]
27. LaVeist TA, Keith VM, Gutirrez ML. Black/white differences in prenatal care utilization: an assessment of predisposing and enabling factors. Health Serv Res.1995;30(1):43-58. [PubMed]
28. Peterson MS, Lawman HG, Wilson DK, Fairchild A, Van Horn ML. The association of self-efficacy and parent social support on physical activity in male and female adolescents. Health Psychol. 2013;32(6):666-74. [DOI] [PubMed]
29. Huang MC, Hung CH, Stocker J, Lin LC. Outcomes for type 2 diabetes mellitus patients with diverse regimens. J Clin Nurs. 2013;22(13-14):1899-906. [DOI] [PubMed]
30. Courtenay WH. Construction of masculinity and their influence on men's well-being: a theory of gender and health. Soc Sci Med. 2000;50(10):1385-401. [PubMed]
31. Tudiver F, Talbot Y. Why don't men seek help? Family physicians' perspectives on help-seeking behavior in men. J Fam Prac. 1999;48(1):47-52. [PubMed]
Send email to the article author
