Top

Gepubliceerd in:

01-08-2006

Medical and Psychosocial Predictors of Delay in Seeking Medical Consultation for Breast Symptoms in Women in a Public Sector Setting

Auteurs: Lois C. Friedman, Mamta Kalidas, Richard Elledge, Mario F. Dulay, Catherine Romero, Jenny Chang, Kathleen R. Liscum

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 4/2006

Abstract

We examined demographic, medical and psychosocial factors related to delay in seeking medical consultation for breast symptoms. In this cross-sectional survey, 124 women with breast symptoms attending an outpatient breast surgery clinic in a county general hospital completed questionnaires measuring demographic, medical and psychosocial variables. Our outcome variable was delay in seeking medical consultation. Younger age (p ≤ 0.05), less education (p ≤ 0.01), absence of a lump (p ≤ 0.05), lower perceived risk (p ≤ 0.001), less spirituality (p ≤ 0.01), cost (p ≤ 0.001) and not wanting to think about breast symptom(s) (p ≤ 0.05) were related to delay. Multivariate analyses showed absence of a breast lump by education interaction (p ≤ 0.05), risk perception (p ≤ 0.001), spirituality (p ≤ 0.01) and cost (p ≤ 0.001) collectively accounted for 38.4% of the variance in delay. Health promotion programs targeting low-income populations should emphasize the importance of breast symptoms other than lumps, especially to younger and less educated women.

vorige artikel Older Spouses’ Cortisol Responses to Marital Conflict: Associations With Demand/Withdraw Communication Patterns

volgende artikel Self-Report and Linguistic Indicators of Emotional Expression in Narratives as Predictors of Adjustment to Cancer

Aiken, L. A., West, S. G., Woodward, C. K., and Reno, R. R. (1994). Health beliefs and compliance with mammography-screening recommendations in asymptomatic women. Health Psychol 13: 122–129.PubMedCrossRef

Becker M. H. (1974). The Health Belief Model and Personal Health Behavior, Charles B. Stack, Thorofare (NJ).

Burgess, C. C., Ramirez, A. J., Richards, M. A., and Love, S. B. (1998). Who and what influences delayed presentation in breast cancer. Br. J. Cancer 77: 1343–1348.PubMed

Burgess, C. C., Ramirez, A. J., Smith, P., and Richards, M. A. (2000). Do adverse life events and mood disorders influence delayed presentation of breast cancer? J. Psycholsom. Res. 48: 171–175.CrossRef

Contrada, R. J., Goyal, T. M., Cather, C., Rafalson, L., Idler, E. L., and Krause, T. J. (2004). Psychosocial factors in outcomes of heart surgery: The impact of religious involvement and depressive symptoms. Health Psychol. 23: 227–238.PubMedCrossRef

Coates, R., Bransfield, D., Wesley, M., Hankey, B., Eley, J. W., Greenberg, R. S., Flanders, D., Hunter, C. P., Edwards, B. K., and Forman, M. (1992). Differences between black and white women with breast cancer in time from symptom recognition to medical consultation. J. Natl. Cancer Inst. 84: 938–950.PubMedCrossRef

Facione, N. C. (1993). Delay versus help seeking for breast cancer symptoms: A critical review of the literature on patient and provider delay. Soc. Sci. Med. 36: 1521–1534.PubMedCrossRef

Facione, N. C., Miaskowski, C., Dodd, M. J., and Paul, S. M. (2002). The self-reported likelihood of patient delay in breast cancer: New thoughts for early detection. Prev. Med. 34: 397–407.PubMedCrossRef

Freeman, H. P., and Wasfie, T. J. (1989). Cancer of the breast in poor black women. Cancer 63: 2562–2569.PubMedCrossRef

Friedman, L. C., Webb, J. A., Richards, C. S., and Plon, S. E. (1999). Psychological and behavioral factors associated with colorectal cancer screening among Ashkenazim. Prev. Med. 29: 119–125.PubMedCrossRef

Gregorio, K. I., Cummings, K. M., and Michalek, A. (1983). Delay, stage of disease, and survival among White and Black women with breast cancer. Am. J. Public Health 73: 590–593.PubMedCrossRef

Hintze, J. L. (1996). PASS 6.0 User's Guide. Power analysis and sample size for Windows, Number Cruncher Statistical Systems (NCSS), Utah.

Holt, C. L., Lukwago, S. N., and Kreuter, M. W. (2003). Spirituality, breast cancer beliefs and mammography utilization among urban African American women. J. Health Psychol. 8: 383–396.PubMedCrossRef

Hunter, C. P., Redmond, C. K., Chen, V. W., Austin, D. F., Greenberg, R. S., Correa, P., Muss, H. B., Forman, M. R., Wesley, M. N., and Blacklow, R. S. (1993). Breast cancer: Factors associated with stage at diagnosis in black and white women. J. Natl. Cancer Inst. 85: 1129–1137.PubMedCrossRef

Jepson, C., Kessler, L. G., Portnoy, B., and Gibbs, T. (1991). Black and white differences in cancer presentation, knowledge and behavior. Am. J. Public Health 81: 501–504.PubMed

