Investigation of Factors Influencing Mammography Utilization in Newly Diagnosed Breast Cancer Cases in Iran (2018–2020)

Abstract

Background: Breast cancer is the most commonly diagnosed cancer in the world. This study was conducted with the aim of detecting the role of demographic factors, socio-economic status, insurance coverage, medical and family history, smoking and alcohol use on mammography in new cases of breast cancer. Methods: This cross-sectional study was conducted on 627 new breast cancer patients in Iran province from 2018 to 2020. Data were collected through a questionnaire. Demographic information, past medical history of diseases and breast cancer and familiarity with screening methods (mammography), socio-economic status, psychological mood disorder, type and stage of breast cancer, etc. were collected, and then compared between two groups who did mammogram and who did not. Independent t-test, chi-square and logistic regression were used to analyze the hypotheses. Findings: There was a significant association between mammography and age, marital status and level of education (P = 0.005, 0.03 and 0.03 respectively). There was a significant association between mammography and menopausal status and average BMI (P = 0.01 and 0.005, respectively). After controlling bias, only the education level variable had a significant association with mammography. Conclusion: Based on the results of the present study, the level of education was associated with mammography utilization in newly diagnosed breast cancer cases. © 2025, Isfahan University of Medical Sciences(IUMS). All rights reserved.