scholarly journals Awareness on Cancer and Barriers to Health Care Seeking Among Adults of Bardiya

2020 ◽  
Vol 8 (1) ◽  
pp. 47-50
Author(s):  
Chanda Sah ◽  
Srijana Aryal ◽  
Gita Neupane

INTRODUCTION: Cancer is a leading public health problem worldwide. Low awareness on cancer leads to increase in burden of cancer diagnosis and treatment. MATERIAL AND METHODS: Descriptive cross-sectional study was conducted to find out awareness regarding cancer among people. Total 100 samples were selected by using non-probability purposive sampling method. Semi-structured interview schedule was developed with the guide of the Cancer Awareness Measure (CAM) to collect data. Collected data were analysed by using descriptive and inferential statistics. RESULTS: The findings of the study showed that none of the study respondents were aware of all the nine warning signs of cancer. Majority (80%) of the respondents were aware that “a sore that doesn’t heal” and minority (15%) knew about “change in bowel and bladder habit” as warning signs of cancer. Regarding risk factors, majority knew chemical fertilizer and pesticides and unseasonal fruits and vegetables (90%), smoking (88%) as risk factors of cancer and minority (32%) knew about excessive sun exposure. There was statistically significant association between respondents’ level of awareness regarding cancer with education status (p= 0.011). CONCLUSION: Findings of the study revealed that more than half (68%) of the adults had low awareness regarding cancer. Emotional barriers (88%) were known to be affecting health care seeking behaviours for cancer. Therefore, it is recommended to organize health awareness campaigns addressing emotional barriers might improve in early diagnosis and treatment of cancer.

Author(s):  
Yeqing Tong ◽  
Xuhua Guan ◽  
Shuangyi Hou ◽  
Li Cai ◽  
Yadong Huang ◽  
...  

Background The prevalence of tuberculosis (TB) in low and middle-income countries is a significant public health and social concern. TB is a common infectious disease caused by the Mycobacterium tuberculosis infection, which has a widespread infection rate. Health care-seeking delay maybe one of the most important neglected risk factors for the spread of TB. Objectives The aim of this study was to understand the situation of health care-seeking delay among rural tuberculosis patients in Hubei Province, and explore its risk factors. Methods A total of 1408 rural tuberculosis patients were surveyed using a standard structured questionnaire in three cities of Hubei Province during the past two years. Results For the 1408cases of pulmonary tuberculosis, 39.70% of them were health care-seeking delayed. Logistic regressions indicate that the Han nationality, farming careers, the over 45 min walk to the township’s hospital, and awareness of the national TB free treatment policy, were significantly associated with higher odds of a delay in care seeking. Conclusions The prevalence of health care-seeking delay among tuberculosis patients was high in rural areas. It is essential to take comprehensive targeted interventions to reduce care-seeking delay.


Author(s):  
Mahra Nooruddin Kazim ◽  
Tagried Hamdan AbouMoussa ◽  
Fatima Ahmed AL-Hammadi ◽  
Asma Al Ali ◽  
Fariba Mohammad Abedini ◽  
...  

2020 ◽  
Author(s):  
Christina A. Chao ◽  
Liuye Huang ◽  
Kala Visvanathan ◽  
Kisa Mwakatobe ◽  
Nestory Masalu ◽  
...  

Abstract Background: Breast Cancer is the most common cancer in women worldwide. Since 2008, Mwanza, Tanzania, has worked to provide comprehensive cancer services through its Zonal consultant hospital. New national guidelines focused on clinical breast exam requires that women be aware of and seek care for breast concerns.. Therefore, this study aims to understand breast cancer awareness in Mwanza and describe women-level barriers, care-seeking behavior, and perspectives on breast cancer.Methods: A community-based survey was administered to conveniently sampled women aged 30 and older to assess women’s perspectives on breast cancer and care-seeking behavior.Results: Among 1,129 women with a median age of 37 (IQR: 31-44) years, 73% have heard of cancer and 10% have received breast health education. Women self-evaluated their knowledge of breast cancer (from 1-none to 10-extremely knowledgeable) with a median response of 3 (IQR: 1-4). Only 14% felt they knew any signs or symptoms of breast cancer. Encouragingly, 56% of women were fairly-to-very confident they would notice changes in their breasts, with 24% of women practicing self-breast examination and 21% reporting they had received a past breast exam. Overall, 74% said they would be somewhat-to-very likely to seek care if they noticed breast changes, with 96% noting severity of symptoms as a motivator. However, fear of losing a breast (40%) and fear of a poor diagnosis (38%) were most frequent barriers to care seeking. In assessing knowledge of risk factors, about 50% of women did not know any risk factors for breast cancer whereas 42% of women believed long term contraceptive use a risk factor. However, 37% and 35% of women did not think that family history or being older were risk factors, respectively.Conclusions: The success of efforts to improve early diagnosis in a setting without population-based screening depends on women being aware of breast cancer signs and symptoms, risks, and ultimately seeking care for breast concerns. Fortunately, most women said they would seek care if they noticed a change in their breasts, but the low levels of cancer knowledge, symptoms, and common risk factors highlight the need for targeted community education and awareness campaigns.


2019 ◽  
Vol 113 (9) ◽  
pp. 545-554 ◽  
Author(s):  
Sebastian von Huth ◽  
Poul-Erik Kofoed ◽  
Uffe Holmskov

Abstract Background Gastrointestinal (GI) parasitic infections cause significant morbidity and mortality in tropical and subtropical countries. We aimed to investigate the prevalence of GI parasitic infections in children from Bissau, Guinea-Bissau and to identify the possible risk factors for these infections. Methods We performed an observational study on two comparable cohorts of children 2–15 y of age: one study covering health care–seeking children (n=748) and one study covering children from the background population (n=851). A total of 1274 faecal samples from the two cohorts were investigated for parasites by microscopy and the risk factors for infection were identified by logistic regression. Results Intestinal parasitic infections were found in 54.8% of health care–seeking children and 55.5% of children from the background population. Helminth infections were more common among health care–seeking children and were mainly due to hookworms. Pathogenic protozoa included Entamoeba histolytica/dispar and Giardia lamblia. The risk factors for infections included increasing age, household crowding and poor sanitation and water supply. Conclusions We found a high prevalence of intestinal parasites among both health care–seeking children and children from the background population. Compared with previous studies, we found a decreasing prevalence of intestinal helminths. This study further identifies potential risk factors for infections, including inadequate sanitation and water supply.


Author(s):  
Sadeq AL-Fayyadh

Stroke strikes millions of people worldwide.  It is categorized as one of the most alarming Non-Communicable Chronic Diseases (NCCDs) because of links to long-lasting disability or death.  From the literature, it is known that a stroke patient’s decision of seeking immediate medical attention when symptoms occur is connected with better clinical outcome. A descriptive phenomenological design explored 12 post-stroke survivors’ experiences of their decisions to seek or delay care within the first three hours of symptom onset.  Three themes emerged:  Hindering Factors, Motivating Factors, and Stroke of Luck.  Hindering Factors and Motivating Factors depicted core variables that either hampered or motivated health care seeking behaviors.  The third theme, Stroke of Luck, highlighted the multi-dimensional impact of the stroke experience on survivors’ life choices.  Results from this study support expanded initiatives to educate the public on stroke symptoms through media platforms.  Keywords: Stroke; health care seeking behavior; post-stroke survivors’ experience.


Sign in / Sign up

Export Citation Format

Share Document