“I Want to Help, but What Do You Do in a Situation Like That?” Health Care Providers' Qualitative Perspectives on Working with Disabled Women in Breast Cancer Screening

2018 ◽  
Vol 49 (4) ◽  
pp. 383-389 ◽  
Author(s):  
M. Bianca Seaton ◽  
Linda Muraca ◽  
Julie Devaney ◽  
Jan E. Angus
Author(s):  
Lina Choridah ◽  
Ajeng Viska Icanervilia ◽  
Marloes Josephia Maria de Wit ◽  
Antoinette D.I. van Asselt ◽  
Wahyu Tri Kurniawan ◽  
...  

AbstractAnnual mammography remains the gold standard of asymptomatic breast cancer screening for women starting at the age of 40. However, Indonesia has not designated mammography as its national screening program. To help policymakers decide whether mammography should be introduced into a national program, it is important to comprehensively understand the knowledge and acceptance of both consumers and providers. A total of 25 subjects including a range of women and health care professionals (HCPs) in Yogyakarta Province were recruited using purposive, maximum variation sampling and then interviewed in-depth. The interviews were recorded and all data were taken and transcribed from the audio recording, which were subsequently translated to English and analyzed thematically. Almost all of Yogyakarta women had heard about the term of mammography. However, only few of them have let themselves be screened, mainly because of their perceived lack of urgency to screen for asymptomatic breast cancer. Another important reason was the high cost of mammography. Meanwhile, several HCPs believed that breast cancer has not been a priority for the government and hence the government limited mammography screening’s access and excluded it from the national insurance coverage. Most women in Yogyakarta have a good understanding about breast cancer screening, but their acceptance of mammography as a breast cancer screening tool is significantly influenced by high cost, limited access, and lack of urgency.


2011 ◽  
Vol 13 (2) ◽  
pp. 49-56 ◽  
Author(s):  
Ana Todd ◽  
Alexa Stuifbergen

Recent literature indicates that women with various types of chronic disabling conditions are less likely to participate in routine breast cancer screening than those without disabling conditions. The purpose of this study was to identify barriers and facilitators related to breast cancer screening among women with multiple sclerosis (MS). A total of 36 women with MS, whose mean age was 55 years, participated in a semistructured interview in a private setting. The interviews were audiotaped and transcribed verbatim. The interview questions, informed by the Health Belief Model, addressed knowledge, experience, barriers, and facilitators related to breast cancer screening. Qualitative descriptive techniques were used to analyze the data. About 94% of the women in the sample were white, 67% were married, 47% had at least a bachelor's degree, and 31% were unemployed because of their disability. The results showed that 70% of these women had received annual mammograms and 50% had performed monthly breast self-examinations. Of the women who had not received mammograms, most (80%) had mobility limitations. Some of the women in this study described various environmental and intrapersonal barriers to breast cancer screening. Among these were barriers related to transportation, difficulty in positioning for the examination, health-care provider attitudes, not remembering, fear, discomfort, and “having enough to handle.” Facilitators included annual reminders and helpful health-care providers.


Author(s):  
Hossein Safizadeh ◽  
Parvin Mangolian Shahrbabaki ◽  
Sara Hafezpour

Breast cancer is the most common cause of premature mortality among women, and screening is one of the most important means of early diagnosis of breast cancer. This qualitative study was conducted to explore strategies for promoting breast cancer screening behaviors from the perspective of health volunteers in south-east Iran. Data collection was performed through focus groups. Using the purposive sampling method, 35 participants were selected and data were analyzed using a specific qualitative content analysis framework. By analyzing the data to provide strategies for promoting breast cancer screening behaviors, the main theme of “organizational transformation” with five subthemes including the promotion of health-centered beliefs in society, the development of culture-based training, the media revolution, financial support, and the provision of efficient health-care providers were extracted. According to the results of the study, the development of organizational transformation plays an important role in planning for the promotion of breast cancer screening.


Breast Cancer ◽  
2021 ◽  
Author(s):  
Mamoru Takada ◽  
Gaku Tanaka ◽  
Hideyuki Hashimoto ◽  
Yasuyuki Hirai ◽  
Taichi Fukushima ◽  
...  

Abstract Background The novel coronavirus disease 2019 (COVID-19) undermines the benefits of cancer screening. To date, no study has identified specific infection control methods. We aimed to provide practical methods for COVID-19 risk reduction during breast cancer screening mammography (MMG) by examining an overview of potential contamination routes of aerosols and possible risks for patients and health care providers. Methods Computational fluid dynamics (CFD) simulations were conducted for airflow and aerosol dispersion in a 3D virtual model of a mobile MMG laboratory room. This model was constructed based on the actual mobile screening MMG bus ‘Cosmos’ in the Chiba Foundation for Health Promotion & Disease Prevention. Examiner and patient geometries were obtained by scanning an actual human using a 3D Scanner. Contamination of the room was evaluated by counting the numbers of suspended and deposited aerosols. Results We applied the CFD simulation model to the exhalation of small or large aerosols from a patient and examiner in the MMG laboratory. Only 14.5% and 54.5% of large and small aerosols, respectively, were discharged out of the room with two doors open. In contrast, the proportion of large and small aerosols discharged out of the room increased to 96.6% and 97.9%, respectively, with the addition of forced gentle wind by the blower fan. This simulation was verified by a mist aerosol experiment conducted in the mobile MMG laboratory. Conclusion Adding forced ventilation to a MMG laboratory with two doors open may enable risk reduction dramatically. This could be applied to other clinical situations.


2013 ◽  
Vol 16 (4) ◽  
pp. 670-681 ◽  
Author(s):  
Sheila F. Castañeda ◽  
Vanessa L. Malcarne ◽  
Pennie G. Foster-Fishman ◽  
William S. Davidson ◽  
Manpreet K. Mumman ◽  
...  

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