scholarly journals Knowledge of symptoms, time to presentation and barriers to medical help-seeking among Omani women diagnosed with breast cancer: a cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e043976
Author(s):  
Mohammed Al-Azri ◽  
Khalid Al-Baimani ◽  
Huda Al-Awaisi ◽  
Zahid Al-Mandhari ◽  
Jasem Al-Khamayasi ◽  
...  

ObjectiveTo identify knowledge of breast cancer (BC) symptoms, time taken to consult a doctor and factors contributing to delays in medical help-seeking.DesignA cross-sectional study of Omani women diagnosed with BC.SettingThe two main teaching hospitals in Oman: Royal Hospital and Sultan Qaboos University Hospital.ParticipantsAdult Omani women recently diagnosed with BC.ToolsThe Breast Module of the Cancer Awareness Measure and the International Cancer Benchmarking Partnership questionnaire were used to collect data.ResultsA total of 300 women with BC participated (response rate: 91.0%). The mean age at diagnosis was 43.0±12.50 years and 33.5% were diagnosed at stage III or IV. Although most women (74.4%) recognised breast/armpit lumps to be a symptom of BC, less than half identified other symptoms, including breast/armpit pain (44.0%), changes in the position of the nipple (36.2%), redness (31.7%), fatigue (26.3%), weight loss (23.4%) and loss of appetite (20.8%). While most (91.6%) were aware that BC could be cured if detected early, only 66.4% sought medical help within a month of developing symptoms. Initial responses to symptoms included informing husbands (40.2%) or family members (36.5%). Barriers to seeking medical help included feeling scared (68.9%) and worried about what the doctor might find (62.8%). Highly educated women were more likely to recognise the following as BC symptoms: changes in nipple position (OR: 0.16, 95% CI 0.03 to 0.81), breast pain (OR: 0.10, 95% CI 0.01 to 0.86) and unexplained weight loss (OR: 0.18, 95% CI 0.04 to 0.88) (all p<0.05).ConclusionsAlthough many Omani women with BC were aware of the importance of early diagnosis, most demonstrated inadequate knowledge of symptoms, did not prioritise seeking medical help and reported emotional barriers to help-seeking. More educational measures are needed to improve symptom recognition and address help-seeking barriers to minimise delays in diagnosis.

2020 ◽  
Vol 9 (10) ◽  
pp. 679-689
Author(s):  
Na Liu ◽  
Ping Li ◽  
Jie Wang ◽  
Ping-ping Guo ◽  
Xue-hui Zhang ◽  
...  

Aim: This study aimed to explore the factors that influence breast cancer awareness. Materials & methods: A community-based cross-sectional study was conducted between January and April 2019 in Changchun, Jilin Province, China. Results: A total of 274 women were recruited for this cross-sectional study. Participants had a moderate level of breast cancer awareness (median = 76.50 [68.75, 84.00]). Women in the action/maintenance stages reported higher breast cancer awareness (p = 0.044). Women's breast cancer awareness was positively associated with high health information literacy level, husbands' higher educational degrees, seeing doctors after detecting abnormal breast changes and living within a short distance from the nearest hospital. Conclusion: History of screening and higher health information literacy levels are important positive factors linked to higher breast cancer awareness.


2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Li-Yuan Liu ◽  
Fei Wang ◽  
Li-Xiang Yu ◽  
Zhong-Bing Ma ◽  
Qiang Zhang ◽  
...  

2012 ◽  
Vol 13 (1) ◽  
pp. 295-300 ◽  
Author(s):  
Sibel Ozkan Gurdal ◽  
Gamze Varol Saracoglu ◽  
Ebru Sen Oran ◽  
Yucel Yankol ◽  
Gursel Remzi Soybir

2021 ◽  
Vol 15 ◽  
pp. 117822342110253
Author(s):  
Zia Ullah ◽  
Muhammad Naseem Khan ◽  
Zia Ud Din ◽  
Saima Afaq

Background: Breast cancer is the most common cancer in women, and the second overall, following lung cancer. Breast cancer can occur at any age, with an increased incidence in women 40 years and above. Worldwide the incidence is around 1 million cases per year, 60% of the cases reported from low- and middle-income countries. The current study was conducted to determine knowledge, attitude, and practices related to breast cancer, the associated risk factors, and screening methods in women presenting to a health care facility from resource-poor settings in Pakistan. Methods: A cross-sectional study design was used, and participants were recruited phase-wise from three major outpatient departments (OPDs) (Gynecology and Obstetrics OPD, Medical OPD, and Surgical OPD). Data were collected through the validated “Breast Cancer Awareness Measure” developed by Cancer Research UK, King’s College London, and University College London in 2009. Data were analyzed through Statistical Package for Social Sciences software (SPSS) version 23.0. Students’s T-Test, ANOVA, and linear regression analysis were conducted. Results: A total of 430 women were invited for participation in the study from the 3 main OPDs, and 400 took part in the study (response rate = 93.02%). The mean age of the women was 33.62 years ± 12.3 years, and the mean years of formal education were 5.05 ± 6.3 years. Less than a quarter of the participants were aware of the breast cancer warning signs, and 23.3% recognized the pain in the armpit or one of the breasts as a sign of breast cancer. The proportion of women aware of age-related and lifetime risk of getting breast cancer was 15.0%. Furthermore, only 2.5% performed breast self-examination at least once a month. Women identified many barriers like embarrassment, transport, and confidentiality issues in seeking medical help. Conclusion: Overall, women had poor knowledge of breast cancer, related warning signs, breast self-examination, risk factors, and screening methods.


Rev Rene ◽  
2015 ◽  
Vol 16 (2) ◽  
Author(s):  
Verônica Aparecida Ferreira ◽  
Isis Do Nascimento Teixeira Silveira ◽  
Nathália Silva Gomes ◽  
Mariana Torreglosa Ruiz ◽  
Sueli Riul da Silva

Objective: analyzing the quality of life of women with gynecologic and breast cancer, undergoing antineoplasticchemotherapy for at least one year after treatment completion. Methods: a descriptive, cross-sectional study conductedin a University Hospital. To analyze quality of life, a sociodemographic and clinical data questionnaire and WHOQOL-brefwere used. Results: 30 women with an average age of 52 years were interviewed; most were diagnosed with breast cancerand received adjuvant chemotherapy. Regarding quality of life, the most negatively affected domains were the physical andpsychological domains, followed by environmental and social domains. Conclusion: including quality of life measures inclinical practice appears to be crucial in promoting comprehensive care to patients and their families.


Sign in / Sign up

Export Citation Format

Share Document