Predictors of Adopting Preventive Nutritional Behaviors of Breast Cancer among Women Based on Social -Cognitive Theory variables

Authors

Abstract

Background: Given the role of behavior in the prevalence of breast cancer, the present study was conducted to determine the predictors of adopting preventive nutritional behaviors against breast cancer based on social-cognitive theory ( SCT ) variables in women of reproductive age in Davarzan city in 2017.
 
Methods: This is a cross-sectional (descriptive-analytical) study conducted on 160 women of reproductive age in Davarzan, Khorasan Razavi province, Iran. Data were collected by a researcher-made questionnaire and analyzed by Spearman, Kruskal-Wallis, Mann-Whitney U, and Linear Regression tests using SPSS 18 software.
 
Results: The mean age of participants was 32.6 ± 9.32 years. The results showed that among SCT variables, only the variable of awareness had a significant correlation with behavior (P=0.04, r=0.15). These variable could predict 12% of the changes in the preventive nutritional behaviors of breast cancer in women (R2=0.12, p <0.001).
 
Conclusion: Considering the findings of the present study, in developing educational interventions to increase preventive nutritional behaviors of breast cancer, more focus on women’s awareness is suggested.

Keywords


1. Formenti SC, Arslan AA, Love SM. Global breast cancer: the lessons to bring home. Int J Breast Cancer 2012;2012:249501. doi: 10.1155/2012/249501. 2. Fouladi N, Pourfarzi F, Amani F, Ali-Mohammadi H, Lotf I, Mazaheri E. Breast cancer in Ardabil province in the north-west of Iran: an epidemiological study. Asian Pac J Cancer Prev 2012;13(4):1543-5. doi: 10.7314/apjcp.2012.13.4.1543 3. Zangiabadizade M. Comparing the effect of peer education to health care personnel’s on knowledge of breast self-examination and the obstacles among undergraduate students of Shiraz University of Medical Sciences. Iranian Journal of Medical Education 2012; 12(8):607-15. [In Persian] 4. Somi MH, Mousavi SM, Rezaeifar P, Naghashi S. Cancer incidence among the elderly population in the Northwest of Iran: A population based study. Iranian Journal of Cancer Prevention 2009; 2(3):117-26. 5. Okobia MN, Bunker CH, Okonofua FE, Osime U. Knowledge, attitude and practice of Nigerian women towards breast cancer: a cross-sectional study. World J Surg Oncol 2006;4:11. doi: 10.1186/1477-7819-4-11 6. Ferruzzi MG, Peterson DG, Singh RP, Schwartz SJ, Freedman MR. Nutritional translation blended with food science: 21st century applications. Adv Nutr 2012;3(6):813-9. doi:10.3945/an.112.003202 7. Kooshki A, Moghaddam MY, Akbarzadeh R. Study of fruit and vegetable intake in breast cancer patients in the city of Sabzevar. Electron Physician 2016;8(9):3011-14. doi: 10.19082/3011 8. Farvid MS, Chen WY, Michels KB, Cho E, Willett WC, Eliassen AH. Fruit and vegetable consumption in adolescence and early adulthood and risk of breast cancer: population based cohort study. BMJ 2016;353:i2343. doi: 10.1136/bmj.i2343. 9. Braakhuis AJ, Campion P, Bishop KS. Reducing Breast Cancer Recurrence: The role of dietary polyphenolics. Nutrients 2016;8(9). pii: E547. doi: 10.3390/nu8090547. 10. Boggs DA, Palmer JR, Wise LA, Spiegelman D, Stampfer MJ, Adams-Campbell LL, et al. Fruit and vegetable intake in relation to risk of breast cancer in the black Women's health study. Am J Epidemiol 2010;172(11):1268-79. doi: 10.1093/aje/kwq293. 11. Ericson U, Sonestedt E, Gullberg B, Olsson H, Wirfält E. High folate intake is associated with lower breast cancer incidence in postmenopausal women in the Malmö Diet and Cancer cohort. Am J Clin Nutr 2007;86(2):434-43. doi: 10.1093/ajcn/86.2.434. 12. Kooshki A. Akbarzadeh R. Assessment of dairy products, dietary calcium and vitamin d intake in patients with breast cancer. Iranian Journal of Obstetrics, Gynecology and Infertility 2014; 17(101):13-8. 13. Mobarakeh ZS, Mirzaei K, Hatmi N, Ebrahimi M, Dabiran S, Sotoudeh G. Dietary habits contributing to breast cancer risk among Iranian women. Asian Pac J Cancer Prev 2014;15(21):9543-7. doi: 10.7314/apjcp.2014.15.21.9543 14. Nutbeam D, Harris E, Wise W. Theory in a Nutshell: A Practical Guide to Health Promotion Theories. Translated by Keshavarz N. Tehran: Boshra; 2010. [In Persian] 15. Glanz K, Rimer BK, Viswanath K, Health Behavior and Health Education: Theory, Research, and Practice. 