Barriers to early presentation and diagnosis of breast cancer among African women living in sub-Saharan Africa

被引:134
作者
Akuoko, Cynthia Pomaa [1 ]
Armah, Ernestina [1 ]
Sarpong, Theresa [1 ]
Quansah, Dan Yedu [2 ]
Amankwaa, Isaac [3 ]
Boateng, Daniel [4 ,5 ]
机构
[1] Christian Serv Univ Coll, Kumasi, Ghana
[2] Seoul Natl Univ, Grad Sch Publ Hlth, Seoul, South Korea
[3] Garden City Univ Coll, Kumasi, Ghana
[4] Univ Utrecht, Univ Med Ctr, Julius Global Hlth, NL-3508 TC Utrecht, Netherlands
[5] Kwame Nkrumah Univ Sci & Technol, Sch Publ Hlth, Kumasi, Ghana
来源
PLOS ONE | 2017年 / 12卷 / 02期
关键词
LIMITED-RESOURCE COUNTRIES; DELAYED PRESENTATION; SCREENING PRACTICES; HEALTH; KNOWLEDGE; ATTITUDES; AWARENESS; SERVICES; DISTRICT; SYSTEMS;
D O I
10.1371/journal.pone.0171024
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Background Breast cancer (BC) has been described as the leading cause of cancer deaths among women especially in the developing world including sub Saharan Africa (SSA). Delayed presentation and late diagnosis at health facilities are parts of the contributing factors of high BC mortality in Africa. This review aimed to appraise the contributing factors to delayed breast cancer presentation and diagnosis among SSA women. Methods Five databases encompassing medical and social sciences were systematically searched using predefined search terms linked with breast cancer presentation and diagnosis and sub Saharan Africa. Reference lists of relevant papers were also hand searched. Quality of quantitative and qualitative articles were assessed using the National Institute of Health (NIH) Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies and the Critical Appraisal Skills Programme (CASP) quality appraisal checklist. Thematic analysis was used to synthesize the qualitative studies to integrate findings. Results Fourteen (14) quantitative studies, two (2) qualitative studies and one (1) mixed method study merited inclusion for analysis. This review identified low knowledge of breast cancer among SSA women. This review also found lack of awareness of early detection treatment, poor perception of BC, socio-cultural factors such as belief, traditions and fear as factors impacting African women's health seeking behavior in relation to breast cancer. Conclusion Improving African women's knowledge and understanding will improve behaviors related to breast cancer and facilitate early presentation and detection and enhance proper management and treatment of breast cancer.
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页数:18
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