Breast Cancer among Urban Nigerian Women: Appraising Presentation and the Quality of Care

Ibrahim, Nazir; Popoola, Abiodun; Oludara, Mobolaji; Omodele, F. O.; Fadeyibi, IO

doi:10.3889/mjms.1857-5773.2011.0187

Cited by 5 publications

(3 citation statements)

References 16 publications

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“…In Nigeria, divorce rate and marital separation are increasing [30], [31], giving rise to diminishing intact families while the spread of breast cancer is not abating. Evidences abound that breast cancer has spread across Nigerian communities [6], [9], [10], [32], [33], [34], [35], [36]. The number of cancer patients registered between 2005 and 2009 in Ibadan and Lagos was 5094 cases, in the ratio of 60:40, respectively [33].…”

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confidence: 99%

Spousal Desertion and Coping Strategies among Ever-married Women with Breast Cancer in Kwara and Ogun States Nigeria

Amoo

Samuel

Ajayi

et al. 2020

Open Access Maced J Med Sci

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AIM: The study examined the coping strategies among ever-married women with breast cancer in disrupted marriages (divorced, separated, or living-alone ever-married women) who also have limited access to social support. METHODS: Data for the study were extracted from 2015 behavioral risk factors for breast and cervical cancers in two states of Nigeria. Respondents for the study were identified through three approaches: (1) Self-reported disclosure of breast cancer, (2) informant-leading approach, and (3) outpatients located in oncological specialized health facilities and herbal homes. Formal approval was sought from the management of selected health facilities and community leaders. The respondents also voluntarily shared their experiences after obtaining their informed consent. Textual data obtained from a total of nine breast cancer survivors and patients identified and interviewed were analyzed for this study, using framework and content analytic procedures. The results were presented as excerpts and in themes. RESULTS: Results revealed two categories of respondents: (1) Breast cancer survivors/patients with husband and (2) those without husbands. Common perspectives were regrets, loss of intimacy, and determination to survive. Basic coping strategies identified are seeking medical support, resignation to fate, and involvement in religion activities. The study concludes that a partner’s support was a great yearning for survivors/patients. CONCLUSION: The authors recommended counseling on partner’s assistance among spouses, especially during sicknesses and diseases. It is also important to raise awareness of the risk factors of breast cancer and the need for constant check-ups among women in the study locations, and by extension, other sub-Saharan African countries.

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confidence: 99%

Spousal Desertion and Coping Strategies among Ever-married Women with Breast Cancer in Kwara and Ogun States Nigeria

Amoo

Samuel

Ajayi

et al. 2020

Open Access Maced J Med Sci

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“…This observation is in keeping with the other studies in Africa. 5,14 This poor compliance is a major challenge in breast cancer management especially in resource-poor settings. Some of the reasons according to Ibrahim et al and Lawal and Adesunkanmi can be ascribed to financial difficulty, relatively feeling well after commencement of chemotherapy, resorting to alternative treatment and drug site effects.…”

Section: Discussionmentioning

confidence: 99%

“…Some of the reasons according to Ibrahim et al and Lawal and Adesunkanmi can be ascribed to financial difficulty, relatively feeling well after commencement of chemotherapy, resorting to alternative treatment and drug site effects. 3,14 In our centre tamoxifen was routinely given to all patient with histologically confirmed breast cancer either as adjuvant or primary therapy because of its benefits in reducing recurrence and improving overall survival in all age groups in oestrogen receptor positive breast cancer according to Gakwaya et al 15 This is irrespective of the hormonal receptor status as facilities for immunohistochemistry is lacking in our centre and most other centres around us. Initial compliance to hormonal therapy in our study was 100% but only two patients representing approximately 1.8% were still taking hormonal therapy at two years follow-up.…”

Section: Discussionmentioning

confidence: 99%

Breast cancer in North-Central Nigeria: challenges to good management outcome

Umoke

Garba

2019

Int Surg J

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Background: Breast cancer is a major health burden globally. Now ranked the number one cancer in females, and the leading cause of cancer deaths in females in our environment, outcome indices have remained poor in developing countries. The aim of this study was to ascertain the major challenges to good management outcome of breast cancer patients in our centre.Methods: The case notes of all histologically confirmed cases of breast cancer presenting to our centre from January 2016 to December 2017 were reviewed. Information on the variables of interest were extracted using a proforma.Results: Fifty-five (55) patients’ case notes were reviewed. All were females. 30.9% of the patients had early disease versus 67.3% with advanced disease. 76.4% had invasive ductal carcinoma. More lesions occurred on the left and the upper outer quadrants. 46% of the 37 patients with advanced disease who required chemotherapy completed the prescribed six courses. None of the patients who required radiotherapy received it. Only 1.8% of those who required hormonal therapy were still taking them at two years follow-up. 3.6%, 11%, and 0% used alcohol, oral contraceptives and tobacco respectively. 81.8% had been lost to follow-up at two years while 14.5% had died while on admission.Conclusions: This study identified late presentation with advanced disease; poor compliance and adherence to treatment strategies, and poor access to adjuvant therapy as the major challenges to good outcome for this disease.

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Breast cancer in the global south and the limitations of a biomedical framing: a critical review of the literature

Confortini

Krong

2015

Health Policy Plan.

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Public health researchers are devoting increasing attention to the growing burden of breast cancer in low-and middle-income countries (LMICs), previously thought to be minimally impacted by this disease. A critical examination of this body of literature is needed to explore the assumptions, advantages and limitations of current approaches. In our critical literature review, we find that researchers and public health practitioners predominantly privilege a biomedical perspective focused on patients' adherence (or non-adherence) to 'preventive' practices, screening behaviours and treatment regimens. Cost-effective 'quick fixes' are prioritized, and prevention is framed in terms of individual 'risk behaviours'. Thus, individuals and communities are held responsible for the success of the biomedical system; traditional belief systems and 'harmful' social practices are problematized. Inherently personal, social and cultural experiences of pain and suffering are neglected or reduced to the issue of chemical palliation. This narrow approach obscures the complex aetiology of the disease and perpetuates silence around power relations. This article calls for a social justice-oriented interrogation of the role of power and inequity in the global breast cancer epidemic, which recognizes the agency and experiences of women (and men) who experience breast cancer in the global south.

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Breast Cancer among Urban Nigerian Women: Appraising Presentation and the Quality of Care

Cited by 5 publications

References 16 publications

Spousal Desertion and Coping Strategies among Ever-married Women with Breast Cancer in Kwara and Ogun States Nigeria

Spousal Desertion and Coping Strategies among Ever-married Women with Breast Cancer in Kwara and Ogun States Nigeria

Breast cancer in North-Central Nigeria: challenges to good management outcome

Breast cancer in the global south and the limitations of a biomedical framing: a critical review of the literature

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