Seeking medical help for cancer among urban dwellers in Malaysia-Emotional barriers and awareness of cancer symptoms
Seeking medical help for cancer among urban dwellers in Malaysia-Emotional barriers and awareness of cancer symptoms
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DOI：
10.1111/ecc.13232
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发表时间：
2020-02-12
影响因子：
2.1
通讯作者：
Majid, Hazreen A.
中科院分区：
文献类型：
--
作者：
Su, Tin Tin;Azzani, Meram;Majid, Hazreen A.
目的本研究的主要目的是确定癌症求助的障碍，评估与障碍有关的人口统计学和社会经济差异，并评估障碍与癌症症状意识和延迟求助之间的关系。360名成人（18岁及以上）从大都会吉隆坡随机选择的家庭完成面对面，与经过培训的研究助理进行面对面访谈，其中包括经过验证的马来语版本的癌症意识测量（CAM）。Logistic回归是主要的统计技术，用于调查的研究目标和关系（如上所述）。结果最常见的障碍，寻求帮助的情绪障碍。在报告有情感障碍的参与者中，（OR = 1.49; CI：1.32-1.68; p < .001）;癌症症状意识评分每上升一个单位，寻求帮助延迟的可能性降低29%。（OR = 0.71; 95%CI：0.68-0.74; p <0.001）.结论我们的研究提供了明确的证据表明癌症意识和求助之间的关系;以及提供癌症意识提高计划的必要性和潜在的积极影响。癌症健康教育活动或计划应解决情感障碍，并鼓励尽早寻求帮助。
Objectives The main aims of the study were to identify barriers to seeking help for cancer, appraise demographic and socio-economic differences in relation to barriers and evaluate the association between barriers and cancer symptoms awareness and delayed help-seeking.Methods A total of 2,360 adults (18 years and above) from randomly selected households in metropolitan Kuala Lumpur completed face-to-face interviews with trained research assistants that incorporated the validated Malay version of the Cancer Awareness Measure (CAM). Logistic regression was the main statistical technique that was used to investigate the study objectives and relationships (noted above).Results The most commonly reported barriers to help-seeking were emotional barriers. The probability of delaying seeking help was 49% higher in participants who reported emotional barriers (OR = 1.49; CI: 1.32-1.68; p < .001); and each unit rise in the cancer symptom awareness score was associated with a reduced likelihood of 29% in help-seeking delay (OR = 0.71; 95% CI: 0.68-0.74; p < .001).Conclusions Our study presents clear evidence of the relationship between cancer awareness and help-seeking; and the need for, and potential positive impact of, providing cancer awareness-raising programmes. Cancer health education campaigns or programme should address emotional barriers and encourage early seeking help.