Factors influencing the health-seeking behaviors of women with advanced stages of breast cancer in Southwestern Nigeria: An interpretive description study

Ogunkorode, Rev. Sr. Agatha; Holtslander, Lorraine; Ferguson, Linda; Maree, Johanna E.; Anonson, June; Ramsden, Vivian R.

doi:10.1016/j.ijans.2020.100273

Cited by 16 publications

(72 citation statements)

References 33 publications

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“…This is supported by the study of Liang et al (2019) that financial distress affects over half of gynecologic cancer patients starting a new line of treatment and this associated with material hardship. Ogunkorode et al (2021) further corroborated the findings in the present study as patients with gynecological cancer reported difficulty in paying for treatments and the burden of procuring medications that are too expensive. A fifty-four-year-old participant explained what could happen to people with not enough money to treat the disease: "If one does not have capital and one does not have anybody to give financial support, which is what kills a person who has this illness.…”

Section: Theme 6: Financial/economic Hardshipsupporting

confidence: 90%

“…Cancer and chemotherapy-induced poor appetite is usually the result of taste changes, mouth sores, nausea and vomiting, increased satiety, medication side effects, pain, fatigue, depressed mood, and anxiety. Ogunkorode et al (2021) further reported that women with gynecological cancers experienced increased suffering from chemotherapy. This was related to the side effects of chemotherapy as most participants spoke of the severity of these treatments.…”

Section: Theme 5: the Burden Of Chemotherapymentioning

confidence: 99%

“…Additionally, detailed information has been evaluated, showing that a large range of complementary/ alternative medicine types was used by females with breast cancer such as foods, herbs, and vitamins as well as prayer and mind healing meditation (Movafagh, Heidari, Abdoljabbari, Mansouri, Taghavi, Karamatinia et al, 2017). Ogunkorode et al (2021) also reported that most patients perceived cancer to be caused by spiritual forces, which can only be cured by traditional healers because Western medicine has been seen to be ineffective in managing such illnesses. This perception was often fueled by the fact that most cancer patients die even after receiving orthodox Western medical care.…”

Section: Theme 2: Reliance On Unprofessional Help and Spiritual Interventionsmentioning

confidence: 99%

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Lived Experiences of Women With Gynecological Cancers Attending Teaching Hospitals in Teaching Hospitals in Ekiti State.

Gentry¹,

Sowunmi²

2021

AJHMN

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Purpose: The purpose of this study was to explore the lived experiences of women with gynecological cancers attending teaching hospitals in Ekiti State. Methodology: A qualitative research design was used using a phenomenological method. Twenty women with gynecological cancers were recruited for the study using purposive sampling. The research instrument was a structured interview guide. The interviews were conducted once and recorded using a digital voice recorder and basic demographic information of respondents was obtained after each interview. The interview transcripts were analyzed using thematic analysis and major themes emerged from the study, while the demographic information was analyzed using descriptive statistics. Findings: Results from this study identified nine major themes which include ignoring the initial warning signs, reliance on unprofessional help and spiritual interventions, feeling of uncertainty and sense of vulnerability, bodily changes and altered body image, the burden of chemotherapy, financial hardship, counting the losses, dealing with community and family-based stigma and then cancer as a spiritual attack. This study therefore recommends the need to address individual perceptions about the causes of gynecological cancers as well as the need to draw a supportive intervention by the government for affected persons.

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Section: Theme 6: Financial/economic Hardshipsupporting

confidence: 90%

Section: Theme 5: the Burden Of Chemotherapymentioning

confidence: 99%

Section: Theme 2: Reliance On Unprofessional Help and Spiritual Interventionsmentioning

confidence: 99%

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Lived Experiences of Women With Gynecological Cancers Attending Teaching Hospitals in Teaching Hospitals in Ekiti State.

