PMID- 36232223 OWN - NLM STAT- MEDLINE DCOM- 20221017 LR - 20230113 IS - 1660-4601 (Electronic) IS - 1661-7827 (Print) IS - 1660-4601 (Linking) VI - 19 IP - 19 DP - 2022 Oct 9 TI - How Do Healthy Women Perceive the Risk of Breast Cancer? The Role of Illness Perceptions and Compared Risk between Portugal and the U.A.E. LID - 10.3390/ijerph191912923 [doi] LID - 12923 AB - (1) Background: Breast cancer (BC) shows significant epidemiological differences between Eastern and Western countries. These may arise from socio-cultural factors influencing how healthy young women perceive this condition, their risk of getting cancer, and the implications for preventive screening behaviors. In this study, the illness perceptions, individual risk perception, compared risk, and beliefs about preventive behaviors for BC of female university students were compared using an anonymous online survey between a European country (Portugal) and the United Arab Emirates. (2) Method: A structural equation model (SEM) was developed to investigate the hypothetical relationship between illness perceptions and compared risk as predictors of perceived risk for BC. (3) Results: There were significant differences between the study variables. The SEM was invariant, but the differences between regression coefficients in both countries were highly statistically significant. Mediation analyses revealed a significant indirect effect of compared risk on individual risk and a significantly stronger direct effect for the Emirati sample. (4) Conclusions: These findings suggest that cultural research may help to explain factors that may shape social comparison of individual risk characteristics and influence perceived risk. Moreover, providing culturally appropriate strategies to be designed and implemented can promote early detection behaviors for BC. FAU - Figueiras, Maria J AU - Figueiras MJ AUID- ORCID: 0000-0003-3941-0229 AD - Department of Psychology, College of Natural Health and Sciences, Zayed University, Abu Dhabi P.O. Box 144534, United Arab Emirates. FAU - Neto, David Dias AU - Neto DD AUID- ORCID: 0000-0002-3129-262X AD - APPsyCI-Applied Psychology Research Center Capabilities & Inclusion, ISPA-Instituto Universitario, 1149-041 Lisboa, Portugal. FAU - Maroco, Joao AU - Maroco J AD - William James Center for Research, ISPA-Instituto Universitario, 1149-041 Lisboa, Portugal. FAU - Carmo, Catarina AU - Carmo C AD - School of Psychology, ISPA-Instituto Universitario, 1149-041 Lisboa, Portugal. LA - eng PT - Journal Article DEP - 20221009 PL - Switzerland TA - Int J Environ Res Public Health JT - International journal of environmental research and public health JID - 101238455 SB - IM MH - *Breast Neoplasms/diagnosis/epidemiology MH - Early Detection of Cancer MH - Female MH - Health Status MH - Humans MH - Portugal/epidemiology MH - Surveys and Questionnaires PMC - PMC9566403 OTO - NOTNLM OT - breast cancer OT - compared risk OT - cultural context OT - illness perceptions OT - risk perception COIS- The authors declare no conflict of interest. EDAT- 2022/10/15 06:00 MHDA- 2022/10/18 06:00 PMCR- 2022/10/09 CRDT- 2022/10/14 02:05 PHST- 2022/08/26 00:00 [received] PHST- 2022/10/04 00:00 [revised] PHST- 2022/10/06 00:00 [accepted] PHST- 2022/10/14 02:05 [entrez] PHST- 2022/10/15 06:00 [pubmed] PHST- 2022/10/18 06:00 [medline] PHST- 2022/10/09 00:00 [pmc-release] AID - ijerph191912923 [pii] AID - ijerph-19-12923 [pii] AID - 10.3390/ijerph191912923 [doi] PST - epublish SO - Int J Environ Res Public Health. 2022 Oct 9;19(19):12923. doi: 10.3390/ijerph191912923.