Abstract
Objective: Early detection and screening are the most effective means to reduce breast cancer mortality in all populations. In this study, the inhibiting factors in the applications of qualitative research methods used for the early diagnosis of breast cancer among poor women were identified.
Material and methods: Through focus group interviews, 40 women ranging between 20-60 years of age, meeting the absolute poverty criteria, without regular breast self-examination, clinical breast examination, and mammography were recruited for the study. A conventional content analysis method was used in the data analysis. Interviews were recorded using a voice recorder, and the average duration of the interviews was 53 minutes.
Results: Factors inhibiting women's behaviors regarding early detection of breast cancer were identified as, respectively; individual attitudes and beliefs, provision of healthcare services and, cultural factors.
Conclusion: According to the data achieved, we concluded that initiatives should be planned in order to reduce the inhibiting factors in the breast cancer screening behaviors of women living in poverty. In addition, health policies concerning the provision of health care services should be revised.
References
Ontario Women's Health Network. Poverty &Health E-Bulletin. July 2010. [Internet] [Accessed 2018 Mar 03]. Available from: http://www.owhn.on.ca/pdfs/poverty_e_bulletin.pdf
World Health Organization. International Agency for Research on Cancer. 2018 Cancer statistic worldwide [Internet] [Accessed 2018 Aug 18]. Available from: http://globocan.iarc.fr/Default.aspx
Ministry of Health Turkey General Directorate of Public Health. Turkey cancer statistics. 2017. [Internet] (accessed 12/01/2019). Available from: https://hsgm.saglik.gov.tr/depo/birimler/kanser-db/istatistik/2014-RAPOR._uzuuun.pdf
Elsie KM, Gonzaga MA, Francis B, Michael KG, Rebecca N, Rosemary BK, and Zeridah M. Current knowledge, attitudes and practices of women on breast cancer and mammography at Mulago hospital. Pan African Medical Journal 2010; 5(1):1-13. https://doi.org/10.4314/pamj.v5i1.56186
Jirojwong S, MacLennan R. Health beliefs, perceived self-efficacy, and breast self-examination among Thai Migrants in Brisbane. J Adv Nurs. 2003 Feb; 41(3):241-9. https://doi.org/10.1046/j.1365-2648.2003.02552.x
Sadler GR, Ko CM, Cohn JA, White M, Weldon R, Wu P. Breast cancer knowledge, attitudes, and screening behaviors among African American women: the Black cosmetologists promoting health program. BMC Public Health. 2007 Apr 17; 7:57. https://doi.org/10.1186/1471-2458-7-57
Yi JK, Cielito C, GibbyR. Factors associated with breast self-examination among low ıncomeVietnamese women. International Quarterly of Community Health Education 2001; 21(1), 41-49.
Remennick L. The challenge of early breast cancer detection among immigrant and minority women in multicultural societies. Breast J. Jan-Feb 2006; 12 Suppl 1: S103-110. https://doi.org/10.1111/j.1075-122x.2006.00204.x
Vazquez MO, Ayendez MS, PerezES, AlmodovarHV, Calderon YA. Breast cancer health promotionmodel for older Puerto Rican women: results of apilot programme. Health Promotion Int. 2002 Mar; 17(1): 3-11. https://doi.org/10.1093/heapro/17.1.3
Garbers S, Jessop DJ, Foti H, Uribelarrea M, Chiasson MA. Barriers to breast cancer screening for low-income Mexican and Dominican women inNew York City. J Urban Health. 2003 Mar; 80(1), 81-91. https://doi.org/10.1007/pl00022327
Parsa P, Kandiah M, Abdul Rahman H, Zulkefli N. Barriers for breast cancer screening among Asian women: A mini literature review. Asia Pac J Can Pre. Oct-Dec 2006; 7(4): 509-14.
