Asian Pacific Journal of Cancer Prevention

  • 제16권1호
  • /
  • Pages.145-152
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  • 2015
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  • 1513-7368(pISSN)
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  • 2476-762X(eISSN)
아시아태평양암예방학회 (Asian Pacific Journal of Cancer Prevention)
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Meta-synthesis Exploring Barriers to Health Seeking Behaviour among Malaysian Breast Cancer Patients

  • 발행 : 2015.02.04
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초록

Barriers to health seeking constitute a challenging issue in the treatment of breast cancer. The current meta-synthesis aimed to explore common barriers to health seeking among Malaysian breast cancer patients. From the systematic search, nine studies were found meeting the inclusion criteria. Data extraction revealed that health behavior towards breast cancer among Malaysia women was influenced by knowledge, psychological, sociocultural and medical system factors. In terms of knowledge, most of the Malaysian patients were observed to have cursory information and the reliance on the information provided by media was limiting. Among psychological factors, stress and sense of denial were some of the common factors leading to delay in treatment seeking. Family member's advice, cultural beliefs towards traditional care were some of the common sociocultural factors hindering immediate access to advanced medical diagnosis and care. Lastly, the delay in referral was one of the most common health system-related problems highlighted in most of the studies. In conclusion, there is an immediate need to improve the knowledge and understanding of Malaysian women towards breast cancer. Mass media should liaise with the cancer specialists to disseminate accurate and up-to-date information for the readers and audience, helping in modification of cultural beliefs that hinder timing health seeking. However, such intervention will not improve or rectify the health system related barriers to treatment seeking. Therefore, there is an immediate need for resource adjustment and training programs among health professional to improve their competency and professionalism required to develop an efficient health system.

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참고문헌

  1. Abdel-Fattah, Moataz M, Anwar A, et al (1999). Patient-and system-related diagnostic delay in breast cancer. Eur J Public Hlth, 9, 15-19. https://doi.org/10.1093/eurpub/9.1.15
  2. Abdullah, Aini N, Mahiyuddin, et al (2013). Survival rate of breast cancer patients in malaysia: a population-based study. Asian Pac J Cancer Prev, 14, 4591-4. https://doi.org/10.7314/APJCP.2013.14.8.4591
  3. Agarwal G, Pradeep P, Aggarwal V, et al (2007). Spectrum of breast cancer in Asian women. World J Surg, 31, 1031-1040. https://doi.org/10.1007/s00268-005-0585-9
  4. Ajekigbe AT (1991). Fear of mastectomy: the most common factor responsible for late presentation of carcinoma of the breast in Nigeria. Clin Oncol, 3, 78-80. https://doi.org/10.1016/S0936-6555(05)81167-7
  5. Allen J, Shelton R, Harden E, et al (2008). Follow-up of abnormal screening mammograms among low-income ethnically diverse women: Findings from a qualitative study. Patient Educ Counsel, 72, 283-292. https://doi.org/10.1016/j.pec.2008.03.024
  6. Arndt V, Sturmer T, Stegmaier C, et al (2002). Patient delay and stage of diagnosis among breast cancer patients in Germany a population based study. Br J Cancer, 86, 1034-40. https://doi.org/10.1038/sj.bjc.6600209
  7. Arndt V, Sturmer T, Stegmaier C, et al (2003). Provider delay among patients with breast cancer in Germany: a populationbased study. J Clin Oncol, 21, 1440-6. https://doi.org/10.1200/JCO.2003.08.071
  8. Ashing-Giwa T, Padilla G, Bohorquez D, et al (2006). Understanding the breast cancer experience of Latina women. J Psychosocial Oncol, 24, 19-52. https://doi.org/10.1300/J077v24n03_02
  9. Azaiza F, Cohen M, (2006). Health beliefs and rates of breast cancer screening among Arab women. J Women's Health, 15, 520-30. https://doi.org/10.1089/jwh.2006.15.520
  10. Baig M, Subramaniam V, Annaliza A, et al (2011). A population based survey on knowledge and awareness of breast cancer in the suburban females of Sungai Petani, Kedah, Malaysia. Int J Collaborative Res Intern Med Public Health, 3, 671-9.
