Predictors of Breast Self-examination among Thai Nurese


  • Suwattana Kumsuk


Thai women, Breast cancer, Breast self-examination


Breast cancer is a leading cause of death among women. Treatment can be effective if ones are aware of breast cancer screening and be diagnosed at early stages. Thai Ministry of Public Health recommended that a woman at age 20 and over should perform monthly breast self- examination. However, the mortality rate of breast cancer showed an increase from 16.3 to 21.5 per 100000 persons from 1983 to 1999. Several studies indicated that beliefs related to breast self-examination is important to promote breast cancer awareness and breast self-examination. The goals of this study were to examine predictors of breast self-examination based on Health Beliefs Model. Two hundred and fifty nurses were recruited to completeĀ self-administered questionnaires. The results revealed that participants were age between 23 and 53 years with a mean age of 37 (SD = 9.8), 89.6% completed four years college education, 65% performed breast self-examination. Regressions analysis showed that perceived barriers was a significant predictor of breast self-examination. To promote breast self-examination, nurses and health care providers should encourage women to defeat their barriers.


Becker, M. H. (1974). The Health belief model and personal health behavior. Health Education Monograms, 2 (Whole).

Champion, V. (1984). Instrument development for health belief model constructs. Advances in Nursing Science, 6, 73-85

Champion, V. (1993). Instrument refinement for breast cancer screening. Nursing Research, 42, 139-143.

Champion, V., & Scott, C.R. (1997). Reliability and validity of breast cancer beliefs scales in African American women. Nursing Research, 46, 331-337.

Champion, V.,& Springston, J. (1999). Mammography adherence and beliefs in a sample of low-income African American women. International Journal of Behavioral Medicine, 6, 228-240.

Champion, V., Ray, D., Heilman, D., & Springston, J. (2000). A tailored intervention for mammography among low-income African American women. Journal Psychosocial Oncology, 18, 1-13.

Champion, V., Monahan, P., Springston, J., Russell, K., Zollinger, T., Saywell, R., & Maraj, M. (2008). Measuring mammography and breast cancer beliefs in African American women. Joumal Health Psychology, 13(6), 827-837

Han, Y., Williams, E. D., & Harrison, R.A. (2000). Breast cancer screening knowledge, attitudes, and practices among Korean American women. Oncology Nursing Forum, 27, 1585-1591.

Henson, R., & Robert, J. (2006). Use of exploratory factor analysis in published research : Some common errors and comment on improved practice. Education and Psychological Measurement, 66, 393-416.

Janz, N., Champion, V., & Strecher, V. (2002). The Health Belief Model. In B. R. K. Glanz, & F. Lewis (Ed.), Health Behavior and Health Education: Theory, Research, and Practice (Vol. 3, pp. 45-66). San Francisco: Jossey-Bass.

Kaiser, H. (1974). An index of factorial simplicity. Psychometrika, 39, 31-36.

Kumsuk, S. (2007). An Understanding of Breast cancer beliefs and Mammography Use among Thai women in the United Stated (dissertation). St. Louis (MO): Saint Louis University.

Liang, W., Yuan, E., Mandelblatt, J., & Pasick, R. (2004). How do older Chinese women view health and cancer screening? Results from focus groups and implications for interventions. Ethnicity & Health, 9, 283-304.

Pongnikorn, S., Martin, N., Pornruangwong, W., Ruanroadrung, N., & Daoprasert, K. (2005). Cancer Survival in Lampang, Thailand 1993-2002. Lampang, Thailand.

Mayne, A., & Earp, J. (2003). Initial and repeat mammography screening : different behaviors/different predictors. The Journal of Rural Health, 19, 63-70.

National Cancer Institute. (2009). Overview of cancer prevalence statistics. Retrieved July 8, 2009 from

Wibulpolprasert, S. (2002). Thailand Health Profile 1999-2000. Bangkok, Thailand : Express Transportation Organization.

Wyper, M. (1990). Breast self-examination and the health belief model : variations on a theme. Research in Nursing & Health, 13, 421-428.

Wu, T-Y., & Yu, M-Y. (2003). Reliability and validity of the mammography screening beliefs questionnaire among Chinese American women. Cancer Nursing, 26, 131-142.