Predictors of Breast Self-Examination Proficiency
Abstract
Breast self-examination (BSE) is an alternative to existing breast cancer screening methods for increasing early detection and reducing mortality from this disease. Because BSE has many advantages it has been widely promoted. Despite educational efforts, few women practice BSE proficiently on a monthly basis. Consequently, two important questions are: (1) What factors predict proficient BSE technique? (2) What variables predict frequent BSE practice? A series of studies were conducted focusing on these two concerns. In each, subjects completed a questionnaire and performed a breast examination on breast models withknown tumors. This dissertation reports findings from one of these studies in which predictors of proficient BSE technique and successful tumor detection were identified. The effects of race (black versus white), breast symptomatology history (benign breast problems versus no history of breast problems) and breast examination type (technique proficiency evaluated on a breast model versus on oneself) on BSE performance and attitudes toward BSE were also investigated. Data were obtained from a sample of 66 women visiting a gynecological clinic for routine pelvic examinations or minor symptoms unrelated to the breast. Regression analyses revealed that technique proficiency was the best predictor of tumor detection. Stronger preferences for behavioral involvement in health action as measured by the Health Opinion Survey (Krantz, Baum, and Wideman, 1980), and more frequent BSE practice respectively also contributed significantly to explaining tumor detection. The only predictor of proficient BSE technique was personal confidence about performing BSE. The type of examination anticipated and performed by subjects had no effect on their BSE performance or attitudes toward BSE and breast cancer. Race and breast symptomatology history also had no effect on BSE proficiency, although symptomatic women reported practicing BSE more frequently than asymptomatic women.
Document Details
- Document Type
- Technical Report
- Publication Date
- Jul 30, 1984
- Accession Number
- AD1010738
Entities
People
- Diane M. Reddy
Organizations
- Uniformed Services University of the Health Sciences