  11. Banning M, Hafeez H, Faisal S, et al (2009). The impact of culture and sociological and psychological issues on Muslim patients with breast cancer in Pakistan. Cancer Nursing, 32, 317-24. https://doi.org/10.1097/NCC.0b013e31819b240f
  12. Banning M, Tanzeen T (2014). Living With advanced breast cancer: perceptions of Pakistani women on life expectations and fears. Cancer Nurs, 37, 12-8.
  13. Barber M, Jack W, Dixon J. (2004). Diagnostic delay in breast cancer. Br J Surg, 91, 49-53. https://doi.org/10.1002/bjs.4436
  14. Baron-Epel O, Granot M, Badarna S, et al (2004). Perceptions of breast cancer among Arab Israeli women. Women Health, 40, 101-16.
  15. Battaglia T, Roloff K, Posner M, et al (2007). Improving follow-up to abnormal breast cancer screening in an urban population. Cancer, 109, 359-67. https://doi.org/10.1002/cncr.22354
  16. Bhatt V, Wetz R, Shrestha R, et al (2011). Breast cancer knowledge, attitudes and practices among Nepalese women. Eur J Cancer Care, 20, 810-7. https://doi.org/10.1111/j.1365-2354.2011.01272.x
  17. Bottorff J, Johnson J, Bhagat R, et al (1998). Beliefs related to breast health practices: the perceptions of South Asian women living in Canada. Social Sci Med, 47, 2075-85. https://doi.org/10.1016/S0277-9536(98)00346-3
  18. Bourdeanu L, Luu T, Baker N, et al (2013). Barriers to Treatment in patients with locally advanced breast cancer. J National Comprehensive Cancer Network, 11, 1193-8.
  19. Brzozowska A, Duma D, Mazurkiewicz T, et al (2014). Reasons for delay in treatment of breast cancer detected due to breast self-examination in women from the Lubelskie region. Ginekologia polska, 85, 14-7.
  20. Bure L, Azoulay L, Benjamin A, et al (2011). Pregnancyassociated breast cancer: a review for the obstetrical care provider. J Obstet Gynaecol Can, 33, 330-7. https://doi.org/10.1016/S1701-2163(16)34850-2
  21. Burgess C, Ramirez A, Richards M, et al (1998). Who and what influences delayed presentation in breast cancer? Br J Cancer, 77, 1343. https://doi.org/10.1038/bjc.1998.224
  22. Burrows P (2003). Family beliefs about diet and traditional Chinese medicine for Hong Kong women with breast cancer. Oncol Nurs Forum, 30, 834-40. https://doi.org/10.1188/03.ONF.834-840
  23. Cameron L, Leventhal EA and Leventhal H. (1993). Symptom representations and affect as determinants of care seeking in a community-dwelling, adult sample population. Health Psychology, 12, 171. https://doi.org/10.1037/0278-6133.12.3.171
  24. Cancer Research UK. (2002, January 2014). Breast Cancer. Retrieved 20 May, 2014, from http://www.cancerresearchuk.org/cancer-info/cancerstats/types/breast/
  25. Champion VL, Skinner CS, (2008). The health belief model. Health behavior and health education: Theory, research, and practice, 4, 45-65.
  26. Charles C, Whelan T, Gafni A, et al (1998). Doing nothing is no choice: lay constructions of treatment decision-making among women with early-stage breast cancer. Soc Health Illness, 20, 71-95. https://doi.org/10.1111/1467-9566.00081
  27. Chua MST, Mok TSK, Kwan WH, et al (2005). Knowledge, perceptions, and attitudes of Hong Kong Chinese women on screening mammography and early breast cancer management. Breast J, 11, 52-56. https://doi.org/10.1111/j.1075-122X.2005.21480.x
  28. Dahlui M, Ramli S, Bulgiba AM. (2011). Breast cancer prevention and control programs in Malaysia. Asian Pac J Cancer Prev, 12, 1631-4.
