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Table 5 Identified factors associated with clinical breast examination behaviors among women around the world in the 34 reviewed articles

From: Factors influencing breast cancer screening practices among women worldwide: a systematic review of observational and qualitative studies

Category

Factor

Clinical breast examination behaviors

Studies displaying a positive association

Studies displaying a negative association

Studies displaying no association

Qualitative studies

Socio-demographic Factors

Age

[11, 32, 39]

 

[24]

 

Education

[13, 24, 32]

[37]

 

[34]

Employment status

[13, 20]

   

Income

[11, 13, 20]

   

Marital status

None

   

Number of Children

None

   

Ethnicity

None

   

Region of Residence

None

   

Race

None

   

Spouse Demographic Characteristics

[13]

 

[20]

 

Health History

Hormone Therapy and History of Infertility

[20]

   

Family History of Breast Cancer

[13, 22]

 

[11]

 

Personal History of Cancer or Past Breast Disorders

[11, 22]

   

Knowledge

Knowledge About Breast Cancer Screening

[22, 24, 29, 32, 39, 46]

  

[29, 34, 46]

Knowledge About Breast Cancer

[13, 22]

  

[46]

Perceptions

Perceived Health Status

None

   

Attitude Towards Breast Cancer Screening

[24, 37]

   

Perceived Barriers

[37, 39]

 

[36]

[34]

Perceived Benefits

[11, 36, 41]

   

Self-efficacy

[36]

  

[29]

Perceived Severity

  

[32, 36]

[46]

Perceived Susceptibility

[11, 32]

 

[36]

 

Cultural Factors

Fatalistic /Religious Beliefs

[41]

[32]

 

[46]

Cultural Differences) Longer Migration Time- speaking English Well- Cultural Support)

[39]

  

[29]

Gender of the Doctor Performing the Clinical Checkup/Examinations

   

[34]

Traditional/Alternative Care

   

[46]

Social Stigma

   

[34]

Cues to Action

Breast Cancer Screening by Family Members and Friends

None

   

Hearing About BC and BCS from Health Team or in the Media

[22]

   

Similarly, Reminder Letters, Phone Calls, or Text Messages

None

   

Motivation

High Level of Hope and Health Motivation for the Future

[30, 36]

  

[29]

Self-Care

Having Regular Checkups

[11, 39]

   

Smoking

None

   

Alcohol Abstinence

None

   

Physical Activity

None

   

Following Healthy Diet

None

   

Body Mass Index

  

[20]

 

Social Support

Health Insurance Coverage

  

[11, 22]

 

Health Workers and Family Members Support

[22]

  

[29, 34, 46]

Access to Screening Centers

  

[22]

[46]