Koenig, H. G., George, L. K., and Titus, P. (2004). Religion, spirituality, and health in medically ill hospitalized older patients. J. Am. Geriatr. Soc. 52: 554–562.PubMedCrossRef

Koenig, H. G., Pargament, K. I., and Nielsen, J. (1998). Religious coping and health status in medically ill hospitalized adults. J. Nerv. Ment. Dis. 186: 513–521.PubMedCrossRef

Lauver, D. (1994). Care-seeking behavior with breast cancer symptoms in Caucasian and African-American women. Res. Nur. Health 17: 421–431.CrossRef

MacArthur, C., and Smith, A. (1981). Delay in breast cancer and the nature of the presenting symptom. Lancet 8220: 601–603.CrossRef

Meechan, G., Collins, J., and Petrie, K. J. (2003). The relationship of symptoms and psychological factors to delay in seeking medical care for breast symptoms. Prev. Med. 36: 374–378.PubMedCrossRef

Meraviglia, M. G. (2004). The effects of spirituality on well-being of people with lung cancer. Oncol. Nurs. Forum. 31: 89–94.PubMedCrossRef

Mitchell, J., Lannin, D. R., Mathews, H. F., and Swanson, M. S. (2002). Religious beliefs and breast cancer screening. J. Women's Health 11: 907–915.CrossRef

Mor, V., Masterson-Allen, S., Goldberg, R., Guadagnoli, E., and Wool, M. S. (1990). Pre-diagnostic symptom recognition and help seeking among cancer patients. J. Community Health 15: 253–266.PubMedCrossRef

Nosarti, C., Crayford, T., Roberts, J. V., Elias, E., McKenzie, K., David, A. S. (2002). Delay in presentation of symptomatic referrals to a breast clinic: Patient and system factors. Br. J. Cancer 82: 742–748.

Powell, L. H., Shahabi, L., Thoreson, C. E. (2003). Religion and spirituality: Linkages to physical health. Am. Psychol. 58: 36–52.PubMedCrossRef

Ramirez, A. J., Westcombe, A. M., Burgess, C. C., Sutton, S., Littlejohns, P., and Richards, M. A. (1999). Factors predicting delayed presentation of symptomatic breast cancer: A systematic review. Lancet 353: 1127–1131.PubMedCrossRef

Richards, M. A., Westcombe, A. M., Love, S. B., Littlejohns, P., and Ramirez, A. J. (1999) Influence of delay on survival in patients with breast cancer: A systematic review. Lancet 353: 1119–1126.PubMedCrossRef

Richardson, J. L., Langholz, B., Bernstein, L., Burciaga, C., and Danley, K. (1992). Stage and delay in breast cancer diagnosis by race, socioeconomic status, age and year. Br. J. Cancer 65: 922–926.PubMed

Rosenstock, I. M. (1990) The health belief model: explaining health behavior through expectancies. In Glantz, K., Lewis, F. M., and Rimer, B. K. (Eds.), Health Behavior and Health Education: Theory, Research, and Practice, Jossey-Bass, San Francisco, pp. 39–62.

Thomas, V. N., Saleem, T., Abraham, R. (2005). Barriers to effective uptake of cancer screening among Black and minority ethnic groups. Int. J. Palliat. Nurs. 11: 564–571.

Tjemsland, L., and Soreide, J. A. (2004). Operable breast cancer patients with diagnostic delay – oncological and emotional characteristics. Eur. J. Surg. Oncol. 30: 721–727.PubMedCrossRef

van den Brink, R. H., Wit, H. P., Kempen, G. I., and van Heuvelen, M. J. (1996). Attitude and help-seeking for hearing impairment. Br. J. Audiol. 30: 313–324.PubMedCrossRef

Vernon, S. W., Tilley, B. C., Neale, A. V., and Steinfeldt, L. (1985). Ethnicity, survival, and delay in seeking treatment for symptoms of breast cancer. Cancer 55: 1563–1571.PubMedCrossRef

Wu, T. Y., West, B., Chen, Y. W., Hergert, C. (2006). Health beliefs and practices related to breast cancer screening in Filipino, Chinese and Asian-Indian women. Cancer Detect. Prev. [Epub ahead of print]/.

Titel: Medical and Psychosocial Predictors of Delay in Seeking Medical Consultation for Breast Symptoms in Women in a Public Sector Setting
Auteurs: Lois C. Friedman
Mamta Kalidas
Richard Elledge
Mario F. Dulay
Catherine Romero
Jenny Chang
Kathleen R. Liscum
Publicatiedatum: 01-08-2006
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 4/2006
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-006-9059-2

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 4/2006

Uncertainty of Illness Relationships with Mental Health and Coping Processes in Fibromyalgia Patients

Self-Report and Linguistic Indicators of Emotional Expression in Narratives as Predictors of Adjustment to Cancer

Effects of Spiritual Mantram Repetition on HIV Outcomes: A Randomized Controlled Trial

Stress, Age, and Immune Function: Toward a Lifespan Approach

Older Spouses’ Cortisol Responses to Marital Conflict: Associations With Demand/Withdraw Communication Patterns

Influence of Apologies and Trait Hostility on Recovery from Anger