  29. Dundar P, Ozmen D, Ozturk B, et al (2006). The knowledge and attitudes of breast self-examination and mammography in a group of women in a rural area in western Turkey. BMC Cancer, 6, 43. https://doi.org/10.1186/1471-2407-6-43
  30. Ermiah E, Abdalla F, Buhmeida A, et al (2012). Diagnosis delay in Libyan female breast cancer. BMC Research Notes, 5, 452. https://doi.org/10.1186/1756-0500-5-452
  31. Facione NC, Giancarlo C, Chan L (2000). Perceived risk and help-seeking behavior for breast cancer: a Chinese-American perspective. Cancer Nurs, 23, 258-67. https://doi.org/10.1097/00002820-200008000-00002
  32. Farooqui M, Maryam MA, Shatar AK, et al (2011). A qualitative exploration of Malaysian cancer patients' perspectives on cancer and its treatment. BMC Public Health, 11, 525. https://doi.org/10.1186/1471-2458-11-525
  33. Fregene A, Newman LA, (2005). Breast cancer in sub Saharan Africa: How does it relate to breast cancer in African American women? Cancer, 103, 1540-50. https://doi.org/10.1002/cncr.20978
  34. Gilani SI, Khurram M, Mazhar T, et al (2010). Knowledge, attitude and practice of a Pakistani female cohort towards breast cancer. JPMA. J Pakistan Med Assoc, 60, 205.
  35. Gilbar R, Gilbar O (2009). The medical decision making process and the family: the case of breast cancer patients and their husbands. Bioethics, 23, 183-192. https://doi.org/10.1111/j.1467-8519.2008.00650.x
  36. Goodson WH, Moore DH (2002). Causes of physician delay in the diagnosis of breast cancer. Arch Internal Med, 162, 1343-8. https://doi.org/10.1001/archinte.162.12.1343
  37. Grunfeld EA, Ramirez AJ, Hunter MS, et al (2002). Women's knowledge and beliefs regarding breast cancer. Br J Cancer, 86, 1373-8. https://doi.org/10.1038/sj.bjc.6600260
  38. Grunfeld EA, Hunter MS, Ramirez AJ, et al (2003). Perceptions of breast cancer across the lifespan. J Psychosomatic Res, 54, 141-6. https://doi.org/10.1016/S0022-3999(02)00522-6
  39. Hilton BA, Crawford JA, Tarko MA (2000). Men's perspectives on individual and family coping with their wives' breast cancer and chemotherapy. Western J Nurs Res, 22, 438-59. https://doi.org/10.1177/01939450022044511
  40. Hisham AN, Yip CH, (2003). Spectrum of breast cancer in Malaysian women: overview. World J surgery, 27, 921-3. https://doi.org/10.1007/s00268-003-6976-x
  41. Hordern A (2000). Intimacy and sexuality for the woman with breast cancer. Cancer Nursing, 23, 230-6. https://doi.org/10.1097/00002820-200006000-00011
  42. Huang X, Butow P, Meiser B, et al (1999). Attitudes and information needs of Chinese migrant cancer patients and their relatives. Aust NZ J Med, 29, 207-13. https://doi.org/10.1111/j.1445-5994.1999.tb00685.x
  43. Im EO, Park YS, Lee EO, et al (2004). Korean women's attitudes toward breast cancer screening tests. Int J Nursing Studies, 41, 583-9. https://doi.org/10.1016/j.ijnurstu.2004.01.004
  44. Iskandarsyah A, Klerk C, Suardi DR, et al (2014). Consulting a traditional healer and negative illness perceptions are associated with non adherence to treatment in Indonesian women with breast cancer. Psycho Oncol. 23, 1118-24 https://doi.org/10.1002/pon.3534
  45. Jarvandi S, Montazeri A, Harirchi I, et al (2002). Beliefs and behaviours of Iranian teachers toward early detection of breast cancer and breast self-examination. Public Health, 116, 245-9. https://doi.org/10.1038/sj.ph.1900854
  46. Jensen LA, Allen MN (1996). Meta-synthesis of qualitative findings. Qualitative Health Research, 6, 553-60. https://doi.org/10.1177/104973239600600407
  47. Khan TM, AFZAL HA, Khan A, et al (2010). A Pilot Study Evaluating Health Literacy towards Breast Cancer among Multiethnic Students. J Clin Diagnostic Res, 4, 2504-11.
