Women's appraisal, interpretation and help-seeking for possible symptoms of breast and cervical cancer in South Africa: a qualitative study.
Women's appraisal, interpretation and help-seeking for possible symptoms of breast and cervical cancer in South Africa: a qualitative study.
复制标题
DOI：
10.1186/s12905-020-01120-4
复制
发表时间：
2020-11-13
期刊：
影响因子：
--
通讯作者：
Moodley J
中科院分区：
文献类型：
--
作者：
Harries J;Scott SE;Walter FM;Mwaka AD;Moodley J
在南非，乳腺癌是最常见的诊断癌症，宫颈癌是癌症死亡的主要原因。大多数癌症是在晚期和出现症状后被诊断出来的。这项研究的总体目的是为旨在提高乳腺癌和宫颈癌的及时诊断的干预措施提供信息。对来自南非城市和农村的有潜在乳腺癌或宫颈癌症状的妇女进行了深入采访。参与者是从一项基于社区的关于乳腺癌和宫颈癌意识的横断面研究中招募的。采用专题分析方法对数据进行分析。18名女性接受了采访(城市10名，农村8名)：年龄中位数为34.5岁(22-58岁)。大多数人失业，五人艾滋病毒阳性。主题包括身体变化的影响和归因；社交网络和健康信息对寻求帮助的影响；症状的管理和寻求帮助的障碍。乳房的变化通常被归因于手工活动或可能的癌症。女性通常不确定如何解释阴道症状，将其归因于艾滋病毒、荷尔蒙避孕药或伴侣不忠。对癌症的担忧是基于来自广播、社交网络或初级保健提供者的健康信息。症状对个人生活的影响引发了及时的寻求护理。农村妇女，特别是可能有宫颈癌症状的妇女，在寻求帮助的过程中遇到了挑战，包括诊所工作人员的评判态度。大多数参与者对传统医学持怀疑态度。这是南非第一次在社区层面探索乳腺癌和宫颈癌可能症状的解释的研究。解释身体变化、症状归因和求助的过程是复杂的，并受到女性日常生活经验的影响。及时的诊断干预措施不仅应包括了解癌症症状，还应解决与个人、结构和卫生系统相关的护理障碍。
In South Africa, breast cancer is the most commonly diagnosed cancer and cervical cancer the leading cause of cancer mortality. Most cancers are diagnosed at a late-stage and following symptomatic presentation. The overall purpose of the study was to inform interventions aimed at improving timely diagnosis of breast and cervical cancer. In-depth interviews were conducted with women with potential breast or cervical cancer symptoms from urban and rural South Africa. Participants were recruited from a community-based cross-sectional study on breast and cervical cancer awareness. Data were analysed using a thematic analysis approach. Eighteen women were interviewed (10 urban, 8 rural): the median age was 34.5 years (range 22–58). Most were unemployed, and five were HIV positive. Themes included impact and attribution of bodily changes; influence of social networks and health messaging in help-seeking; management of symptoms and help-seeking barriers. Breast changes were often attributed to manual activities or possible cancer. Women were often unsure how to interpret vaginal symptoms, attributing them to HIV, hormonal contraceptives, or partner infidelity. Concerns about cancer were based on health information from the radio, social networks, or from primary care providers. Prompt care seeking was triggered by impact of symptoms on personal lives. Rural women, especially with possible symptoms of cervical cancer, experienced challenges during help-seeking including judgmental attitudes of clinic staff. Most participants were skeptical of traditional medicine. This is the first study exploring interpretation of possible breast and cervical cancer symptoms at a community level in South Africa. The process of interpreting bodily changes, symptom attribution and help-seeking is complex and influenced by women’s everyday life experiences. Timely diagnosis interventions should not only include cancer symptom awareness but also address individual, structural and health systems related barriers to care.
登录
查看更多内容
影响因子：
3.8
作者：
Moodley, Jennifer;Cairncross, Lydia;Constant, Deborah
通讯作者：
Constant, Deborah
影响因子：
3.7
作者：
Moodley, J.;Scott, S. E.;Walter, F. M.
通讯作者：
Walter, F. M.
影响因子：
2.9
作者：
Moodley, Jennifer;Cairncross, Lydia;Momberg, Mariette
通讯作者：
Momberg, Mariette
影响因子：
2.9
作者：
Hall, N.;Birt, L.;Walter, F. M.
通讯作者：
Walter, F. M.
影响因子：
3.1
作者：
Pillay, AL
通讯作者：
Pillay, AL