Ahmed NU, FortJG, Elzey JD, Bailey S. Empowering factors in repeat mammography: insights from the stories of underserved women. J Ambul Care Manage. Oct-Dec 2004; 27(4):348-55. https://doi.org/10.1097/00004479-200410000-00007
Document PI, Gren HH, Adams J, Weil LA, Stockdale J, Hyseni Y. Perspectives of African American, Amish, Appalachian AndLatina women on breast and cervical cancer screening: implications for cultural competence. J Health Care Poor Underserved. 2008 Feb; 19(1): 56-74. https://doi.org/10.1353/hpu.2008.0018
Lamyian M, Hydarnia A, Ahmadi F, FaghihzadehS, Aguilar-Vafaie M E. Barriers to and factors facilitating breast cancer screening among Iranian women: a qualitative study. East Mediterr Health J. 2007; 13(5), 1160-9. https://doi.org/10.26719/2007.13.5.1160
ChampionV, Skinner CS, Menon U. Development of a Self-Efficacy Scale for Mammography. Re Nurs Health. 2005 Aug; 28(4): 329–36. https://doi.org/10.1002/nur.20088
Fernandez M, Palmer RC, Leong-Wu C. Repeat mammography screening among low-income andminority women: a qualitative study. Cancer Control. 2005 Nov; 12 Suppl 2: 77-83. https://doi.org/10.1177/1073274805012004s11
Ogedegbe G, Cassells AN, Robinson CM, DuHamel K, Tobin JN, Sox CH, et al. Perceptions of barriers and facilitators of cancer early detection among low-income minority women in community health centers. J Natl Med Assoc. 2005 Feb; 97(2): 162-70.
Moy B, Park ER, Feibelmann S, Chiang S, Weissman JS. Barriers to repeat mammography: cultural perspectives of African-American, Asian, and Hispanic women. Psychooncology 2006 Jul;15(7):623-34. https://doi.org/10.1002/pon.994
Ko CM, Sadler GR, Ryujin L, Dong A. FilipinaAmerican women’s breast cancer knowledge, attitudes, and screening behaviors. BMC Public Health. 2003 Aug 15; 3:27. https://doi.org/10.1186/1471-2458-3-27
Tejeda S, Thompson B, Coronado GD, Martin DP. Barriers and facilitators related to mammography use among lower educated Mexican women in the USA. Social Science & Medicine 2009; 68(5), 832-839. https://doi.org/10.1016/j.socscimed.2008.12.023
Su X, Ma GX, Seals B, Tan Y, Hausman A. Breast cancer early detection among Chinese women in the Philadelphia area. J Women's Health. 2006 Jun; 15(5), 507-519. https://doi.org/10.1089/jwh.2006.15.507
Husaini BA, Emerson JS, Hull PC, Sherkat DE, Levine RS, Cain VA. Rural-urban differences in breast cancer screening among African American women. J Health Care Poor Underserved. 2005 Nov; 16(4 Suppl A): 1-10. https://doi.org/10.1353/hpu.2005.0124
Paskett ED, Tatum C, Rushing J, Michielutte R, Bell R, Foley KL. Racial differences in knowledge, attitudes, and cancer screening practices among a triracial rural population. Cancer2004; 101(11), 2650-9. https://doi.org/10.1002/cncr.20671
O’Malley AS, Forrest CB, Mandelblatt J. Adherence of low-income women to cancer screening recommendations. J Gen Intern Med. 2002 Feb; 17(2): 144-54. https://doi.org/10.1046/j.1525-1497.2002.10431.x
Wu TY, Bancroft J. Filipino American women’s perceptions, and experiences with breast cancer screening. Oncol Nurs Forum. 2006 Jul 1; 33(4): E71-8. https://doi.org/10.1188/06.onf.e71-e78
Bailey EJ, Erwin DO, Belin P. Using cultural beliefs and patterns to improve mammography utilization among African-American women: the Witness Project. J Natl Med Assoc. 2000 Mar; 92(3): 136-142.
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