  48. Khoo SB, (2009). Impact of cancer on psychosexuality: Cultural perspectives of Asian women. Int J Nurs Practice, 15, 481-8. https://doi.org/10.1111/j.1440-172X.2009.01797.x
  49. Lawrence G, Kearins O, Lagord C, et al (2007). The second all breast cancer report.
  50. Lu MH, Lin HR and Lee MD. (2010). The experiences among older Taiwanese women facing a new diagnosis of breast cancer. Cancer Nurs, 33, 398-405. https://doi.org/10.1097/NCC.0b013e3181d72c45
  51. McCarthy BD, Yood MU, Janz NK, et al (1996). Evaluation of factors potentially associated with inadequate follow-up of mammographic abnormalities. Cancer, 77, 2070-6. https://doi.org/10.1002/(SICI)1097-0142(19960515)77:10<2070::AID-CNCR16>3.0.CO;2-S
  52. McMenamin M, Barry H, Lennon AM, et al (2005). A survey of breast cancer awareness and knowledge in a Western population: lots of light but little illumination. Eur J Cancer, 41, 393-7. https://doi.org/10.1016/j.ejca.2004.11.015
  53. Khan TM, Anwar M, Gillani W. (2011). Knowledge towards breast cancer among Malaysian university students. The Breast J, 17, 553-4. https://doi.org/10.1111/j.1524-4741.2011.01142.x
  54. Mohamed IE, Williams KS, Tamburrino MB, et al (2005). Understanding locally advanced breast cancer: what influences a woman's decision to delay treatment? Prev Med, 41, 399-405. https://doi.org/10.1016/j.ypmed.2004.12.012
  55. Montella M, Crispo A, Botti G, et al (2001). An assessment of delays in obtaining definitive breast cancer treatment in Southern Italy. Breast Cancer Res Treatment, 66, 209-215. https://doi.org/10.1023/A:1010622909643
  56. Mousa SM, Seifeldin IA, Hablas A, et al (2011). Patterns of seeking medical care among Egyptian breast cancer patients: Relationship to late-stage presentation. The Breast, 20, 555-61. https://doi.org/10.1016/j.breast.2011.07.001
  57. Norsa'adah B, Rahmah MA, Rampal KG, et al (2012). Understanding barriers to Malaysian women with breast cancer seeking help. Asian Pac J Cancer Prev, 13, 3723-30. https://doi.org/10.7314/APJCP.2012.13.8.3723
  58. Odusanya O, Olufemi O. Tayo O. (2001). Breast cancer knowledge, attitudes and practice among nurses in Lagos, Nigeria. Acta Oncologica, 40, 844-8. https://doi.org/10.1080/02841860152703472
  59. Okobia MN, Bunker CH, Okonofua FE, et al (2006). Knowledge, attitude and practice of Nigerian women towards breast cancer: a cross-sectional study. World J Surg Oncol, 4, 11. https://doi.org/10.1186/1477-7819-4-11
  60. Ong KJ, Back MF, Lu JJ, et al (2002). Cultural attitudes to cancer management in traditional South-East Asian patients. Australasian Radiol, 46, 370-4. https://doi.org/10.1046/j.1440-1673.2002.t01-1-01085.x
