Barriers to early presentation of self-discovered breast cancer in Singapore and Malaysia: a qualitative multicentre study

2.50
Hdl Handle:
http://hdl.handle.net/2436/620814
Title:
Barriers to early presentation of self-discovered breast cancer in Singapore and Malaysia: a qualitative multicentre study
Authors:
Lim, Jennifer N. W.; Potrata, Barbara; Simonella, Leonardo; Ng, Celene WQ; Aw, Tar-Ching; Dahlui, Maznah; Hartman, Mikael; Mazlan, Rifhan; Taib, Nur Aishah
Abstract:
Objective To explore and compare barriers to early presentation of self-discovered breast cancer in Singapore and Malaysia. Design A qualitative interview study with thematic analysis of transcripts. Participants 67 patients with self-discovered breast symptoms were included in the analysis. Of these, 36% were of Malay ethnicity, 39% were Chinese and 25% Indian, with an average age of 58 years (range 24–82 years). The number of women diagnosed at early stages of cancer almost equalled those at advanced stages. Approximately three-quarters presented with a painless lump, one-quarter experienced a painful lump and 10% had atypical symptoms. Setting University hospital setting in Singapore and Malaysia. Results Patients revealed barriers to early presentation not previously reported: the poor quality of online website information about breast symptoms, financial issues and the negative influence of relatives in both countries, while perceived poor quality of care and services in state-run hospitals and misdiagnosis by healthcare professionals were reported in Malaysia. The pattern of presentation by ethnicity remained unchanged where more Malay delayed help-seeking and had more advanced cancer compared to Chinese and Indian patients. Conclusions There are few differences in the pattern of presentation and in the reported barriers to seek medical care after symptom discovery between Singapore and Malaysia despite their differing economic status. Strategies to reduce delayed presentation are: a need to improve knowledge of disease, symptoms and causes, quality of care and services, and quality of online information; and addressing fear of diagnosis, treatment and hospitalisation, with more effort focused on the Malay ethnic group. Training is needed to avoid missed diagnoses and other factors contributing to delay among health professionals.
Citation:
Barriers to early presentation of self-discovered breast cancer in Singapore and Malaysia: a qualitative multicentre study 2015, 5 (12):e009863 BMJ Open
Publisher:
BMJ Publishing Group Ltd.
Journal:
BMJ Open
Issue Date:
21-Dec-2015
URI:
http://hdl.handle.net/2436/620814
DOI:
10.1136/bmjopen-2015-009863
Additional Links:
http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2015-009863
Type:
Article
Language:
en
ISSN:
2044-6055; 2044-6055
Appears in Collections:
FEHW

Full metadata record

DC FieldValue Language
dc.contributor.authorLim, Jennifer N. W.en
dc.contributor.authorPotrata, Barbaraen
dc.contributor.authorSimonella, Leonardoen
dc.contributor.authorNg, Celene WQen
dc.contributor.authorAw, Tar-Chingen
dc.contributor.authorDahlui, Maznahen
dc.contributor.authorHartman, Mikaelen
dc.contributor.authorMazlan, Rifhanen
dc.contributor.authorTaib, Nur Aishahen
dc.date.accessioned2017-10-30T16:54:49Z-
dc.date.available2017-10-30T16:54:49Z-
dc.date.issued2015-12-21-
dc.identifier.citationBarriers to early presentation of self-discovered breast cancer in Singapore and Malaysia: a qualitative multicentre study 2015, 5 (12):e009863 BMJ Openen
dc.identifier.issn2044-6055-
dc.identifier.issn2044-6055-
dc.identifier.doi10.1136/bmjopen-2015-009863-
dc.identifier.urihttp://hdl.handle.net/2436/620814-
dc.description.abstractObjective To explore and compare barriers to early presentation of self-discovered breast cancer in Singapore and Malaysia. Design A qualitative interview study with thematic analysis of transcripts. Participants 67 patients with self-discovered breast symptoms were included in the analysis. Of these, 36% were of Malay ethnicity, 39% were Chinese and 25% Indian, with an average age of 58 years (range 24–82 years). The number of women diagnosed at early stages of cancer almost equalled those at advanced stages. Approximately three-quarters presented with a painless lump, one-quarter experienced a painful lump and 10% had atypical symptoms. Setting University hospital setting in Singapore and Malaysia. Results Patients revealed barriers to early presentation not previously reported: the poor quality of online website information about breast symptoms, financial issues and the negative influence of relatives in both countries, while perceived poor quality of care and services in state-run hospitals and misdiagnosis by healthcare professionals were reported in Malaysia. The pattern of presentation by ethnicity remained unchanged where more Malay delayed help-seeking and had more advanced cancer compared to Chinese and Indian patients. Conclusions There are few differences in the pattern of presentation and in the reported barriers to seek medical care after symptom discovery between Singapore and Malaysia despite their differing economic status. Strategies to reduce delayed presentation are: a need to improve knowledge of disease, symptoms and causes, quality of care and services, and quality of online information; and addressing fear of diagnosis, treatment and hospitalisation, with more effort focused on the Malay ethnic group. Training is needed to avoid missed diagnoses and other factors contributing to delay among health professionals.en
dc.language.isoenen
dc.publisherBMJ Publishing Group Ltd.en
dc.relation.urlhttp://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2015-009863en
dc.rightsArchived with thanks to BMJ Openen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectbreast canceren
dc.subjectMalaysiaen
dc.subjectSingaporeen
dc.subjectfactors influencing presentationen
dc.subjectqualitative multi-centre studyen
dc.titleBarriers to early presentation of self-discovered breast cancer in Singapore and Malaysia: a qualitative multicentre studyen
dc.typeArticleen
dc.identifier.journalBMJ Openen
This item is licensed under a Creative Commons License
Creative Commons
All Items in WIRE are protected by copyright, with all rights reserved, unless otherwise indicated.