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Objectives: Breast cancer is the leading cause of female cancer mortality in Armenia. The government is considering covering breast cancer screening, but prevailing attitudes towards it are unknown. We analyzed the association, unadjusted and adjusted, between sociodemographic characteristics, screening exposure, and CHBMS scores. Results: women completed surveys. Most Despite elevated awareness, Barriers included cost and mistreatment concerns.
Conclusion: Armenian women are highly exposed to breast cancer, but knowledge and prior screening primarily emanate from non-physician sources. Results highlighted the influence of education, patient-provider relationships, and healthcare costs, underscoring the importance of multi-level interventions.
Breast cancer is an important cause of female morbidity and mortality worldwide. In Armenia, a former Soviet republic in the South Caucasus, breast cancer accounts for With an age-standardized mortality-to-incidence ratio of 0. Compared to countries at a similar level of development, Armenia has nearly double the mortality from breast cancer among women ages 15β49 [ 3 , 4 ]. Almost one-quarter Although non-governmental organizations and the government have piloted screening in different administrative regions of Armenia, breast cancer screening is still largely opportunistic [ 7 ].
With the introduction of universal health coverage, the Armenian Ministry of Health seeks to establish a national breast cancer screening program as part of the basic benefits package. In general, screening is a health behavior that requires elective individual participation.
There are many important socioecological levels to consider with regards to cancer screening. This study employs a rigorously-translated and adapted Eastern Armenian version of the CHBMS to understand individual health beliefs that would influence screening uptake [ 11 ].