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Article: Waiting to see the doctor: Understanding appraisal and utilization components of consultation delay for new breast symptoms in Chinese women

TitleWaiting to see the doctor: Understanding appraisal and utilization components of consultation delay for new breast symptoms in Chinese women
Authors
Keywordsbreast cancer
breast symptoms
Chinese
patient delay
psychosocial factors
Issue Date2012
PublisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/5807
Citation
Psycho-Oncology, 2012, v. 21 n. 12, p. 1316-1323 How to Cite?
AbstractBackground Delayed consultation for potential cancer symptoms influences treatment outcomes and remains problematic. Delay components (Appraisal versus Utilization) and respective associations are poorly understood. Methods Eligible participants were Cantonese-speaking Chinese women, ≥21 years old, with self-discovered breast symptoms, recruited in surgical clinics before their first consultation, and naïve to their diagnosis. Overall 425/433 (98%) women completed a questionnaire on psychosocial, demographic and medical factors, how and when women discovered their breast symptom(s), and their subsequent decision making; 135/425 women (32%) were later diagnosed with breast cancer. Results Twenty-two per cent of women delayed >3 months before consultation. Women with breast cancer (28%) more often had prolonged delay than women with benign disease (19%). Attributing symptom to a non-cancerous condition, low fear on symptom discovery, not disclosing symptoms to others, and no prior breast symptom history predicted prolonged (>60 days) Appraisal Delay. Low fear on symptom discovery, seldom thinking about the symptom, and consultation for other reasons predicted prolonged (>14 days) Utilization Delay. Factors predicting Appraisal and Utilization Delays differentiated cancer from non-cancer groups. Conclusions Indecision over symptom meaning comprised the main component of Appraisal and Total Delay, suggesting that educational strategies targeting atypical symptoms should reduce avoidable delays following self-discovered breast symptoms. Copyright © 2011 John Wiley & Sons, Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/139759
ISSN
2015 Impact Factor: 3.256
2015 SCImago Journal Rankings: 1.904
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLi, WWYen_HK
dc.contributor.authorLam, WWTen_HK
dc.contributor.authorWong, JHFen_HK
dc.contributor.authorChiu, Aen_HK
dc.contributor.authorChan, Men_HK
dc.contributor.authorOr, Aen_HK
dc.contributor.authorKwong, Aen_HK
dc.contributor.authorSuen, Den_HK
dc.contributor.authorChan, SWWen_HK
dc.contributor.authorFielding, Ren_HK
dc.date.accessioned2011-09-23T05:55:21Z-
dc.date.available2011-09-23T05:55:21Z-
dc.date.issued2012en_HK
dc.identifier.citationPsycho-Oncology, 2012, v. 21 n. 12, p. 1316-1323en_HK
dc.identifier.issn1057-9249en_HK
dc.identifier.urihttp://hdl.handle.net/10722/139759-
dc.description.abstractBackground Delayed consultation for potential cancer symptoms influences treatment outcomes and remains problematic. Delay components (Appraisal versus Utilization) and respective associations are poorly understood. Methods Eligible participants were Cantonese-speaking Chinese women, ≥21 years old, with self-discovered breast symptoms, recruited in surgical clinics before their first consultation, and naïve to their diagnosis. Overall 425/433 (98%) women completed a questionnaire on psychosocial, demographic and medical factors, how and when women discovered their breast symptom(s), and their subsequent decision making; 135/425 women (32%) were later diagnosed with breast cancer. Results Twenty-two per cent of women delayed >3 months before consultation. Women with breast cancer (28%) more often had prolonged delay than women with benign disease (19%). Attributing symptom to a non-cancerous condition, low fear on symptom discovery, not disclosing symptoms to others, and no prior breast symptom history predicted prolonged (>60 days) Appraisal Delay. Low fear on symptom discovery, seldom thinking about the symptom, and consultation for other reasons predicted prolonged (>14 days) Utilization Delay. Factors predicting Appraisal and Utilization Delays differentiated cancer from non-cancer groups. Conclusions Indecision over symptom meaning comprised the main component of Appraisal and Total Delay, suggesting that educational strategies targeting atypical symptoms should reduce avoidable delays following self-discovered breast symptoms. Copyright © 2011 John Wiley & Sons, Ltd.en_HK
dc.languageengen_US
dc.publisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/5807en_HK
dc.relation.ispartofPsycho-Oncologyen_HK
dc.subjectbreast canceren_HK
dc.subjectbreast symptomsen_HK
dc.subjectChineseen_HK
dc.subjectpatient delayen_HK
dc.subjectpsychosocial factorsen_HK
dc.titleWaiting to see the doctor: Understanding appraisal and utilization components of consultation delay for new breast symptoms in Chinese womenen_HK
dc.typeArticleen_HK
dc.identifier.emailLam, WWT: wwtlam@hku.hken_HK
dc.identifier.emailKwong, A: avakwong@hkucc.hku.hken_HK
dc.identifier.emailFielding, R: fielding@hku.hken_HK
dc.identifier.authorityLam, WWT=rp00443en_HK
dc.identifier.authorityKwong, A=rp01734en_HK
dc.identifier.authorityFielding, R=rp00339en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1002/pon.2038en_HK
dc.identifier.pmid23208839-
dc.identifier.scopuseid_2-s2.0-84870489366en_HK
dc.identifier.hkuros194562en_US
dc.identifier.hkuros212681-
dc.identifier.hkuros217106-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-84870489366&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume21en_HK
dc.identifier.issue12en_HK
dc.identifier.spage1316en_HK
dc.identifier.epage1323en_HK
dc.identifier.eissn1099-1611-
dc.identifier.isiWOS:000311973600008-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridLi, WWY=54921763400en_HK
dc.identifier.scopusauthoridLam, WWT=7203022022en_HK
dc.identifier.scopusauthoridWong, JHF=48462150400en_HK
dc.identifier.scopusauthoridChiu, A=48461038000en_HK
dc.identifier.scopusauthoridChan, M=7402597760en_HK
dc.identifier.scopusauthoridOr, A=8562756500en_HK
dc.identifier.scopusauthoridKwong, A=8913654300en_HK
dc.identifier.scopusauthoridSuen, D=8876971300en_HK
dc.identifier.scopusauthoridChan, SWW=26428668300en_HK
dc.identifier.scopusauthoridFielding, R=7102200484en_HK

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