Esophageal cancer awareness in Bomet district, Kenya

Esophageal cancer awareness in Bomet district, Kenya
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DOI:
10.4314/ahs.v13i1.17
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发表时间:
2013-01-01
影响因子:
1
通讯作者:
White, R.
White, R.
中科院分区:
医学4区
文献类型:
--
作者:
Duron, V;Bii, J.;White, R.

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背景资料:食管癌是肯尼亚西部地区最常见的恶性肿瘤,患者病情严重,为制定有针对性的、有效的教育课程,确定博梅特区食管癌知识的基线水平。6月至7月,在Tenwek医院外进行了一项问卷调查,其中包括12个测试食管癌知识的问题和8个旨在确定医疗保健障碍的问题2010.Results:完成了81份问卷。33%的人认为癌症是一种病毒,35%的人认为它是传染性的。47%的人不认为家族史是危险因素。79%准确地声称吞咽困难是食管癌最常见的症状。40%的人认为草药疗法是食管癌的最佳治疗方法。成本和对诊断的恐惧被认为是医疗保健的最大障碍。大多数参与者的月收入低于3000肯尼亚先令(37.5美元),为37%的参与者,交通到医院的费用代表了他们的月income.Conclusion的三分之一:调查问卷提供了特定人群的癌症知识的信息,并在针对性的障碍,以获得医疗保健援助。这些因素将被纳入Tenwek医院的癌症教育外展计划。
Background: Esophageal cancer is the most common malignancy in Western Kenya and patients present with advanced disease.Objective: To determine baseline level of knowledge of esophageal cancer in Bomet District in order to develop targeted and effective educational classes.Methods: A questionnaire with twelve questions testing knowledge about esophageal cancer and eight questions aimed at determining barriers to healthcare was conducted out of Tenwek Hospital from June to July 2010.Results: Eighty-one questionnaires were completed. 33% thought that cancer is a virus and 35% thought that it is contagious. 47% did not think that family history is a risk factor. 79% accurately claimed dysphagia as the most common symptom for esophageal cancer. 40% thought that herbal therapy is the optimal treatment for esophageal cancer. Cost and fear of diagnosis were cited as the most significant barriers to healthcare. Most participants had a monthly income of less than 3000 Kenyan schillings (37.5 US dollars); for 37% of participants, the cost of transport to the hospital represented a third of their monthly income.Conclusion: The questionnaire provided population-specific information on cancer knowledge and aided in targeting barriers to healthcare access. These factors will be incorporated into the cancer education outreach program of Tenwek Hospital.