Gentry¹,

Sowunmi²

2021

AJHMN

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“…In the present study, 70.6% of the females were from urban areas as this study was conducted at the tertiary care hospital of Karachi. In a study conducted at Rawalpindi and Islamabad about 69% of the females belonged from rural areas, 95% were married and approximately 82% had low-income levels [17].…”

Section: Discussionmentioning

confidence: 99%

“…Therefore the lack of awareness and support are highly associated with treatment delay in patients with BC [18,19]. The study by Ayaz et al reported 62.3% of the females presented late because they were unaware of the treatment of BC [17].…”

Section: Discussionmentioning

confidence: 99%

Factors Associated With Treatment Delay in Breast Cancer: A Prospective Study

Rahool¹,

Haider²,

Hayat³

et al. 2021

Cureus

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The frequency of breast cancer (BC) is increasing among Pakistani females. It has been estimated that one out every nine women is predicted to develop BC, which is the highest disease occurring rate in the Asian population. The study aimed to evaluate the factors responsible for delay in diagnosis of BC in Sindh, Pakistan. Methodology This study was conducted at the Medical Oncology Department of Jinnah Postgraduate Medical Center Karachi from December 2018 to June 2019. All women between 17 and 80 years diagnosed with BC who had treatment delay of more than six months were included in the study using a non-probability consecutive sampling technique. The face-to-face interviews were conducted by the researcher himself and all the data regarding demographics and factors related to treatment delay of BC was noted in a structured questionnaire. Data were analyzed using SPSS version 23 (IBM Corp., Armonk, NY). Results Appointment delay was significantly associated with a treatment-seeking delay in patients (p=0.03). Lack of awareness was another significant factor associated with treatment delay in BC patients. About 50 (70.4%) women who reported a lack of awareness sought treatment after 10 months of their first onset of symptoms (p=0.001). Cultural beliefs were a significant cause of treatment delay of 10-12 months in 71.8% of patients (p=0.021). Financial constraints significantly correlated with treatment delay (p=0.015). Conclusion The cultural beliefs, poor financial status, and lack of awareness are the significant factors for the treatment delay in BC patients. Promoting female health awareness can tackle many of these issues.

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Factors influencing treatment decision‐making for cancer patients in low‐ and middle‐income countries: A scoping review

et al. 2023

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PurposeIn this scoping review, we evaluated existing literature related to factors influencing treatment decision‐making for patients diagnosed with cancer in low‐ and middle‐income countries, noting factors that influence decisions to pursue treatment with curative versus non‐curative intent. We identified an existing framework for adult cancer developed in a high‐income country (HIC) context and described similar and novel factors relevant to low‐and middle‐income country settings.MethodsWe used scoping review methodology to identify and synthesize existing literature on factors influencing decision‐making for pediatric and adult cancer in these settings. Articles were identified through an advanced Boolean search across six databases, inclusive of all article types from inception through July 2022.ResultsSeventy‐nine articles were identified from 22 countries across six regions, primarily reporting the experiences of lower‐middle and upper‐middle‐income countries. Included articles largely represented original research (54%), adult cancer populations (61%), and studied patients as the targeted population (51%). More than a quarter of articles focused exclusively on breast cancer (28%). Approximately 30% described factors that influenced decisions to choose between therapies with curative versus non‐curative intent. Of 56 reported factors, 22 novel factors were identified. Socioeconomic status, reimbursement policies/cost of treatment, and treatment and supportive care were the most commonly described factors.ConclusionsThis scoping review expanded upon previously described factors that influence cancer treatment decision‐making in HICs, broadening knowledge to include perspectives of low‐ and middle‐income countries. While global commonalities exist, certain variables influence treatment choices differently or uniquely in different settings. Treatment regimens should further be tailored to local environments with consideration of contextual factors and accessible resources that often impact decision‐making.

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Factors influencing the health-seeking behaviors of women with advanced stages of breast cancer in Southwestern Nigeria: An interpretive description study

Cited by 16 publications

References 33 publications

Lived Experiences of Women With Gynecological Cancers Attending Teaching Hospitals in Teaching Hospitals in Ekiti State.

Lived Experiences of Women With Gynecological Cancers Attending Teaching Hospitals in Teaching Hospitals in Ekiti State.

Factors Associated With Treatment Delay in Breast Cancer: A Prospective Study

Factors influencing treatment decision‐making for cancer patients in low‐ and middle‐income countries: A scoping review

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