dedup_wf_001--db50acb33d3f48e9a5c56b9e1a07d925

Most women with breast cancer in sub-Saharan Africa (SSA) are diagnosed with late-staged disease. The current study assesses patient-related barriers among women from a general SSA population to better understand how patient-related barriers contribute to diagnostic delays. Using convenience-based sampling, 401 Ugandan women without breast cancer were surveyed to determine how prior participation in cancer detection practices correlate with patient-related barriers to prompt diagnosis. In a predominantly poor (76%) and rural population (75%), the median age of the participants was 38. Of the women surveyed, 155 (46%) had prior exposure to breast cancer education, 92 (27%) performed breast self-examination (BSE) and 68 (20%) had undergone a recent clinical breast examination (CBE), breast ultrasound or breast biopsy. The most commonly identified barriers to prompt diagnosis were knowledge deficits regarding early diagnosis (79%), economic barriers to accessing care (68%), fear (37%) and poor social support (24%). However, only women who reported knowledge deficits—a modifiable barrier—were less likely to participate in cancer detection practices (p<0.05). Women in urban and rural areas were similarly likely to report economic barriers, knowledge deficits and/or poor social support, but rural women were less likely than urban women to have received breast cancer education and/or perform BSE (p<0.001). Women who have had prior breast cancer education (p<0.001) and/or who perform BSE (p = 0.02) were more likely to know where she can go to receive a diagnostic breast evaluation. These findings suggest that SSA countries developing early breast cancer detection programs should specifically address modifiable knowledge deficits among women less likely to achieve a diagnostic work-up to reduce diagnostic delays and improve breast cancer outcomes.

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PID https://www.doi.org/10.1371/journal.pone.0217938
URL http://dx.doi.org/10.1371/journal.pone.0217938
URL https://dx.doi.org/10.1371/journal.pone.0217938
URL https://figshare.com/articles/Modifiable_patient-related_barriers_and_their_association_with_breast_cancer_detection_practices_among_Ugandan_women_without_a_diagnosis_of_breast_cancer/8304212
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Access Right Open Access
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Author Sharp, Jake W.
Author Hippe, Daniel S.
Author Nakigudde, Gertrude
Author Anderson, Benjamin O.
Author Muyinda, Zeridah
Author Molina, Yamile
Author Scheel, John R.
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Collected From figshare; Datacite
Hosted By figshare
Publication Date 2019-06-20
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Language UNKNOWN
Resource Type Dataset
system:type dataset
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Source https://science-innovation-policy.openaire.eu/search/dataset?datasetId=dedup_wf_001::db50acb33d3f48e9a5c56b9e1a07d925
Author jsonws_user
Last Updated 31 December 2020, 20:02 (CET)
Created 31 December 2020, 20:02 (CET)