{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T14:56:43Z","timestamp":1789570603402,"version":"build-2803163510"},"reference-count":34,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T00:00:00Z","timestamp":1750032000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T00:00:00Z","timestamp":1750032000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Nursing"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Breast cancer remains a major global health issue, with early detection playing a key role in reducing mortality rates. University students represent an important population for promoting health responsibility and preventive behaviors such as breast self\u2010examination (BSE). Peer education has emerged as a promising strategy to enhance health\u2010related knowledge and practices among young adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aims to evaluate the impact of peer education on early breast cancer detection, health responsibility, health beliefs, knowledge, and practices among university students.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This randomized controlled experimental study involved 244 students (124 in the intervention group and 120 in the control group). Data were collected using a Demographic Information Form, the Comprehensive Breast Cancer Knowledge Test (CBCKT), the Champion's Health Belief Model (CHBM), and a BSE skill assessment test. The intervention group received education on breast cancer and BSE. Both groups were assessed 6 months after the intervention. Data analysis included frequency, percentage, mean, standard deviation, Chi\u2010square, eta squared, independent samples\n                      <jats:italic>t<\/jats:italic>\n                      \u2010test, and paired samples\n                      <jats:italic>t<\/jats:italic>\n                      \u2010test.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Before the peer education, no significant differences were observed between the groups. However, following the intervention, significant improvements were noted in breast cancer knowledge, health responsibility, health beliefs, and BSE practices in the intervention group. Additionally, while only 4.8% of students performed BSE in 12 steps before the intervention, this increased to 58.1% after the education.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Peer education significantly enhanced breast cancer knowledge, health responsibility, health beliefs, and BSE practices. Nurses play a vital role in supporting these interventions, promoting early detection, and improving health outcomes through targeted education strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/phn.70000","type":"journal-article","created":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T03:18:57Z","timestamp":1750043937000},"page":"1694-1706","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Effect of Peer Education on Early Breast Cancer Detection, Health Responsibility, Health Beliefs, Knowledge, and Practices Among University Students"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9063-2778","authenticated-orcid":false,"given":"Sabahat","family":"Coskun","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences \u015eeyh Edebali University  Bilecik Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nisa","family":"Alibekiro\u011flu","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences Nursing Department \u015eeyh Edebali University  Bilecik Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gamzenur","family":"Gen\u00e7y\u00fcrek","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences Nursing Department \u015eeyh Edebali University  Bilecik Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,16]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c2697"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010016\u20103445\u20103"},{"issue":"3","key":"e_1_2_8_4_1","first-page":"99","article-title":"Turkish Women Breast Self\u2010Examination Knowledge and Practices: A Systematic Review","volume":"7","author":"Ayd\u0131n A.","year":"2021","journal-title":"International Anatolia Academic Online Journal Health Sciences"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.5152\/ejbh.2017.3581"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.47927\/rsu.je"},{"issue":"1","key":"e_1_2_8_7_1","first-page":"1","article-title":"Healthy Lifestyle Behavior Scale II: A Reliability and Validity Study","volume":"12","author":"Bahar Z.","year":"2008","journal-title":"Journal of Cumhuriyet University School of Nursing"},{"key":"e_1_2_8_8_1","volume-title":"\u00dcniversite \u00d6\u011frencilerinde Meme Kanseri Bilgi Seviyesi: Geni\u015f kapsaml\u0131 Meme Kanseri Bilgi Testinin Ge\u00e7erlik Ve G\u00fcvenlilik \u00e7al\u0131\u015fmas\u0131","author":"Ba\u015fak C. \u015e.","year":"2015"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2018.00149"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21492"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-240X(199908)22:4<341::AID-NUR8>3.0.CO;2-P"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2021.104808"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.5430\/jnep.v10n4p21"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.4103\/ENJ.ENJ_39_17"},{"key":"e_1_2_8_15_1","unstructured":"General Directorate of Public Health.2024.National Breast Cancer Early Detection Guidelines. 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