Modifiable patient-related barriers and their association with breast cancer detection practices among Ugandan women without a diagnosis of breast cancer

Jake W Sharp, Daniel S Hippe, Gertrude Nakigudde, Benjamin O Anderson, Zeridah Muyinda, Yamile Molina and John R Scheel

PLOS ONE, 2019, vol. 14, issue 6, 1-13

Abstract: 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

Date: 2019
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0217938

DOI: 10.1371/journal.pone.0217938

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