  61. Ozmen V. (2008). Breast cancer in the world and Turkey. J Breast Health, 4.
  62. Peek ME, Sayad JV and Markwardt R. (2008). Fear, fatalism and breast cancer screening in low-income African-American women: the role of clinicians and the health care system. J General Internal Med, 23, 1847-53. https://doi.org/10.1007/s11606-008-0756-0
  63. Rastad H, Khanjani N, Khandani BK. (2012). Causes of delay in seeking treatment in patients with breast cancer in Iran: a qualitative content analysis study. Asia Pac J Cancer Prev, 13, 4511-5. https://doi.org/10.7314/APJCP.2012.13.9.4511
  64. Sandelowski M. (1993). Rigor or rigor mortis: The problem of rigor in qualitative research revisited. Advances Nurs Sci, 16, 1-8.
  65. Sant M, Allemani C, Capocaccia R, et al (2003). Stage at diagnosis is a key explanation of differences in breast cancer survival across Europe. Int J Cancer, 106, 416-22. https://doi.org/10.1002/ijc.11226
  66. Siegel R, Ma J, Zou Z, et al (2014). Cancer statistics, 2014. CA: A Cancer J Clin, 64, 9-29. https://doi.org/10.3322/caac.21208
  67. Simpson P. (2005). Hong Kong families and breast cancer: Beliefs and adaptation strategies. Psycho-Oncol, 14, 671-83. https://doi.org/10.1002/pon.893
  68. Somdatta P and Baridalyne N. (2008). Awareness of breast cancer in women of an urban resettlement colony. Indian J Cancer, 45.
  69. Struthers R, Anne NL (2004). Utilization of complementary and alternative medicine among racial and ethnic minority populations: implications for reducing health disparities. Ann Review Nurs Res, 22, 285-313.
  70. Taib NA, Yip CH, Low WY (2011). Recognising symptoms of breast cancer as a reason for delayed presentation in Asian women: the psycho-socio-cultural model for breast symptom appraisal opportunities for intervention. Asian Pac J Cancer Prev, 12, 1601-8.
  71. Taib NA, Yip CH, Low WY (2014). A grounded explanation of why women present with advanced breast cancer. World J Surg, 38, 1676-84. https://doi.org/10.1007/s00268-013-2339-4
  72. Thongsuksai P, Suvivatwong V, Sriplung H. (2000). Delay in breast cancer care: a study in Thai women. Medical care, 38, 108-14. https://doi.org/10.1097/00005650-200001000-00012
  73. Turner J, Kelly B, Swanson C, et al (2005). Psychosocial impact of newly diagnosed advanced breast cancer. Psycho Oncol, 14, 396-407. https://doi.org/10.1002/pon.856
  74. Ukwenya AY, Yusufu LD, Nmadu PD, et al (2008). Delayed treatment of symptomatic breast cancer: the experience from Kaduna, Nigeria. South African J Surg, 46.
  75. Weinmann S, Taplin SH, Gilbert J, et al (2005). Characteristics of women refusing follow-up for tests or symptoms suggestive of breast cancer. JNCI Monographs, 2005, 33-38. https://doi.org/10.1093/jncimonographs/lgi035
  76. Yip CH, Taib NA, Mohamed I. (2006). Epidemiology of breast cancer in Malaysia. Asian Pac J Cancer Prev, 7, 369.
  77. Yusoff N, Taib NA, Ahmad A. (2011). The health seeking trajectories of Malaysian women and their husbands in delay cases of breast cancer: a qualitative study. Asian Pac J Cancer Prev, 12, 2563-70.
  78. Zainal AO, Nor S (2011). National Cancer Registry Report 2007. Malaysia cancer statistics-data and figure. Kuala Lumpur: National cancer registry, Ministry of Health Malaysia.

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