Tackling inequalities in cancer care and outcomes: psychosocial mechanisms and targets for change

Ashley, Laura; Lawrie, Iain

doi:10.1002/pon.4278

Cited by 11 publications

(9 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…They also stated that they never received educational materials, either brochure or lea ets. Similarly, many African countries do not provide such comprehensive psychosocial services, including counseling and provision of information materials for cancer patients [26,28,45]. The possible explanation for this variation in the provision of psychosocial services between developed and developing countries is lack of resources, whether it be skilled man power, infrastructure, materials and so on.…”

Section: Resultsmentioning

confidence: 99%

Availability and Utilization of Psychosocial Services for Breast Cancer Patients in Addis Ababa, Ethiopia: A Mixed Method Study

Wondimagegnehu

Abebe

Abu

et al. 2021

Preprint

View full text Add to dashboard Cite

Purpose: Although psychosocial services have substantial impact in cancer care, the availability and utilization of these services have not been well-studied in Sub Saharan Africa. Therefore, we explored the types of psychosocial services available for breast cancer patients in Addis Ababa, Ethiopia.Methods: A mixed method study was conducted using a cross-sectional survey involving 428 breast cancer patients, followed by a qualitative study. A total of nine in-depth interviews (IDIs) were conducted with four breast cancer patients and five key informants using two separate interview guides. In addition to descriptive statistics, logistic regression was done to identify factors associated with provision of psychosocial services. Thematic analysis was used for the qualitative data using NVivo 12 plus software. Results: Only 47 (11.1%) patients received psychosocial services, either in the form of counseling, emotional support or provision of information. Health professionals reportedly provided such services along with their routine activities, and patients predominantly received social/emotional support from family members, friends and colleagues. There were no well-structured counseling service, emotional support or group discussion sessions for breast cancer patients in these health facilities. The main reasons for not providing these services were high patient flow/workload, inadequate space, lack of training and not having qualified professionals to organize and deliver psychosocial services in those hospitals.Conclusions: only one in ten breast cancer patients received psychosocial services from health professionals, and the services were not delivered in a structured way. Therefore, psychosocial services should be integrated both in private and government health facilities of Ethiopia.

show abstract

Section: Resultsmentioning

confidence: 99%

Availability and Utilization of Psychosocial Services for Breast Cancer Patients in Addis Ababa, Ethiopia: A Mixed Method Study

Wondimagegnehu

Abebe

Abu

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…They also stated that they never received educational materials, either brochure or leaflet form. Similarly, many African countries do not provide such comprehensive psychosocial services, including counseling and provision of information materials for cancer patients [26,28,45]. The possible explanation for this variation in the provision of psychosocial services between developed and developing countries is lack of resources, whether it be skilled man power, infrastructure, materials and so on.…”

Section: Discussionmentioning

confidence: 99%

The Availability and Utilization of Psychosocial Services for Breast Cancer Patients in Addis Ababa, Ethiopia: A Mixed Method Study

Wondimagegnehu¹,

Abebe²,

Hirpa³

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: Provision of psychosocial services has substantial impact in cancer care by reducing emotional distress and improving both the quality of life and survival of patients, but the availability and utilization of the services have been not well-studied in developing countries, particularly in Ethiopia. The aim of this study was to explore the types of psychosocial services available for breast cancer patients and utilization in selected health facilities in Addis Ababa, Ethiopia. Methods: A mixed method study was conducted using a cross-sectional survey involving a sample of 428 patients with breast cancer, followed by a qualitative study in seven health facilities in Addis Ababa, Ethiopia. A total of nine in-depth interviews (IDIs) were conducted with purposefully selected four breast cancer patients and five key informants using two separate interview guides. Descriptive statistics were calculated using SPSS software, and both bivariate and multivariate logistic regressions were done to identify factors associated with provision of psychosocial services. Thematic analysis was used for the qualitative data using NVivo 12 plus software. Result: Only 47 (11.1%) patients received psychosocial services, either in the form of counseling, emotional support or provision of information. Addis Ababa residency, severity of pain and longer duration since diagnosis were factors associated with provision of psychosocial services. Health professionals reportedly provided such services along with their routine activities, and patients predominantly received social/emotional support from family members, friends and colleagues. There was no well-structured counseling service, emotional support or group discussion sessions for breast cancer patients in these health facilities. The main reasons reported by health professionals for not providing these services were high patient flow/workload, inadequate space, lack of training and not having qualified professionals to organize and deliver psychosocial services in those hospitals in Addis Ababa, Ethiopia. Conclusion: This study revealed that very few breast cancer patients received psychosocial services from health professionals, and the services were not integrated and delivered in a structured way. Therefore, integrating and implementing psychosocial services in cancer care is recommended both in private and government health facilities in Ethiopia.

show abstract

“…There is some evidence that these ensure more equity in access than opportunistic screening programmes, as they do not rely as much on an individual having information about preventative practices or frequent contact with a doctor, which individuals in a higher socioeconomic position are more likely to have (Palència et al 2010). Social support is also important in promoting good outcomes and good quality of life following cancer, and interventions to provide or enhance social support could help groups experiencing disparities, particularly in communities that experience stigma around cancer (Ashley and Lawrie 2016). There is evidence that the provision of psychosocial support interventions varies across Europe and often depends on whether stakeholders in a given country and its cancer control programme consider it a priority (Travado et al 2017).…”

Section: Socialmentioning

confidence: 99%

Factors affecting access to treatment of early breast cancer: Case studies from Brazil, Canada, Italy, Spain and UK: Implications for future research, policy and practice

Rodriguez-Rincon¹,

Leach²,

d'Angelo³

et al. 2019

View full text Add to dashboard Cite

is a not-for-profit organisation whose mission is to help improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors. All rights reserved. No part of this book may be reproduced in any form by any electronic or mechanical means (including photocopying, recording, or information storage and retrieval) without permission in writing from the sponsor.

show abstract

Tackling inequalities in cancer care and outcomes: psychosocial mechanisms and targets for change

Cited by 11 publications

References 40 publications

Availability and Utilization of Psychosocial Services for Breast Cancer Patients in Addis Ababa, Ethiopia: A Mixed Method Study

Availability and Utilization of Psychosocial Services for Breast Cancer Patients in Addis Ababa, Ethiopia: A Mixed Method Study

The Availability and Utilization of Psychosocial Services for Breast Cancer Patients in Addis Ababa, Ethiopia: A Mixed Method Study

Factors affecting access to treatment of early breast cancer: Case studies from Brazil, Canada, Italy, Spain and UK: Implications for future research, policy and practice

Contact Info

Product

Resources

About