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

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

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

Suggested Citation

  • Jake W Sharp & Daniel S Hippe & Gertrude Nakigudde & Benjamin O Anderson & Zeridah Muyinda & Yamile Molina & John R Scheel, 2019. "Modifiable patient-related barriers and their association with breast cancer detection practices among Ugandan women without a diagnosis of breast cancer," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-13, June.
    • Handle: RePEc:plo:pone00:0217938
    DOI: 10.1371/journal.pone.0217938
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    1. World Bank, 2016. "The Uganda Poverty Assessment Report 2016," World Bank Publications - Reports 26075, The World Bank Group.
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