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Article: Help-seeking patterns in Chinese women with symptoms of breast disease: A qualitative study

TitleHelp-seeking patterns in Chinese women with symptoms of breast disease: A qualitative study
Authors
KeywordsCancer
Health promotion
Health services
Issue Date2009
PublisherOxford University Press. The Journal's web site is located at http://jpubhealth.oxfordjournals.org/
Citation
Journal Of Public Health, 2009, v. 31 n. 1, p. 59-68 How to Cite?
AbstractBackgroundPrompt utilization of health services on detecting breast symptoms can improve breast cancer (BC) survival. Little is known about Chinese women's help-seeking behaviour. Our aim was to determine patterns of self-referral among Hong Kong Chinese women with self-detected breast symptoms.MethodsWe recruited 37 women awaiting their first consultation at public hospitals for breast symptoms. Interviews were transcribed and analysed based on the grounded theory approaches.ResultsA two-stage help-seeking model provided the best interpretation of the data. Symptom recognition was triggered by symptom interpretation, symptom progression and social messages. Painful lumps were seen as symptomatic, but atypical symptoms were often dismissed as benign as they responded to dietary change. Symptom intensification and discussions with someone who had faced BC prompted consultation. Service utilization involved fear of consequences, confirmation need, symptom distress, lay referral, media prompts and opportunistic presentation. Fearing cancer as incurable delayed consultation. Utilization barriers included cost, uncertainty about referral pathways, competing priorities and embarrassment. ConclusionsAtypical and painless presentation was more common among women delaying presentation. Barriers included cost, access, time and embarrassment. Education should emphasize atypical symptoms, the high-cure rate and the need for early presentation. Reduced cost and improved access to clinics would enhance early consultation.
Persistent Identifierhttp://hdl.handle.net/10722/60287
ISSN
2015 Impact Factor: 2.019
2015 SCImago Journal Rankings: 0.933
ISI Accession Number ID
Funding AgencyGrant Number
Health and Health Services Research Fund02030121
Health, Welfare and Food Bureau, Government of the Hong Kong Special Administrative Region
The People's Republic of China
Funding Information:

This study was funded by Health and Health Services Research Fund (project no. 02030121), Health, Welfare and Food Bureau, Government of the Hong Kong Special Administrative Region, The People's Republic of China.

References
Grants

 

DC FieldValueLanguage
dc.contributor.authorLam, WWTen_HK
dc.contributor.authorTsuchiya, Men_HK
dc.contributor.authorChan, Men_HK
dc.contributor.authorChan, SWWen_HK
dc.contributor.authorOr, Aen_HK
dc.contributor.authorFielding, Ren_HK
dc.date.accessioned2010-05-31T04:07:36Z-
dc.date.available2010-05-31T04:07:36Z-
dc.date.issued2009en_HK
dc.identifier.citationJournal Of Public Health, 2009, v. 31 n. 1, p. 59-68en_HK
dc.identifier.issn1741-3842en_HK
dc.identifier.urihttp://hdl.handle.net/10722/60287-
dc.description.abstractBackgroundPrompt utilization of health services on detecting breast symptoms can improve breast cancer (BC) survival. Little is known about Chinese women's help-seeking behaviour. Our aim was to determine patterns of self-referral among Hong Kong Chinese women with self-detected breast symptoms.MethodsWe recruited 37 women awaiting their first consultation at public hospitals for breast symptoms. Interviews were transcribed and analysed based on the grounded theory approaches.ResultsA two-stage help-seeking model provided the best interpretation of the data. Symptom recognition was triggered by symptom interpretation, symptom progression and social messages. Painful lumps were seen as symptomatic, but atypical symptoms were often dismissed as benign as they responded to dietary change. Symptom intensification and discussions with someone who had faced BC prompted consultation. Service utilization involved fear of consequences, confirmation need, symptom distress, lay referral, media prompts and opportunistic presentation. Fearing cancer as incurable delayed consultation. Utilization barriers included cost, uncertainty about referral pathways, competing priorities and embarrassment. ConclusionsAtypical and painless presentation was more common among women delaying presentation. Barriers included cost, access, time and embarrassment. Education should emphasize atypical symptoms, the high-cure rate and the need for early presentation. Reduced cost and improved access to clinics would enhance early consultation.en_HK
dc.languageengen_HK
dc.publisherOxford University Press. The Journal's web site is located at http://jpubhealth.oxfordjournals.org/en_HK
dc.relation.ispartofJournal of Public Healthen_HK
dc.rightsJournal of Public Health. Copyright © Oxford University Press.en_HK
dc.subjectCanceren_HK
dc.subjectHealth promotionen_HK
dc.subjectHealth servicesen_HK
dc.titleHelp-seeking patterns in Chinese women with symptoms of breast disease: A qualitative studyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1741-3842&volume=31&issue=1&spage=59&epage=68&date=2009&atitle=Help-seeking+patterns+in+Chinese+women+with+symptoms+of+breast+disease:+A+qualitative+studyen_HK
dc.identifier.emailLam, WWT:wwtlam@hku.hken_HK
dc.identifier.emailFielding, R:fielding@hku.hken_HK
dc.identifier.authorityLam, WWT=rp00443en_HK
dc.identifier.authorityFielding, R=rp00339en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1093/pubmed/fdn088en_HK
dc.identifier.scopuseid_2-s2.0-66649127080en_HK
dc.identifier.hkuros154901en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-66649127080&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume31en_HK
dc.identifier.issue1en_HK
dc.identifier.spage59en_HK
dc.identifier.epage68en_HK
dc.identifier.isiWOS:000263835600011-
dc.publisher.placeUnited Kingdomen_HK
dc.relation.projectFactors influencing delayed presentation of symptomatic breast cancer-
dc.identifier.scopusauthoridLam, WWT=7203022022en_HK
dc.identifier.scopusauthoridTsuchiya, M=26642774100en_HK
dc.identifier.scopusauthoridChan, M=7402597760en_HK
dc.identifier.scopusauthoridChan, SWW=26428668300en_HK
dc.identifier.scopusauthoridOr, A=8562756500en_HK
dc.identifier.scopusauthoridFielding, R=7102200484en_HK
dc.identifier.citeulike4784270-

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