4th ed. San Francisco, CA: Jossey-Bass; 2008. 16. Gaines A, Turner LW. Improving fruit and vegetable intake among children: A review of interventions utilizing the social cognitive theory. Californian Journal of Health Promotion 2009;7(1):52-66. doi: 10.32398/cjhp.v7i1.1320 17. Pearson N, Biddle SJ. Sedentary behavior and dietary intake in children, adolescents, and adults. A systematic review. Am J Prev Med 2011;41(2):178-88. doi:10.1016/j.amepre.2011.05.002. 18. Jalily M, Barati M, Bashirian S. Using social cognitive theory to determine factors predicting nutritional behaviors in pregnant women visiting health centers in Tabriz, Iran. J Educ Community Health 2015; 1(4):11-21. [In Persian] doi: 10.20286/jech-010411 19. Karimi B, Sadat Hashemi M, Habibian H. Study of the breakfast habits and its relationship with some factors in Semnan (Iran) pupils. Koomesh 2008; 9(4):285-92. [In Persian] 20. Namakin K, Moasheri N, Khosravi S. Studying Birjand Girls' Secondary School Students' Nutritional Pattern. Modern Care Journal 2013; 9(3):264-72. [In Persian] 21. Salimi N, Karimi-Shahanjarini A, Roshanaei G. Regular breakfast consumption and its predictors based on the social cognitive theory in female students of Hamadan University of Medical Sciences. J Educ Community Health 2014; 1(3):20-7. doi: 10.20286/jech-010351 22. Baghianimoghadam MH, Mohammadi S, Noorbala MT, Mazloomy SS. An intervention based on protection motivation theory in reducing skin cancer risk. Journal of Pakistan Association of Dermatologists 2011; 21(3):141-8. 23. Sharma SV, Gernand AD, Day RS. Nutrition knowledge predicts eating behavior of all food groups except fruits and vegetables among adults in the Paso Del Norte region: Qué Sabrosa Vida. J Nutr Educ Behav 2008;40(6):361-8. doi: 10.1016/j.jneb.2008.01.004. 24. Rolling TE, Hong MY. The Effect of Social Cognitive Theory-based interventions on dietary behavior within children. J Nutrition Health Food Sci 2016; 4(5): 1-9. doi: http://dx.doi.org/10.15226/jnhfs.2016.00179 25. Powers AR, Struempler BJ, Guarino A, Parmer SM. Effects of a nutrition education program on the dietary behavior and nutrition knowledge of second-grade and third-grade students. J Sch Health 2005;75(4):129-33. doi: 10.1111/j.1746-1561.2005.tb06657.x 26. Sichert-Hellert W, Beghin L, De Henauw S, Grammatikaki E, Hallström L, Manios Y, et al. Nutritional knowledge in European adolescents: results from the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study. Public Health Nutr 2011;14(12):2083-91. doi:10.1017/S1368980011001352. 27. Cortés DE, Millán-Ferro A, Schneider K, Vega RR, Caballero AE. Food purchasing selection among low-income, Spanish-speaking Latinos. Am J Prev Med 2013;44(3 Suppl 3):S267-73. doi: 10.1016/j.amepre.2012.11.012. 28. Beiranvandpour N, Karimi-Shahanjarini A, Rezapur-Shahkolai F, Moghimbeigi A. Factors affecting the consumption of fast foods among women based on the social cognitive theory. J Educ Community Health 2014; 1(1):19-26. [In Persian] doi: 10.20286/jech-010119 29. Dehdari T, Rahimi T, Aryaeian N, Gohari MR. Effect of nutrition education intervention based on Pender's Health Promotion Model in improving the frequency and nutrient intake of breakfast consumption among female Iranian students. Public Health Nutr 2014;17(3):657-66. doi: 10.1017/S1368980013000049. 30. Torabi A, Soltani R, Hasanzadeh A, Hayati M, Sharifirad G. Prediction of self-efficacy and behavioral expectations with consumption of fruits and vegetables in elderly patients with functional constipation. International Archives of Health Sciences 2016;3(3):131-7. doi: 10.18869/IAHS.3.3.131 31. Anderson ES, Winett RA, Wojcik JR. Social-cognitive determinants of nutrition behavior among supermarket food shoppers: a structural equation analysis. Health Psychol 2000;19(5):479-86. doi.org/10.1037/0278-6133.19.5.479 32. Doerksen SE, McAuley E. Social cognitive determinants of dietary behavior change in University employes. Front Public Health 2014;2:23. doi: 10.3389/fpubh.2014.00023. 33. Jeihooni AK, Hidarnia A, Kaveh MH, Hajizadeh E, Askari A. Application of the health belief model and social cognitive theory for osteoporosis preventive nutritional behaviors in a sample of Iranian women. Iranian J Nursing Midwifery Res 2016;21:131-41. doi: 10.4103/1735-9066.178231