Affiliations: [a] Department of Epidemiology & Biostatistics, Health Promotion Research Centre, Zahedan University of Medical Sciences, Zahedan, Iran | [b] Department of Biostatistics and Epidemiology, School of Health, Sabzevar University of Medical Sciences, Sabzevar, Iran | [c] Department of Anesthesia, Zahedan University of Medical Sciences, Zahedan, Iran | [d] Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran | [e] Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran
Correspondence:
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Corresponding author: Hamid Salehiniya, Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran. E-mail: [email protected]
Abstract: BACKGROUND:Mammography is the most effective method for early detection of breast cancer (BC), however, it has performed in low-level. The aim of this study was to investigate the determinants of mammography in Iran. METHODS:This study was a systematic review which was performed based on articles published in both Persian and English languages among Iranian patients in the period of 2000 to 2020 by using keywords of “Iran and mammography”. Papers were selected from national databases including (SID, Magiran) and international database including (Scopus, PubMed and web of science), finally related articles to mammography were reviewed. RESULTS:Findings indicated that 35–50% of breast cancer can be detected in the early stages by mammography, however, it is in low rate of performance among Iranian women. Age, age of menarche, occupation, family history, marital status, family support, number of pregnancies, physician recommendations, perceived sensibility and severity, self-efficacy and perceived benefits are the most important predictors of performing mammography in Iran. CONCLUSION:Due to the growing trend of breast cancer cases in the country and low mammography rates in Iranian population, high risk groups such as women with BC family history, low income level, low education level, older age and people with history of breast complications were more emphasized for performing mammography through health centers. Therefore, appropriate planning to reduce the barriers of mammography could be helpful.
Keywords: Screening, mammography, breast cancer, systematic review, Iran
DOI: 10.3233/BD-210037
Journal: Breast Disease, vol. 41, no. 1, pp. 279-294, 2022
