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URL: http://jech.umsha.ac.ir/article-1-309-en.html
2- MSc, Department of Psychology, School of Nursing and Midwifery, Islamic Azad University-Sanandaj Branch, Sanandaj, Iran.
3- MSc, Department of Health Education and Promotion, School of Health, Tabriz University of Medical Sciences, Tabriz, Iran.
4- Assistant Professor, Department of Health Education and Promotion, School of Health, Tabriz University of Medical Sciences, Tabriz, Iran. , haidarnadrian@gmail.com
5- Resident, Department of Social Medicine, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Background and Objectives: In recent years, the prevalence of skin cancer is rising in Iran. This cancer is the most common cancer in Kurdistan province, Iran. This study aims to investigate the determinants of skin cancer preventive behaviors (SCPBs) among high school students applying the PRECEDE Model in Sanandaj, Iran.
Materials and Methods: Multistage cluster sampling was employed to recruit 225 high school students in Sanandaj, Iran to participate in the study. A descriptive, cross-sectional design was employed. The data were collected using a questionnaire designated based on the educational phase (knowledge, attitude, self-efficacy, social support (as reinforcing factors) and enabling factors and SCPBs) of PRECEDE model. Face and content validity and reliability of the scales were approved. Data were entered into SPSS software v.21 and were analyzed applying One-way ANOVA, T-test, Pearson Correlation Coefficient and Linear Regression tests.
Results: Statistically significant associations were found between SCPBs and attitude (r=0.175), self-efficacy (r=0.509), social support (r=0.332) and enabling factors (r = 0.347). The mean of SCPBs among the students was less than moderate. In linear regression analysis, the independent variables predicted 29.9% of SCPBs within which self-efficacy was the only significant variable (P<0.001, β=0.416).
Conclusions: Among the students, perceived self-efficacy was a substantial factor to conduct SCPBs. Perceived self-efficacy should be considered as a focus point while designing skin cancer prevention programs for high school students.
