The mediating role of mammography self-efficacy in the effect of cancer attitudes on fear of breast cancer in women

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dc.contributor.authorKandemir, Didem
dc.contributor.authorYüksel, Serpil
dc.contributor.authorKanbay, Yalçın
dc.contributor.authorTemiz, Zeynep
dc.contributor.authorAltun Uğras, Gülay
dc.contributor.authorAkyolcu, Neriman
dc.date.accessioned2025-06-22T17:06:43Z
dc.date.available2025-06-22T17:06:43Z
dc.date.issued2025
dc.departmentAÇÜ, Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü
dc.description.abstractObjectives: To determine the relationship between the attitudes toward cancer and the fear of breast cancer of women aged 40 to 69 and to examine the mediating role of mammography self-efficacy in this relationship. Methods: This descriptive and cross-sectional study was conducted involving 551 women between May and October 2023. Data were collected using the “Champion Breast Cancer Fear Scale,” “Cancer Measuring Attitudes Survey,” and “Mammography Self-Efficacy Scale.” Statistical analysis was performed using the Statistical Package for Social Sciences version 26.0, Process Macro program, and AMOS 24 package program. Results: The effect of attitude toward cancer on mammography self-efficacy, which is a mediating variable, was found to be negative and significant (P <.001). It was determined that the effect of mammography self-efficacy on the outcome variable, fear of breast cancer, was positive and significant. Furthermore, the direct effect of attitude toward cancer on the outcome variable, fear of breast cancer, was positive and significant (P <.05). Additionally, mammography self-efficacy was found to mediate the relationship between cancer-related attitudes and fear of breast cancer. Conclusions: This study has indicated that as women's negative attitudes toward cancer increase, their mammography self-efficacy levels decrease; that as breast cancer fears increase, mammography self-efficacy levels increase, and that as negative attitudes toward cancer increase, breast cancer fears increase. Additionally, the mediating role of the mammography self-efficacy variable in the relationship between attitude toward cancer and fear of breast cancer was found to have a low-magnitude effect. Implications for Nursing Practice: These results provide a valuable framework for developing educational interventions aimed at improving early diagnosis behaviors and emphasizing the importance of activating programs aimed at increasing self-efficacy and reducing barriers to access to mammography, especially in women with low socio-economic levels.
dc.identifier.doi10.1016/j.soncn.2025.151896
dc.identifier.issn07492081
dc.identifier.issue3
dc.identifier.pmid40318953
dc.identifier.scopus2-s2.0-105004291706
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://hdl.handle.net/11494/5590
dc.identifier.volume41
dc.indekslendigikaynakScopus
dc.institutionauthorKanbay, Yalçın
dc.language.isoen
dc.publisherElsevier Inc.
dc.relation.ispartofSeminars in Oncology Nursing
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectAttitude
dc.subjectBreast cancer
dc.subjectBreast screening
dc.subjectFear
dc.subjectNursing
dc.subjectSelf-efficacy
dc.titleThe mediating role of mammography self-efficacy in the effect of cancer attitudes on fear of breast cancer in women
dc.typeArticle

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