Do perceived barriers to clinical presentation affect anticipated time to presenting with cancer symptoms: an ICBP study

Donnelly, Conan; Quaife, Samantha L; Forbes, Lindsay; Boylan, Jackie; Tishelman, Carol; Gavin, Anna

doi:10.1093/eurpub/ckx064

Cited by 16 publications

(9 citation statements)

References 24 publications

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“…A significant contributor to disease burden and mortality in low- and middle-income countries is late presentation for diagnosis and treatment [ 43 , 44 ]. Difficulties to access treatment, financial burden of medical care and negative beliefs associated with a cancer diagnosis might all contribute to a delay in diagnosis [ 18 , 27 , 43 , 45 – 47 ]. Negative beliefs may be fueled by shared local experiences as well as poor knowledge of treatment options and outcomes [ 18 , 45 , 48 ].…”

Section: Discussionmentioning

confidence: 99%

Awareness of ovarian cancer risk and protective factors: A national cross-sectional study from Palestine

et al. 2022

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Introduction Having a good awareness of ovarian cancer (OC) risk and protective factors could facilitate early diagnosis. This study aimed to assess Palestinian women’s awareness about OC risk and protective factors and to identify the factors associated with having good awareness. Methods A cross-sectional study was conducted from July 2019 to March 2020 in the two main areas of Palestine: the West Bank and Jerusalem (WBJ) and the Gaza Strip. A translated-into-Arabic version of the validated OC awareness measure was utilized. Adult women attending hospitals, primary healthcare centers, and public spaces at 11 governorates were invited to participate. The awareness level was categorized based on the number of factors recognized: poor (0 to 5), fair (6 to 10) and good (11 to 15). Results Of the 6095 women approached, 5618 agreed and completed the questionnaire (response rate = 92.1%). The final analysis included 5411 questionnaires. The most identified modifiable OC risk factor was ‘being a smoker’ (n = 4024, 74.4%), whereas the least identified was ‘having in vitro fertilization treatment’ (n = 1652, 30.5%). The most identified non-modifiable OC risk factor was ‘having ovarian cysts’ (n = 3136, 58.0%), whereas the least identified was ‘having endometriosis’ (n = 1880, 34.7%). The most identified OC protective factor was ‘breastfeeding’ (n = 4770, 88.2%), whereas the least identified was ‘using the pill for a long time’ (n = 930, 17.2%). Only 820 women (15.2%) displayed good awareness of OC risk and protective factors. Women from the Gaza Strip were slightly more likely than women from the WBJ to have good awareness (16.4% vs. 14.2%). In contrast, post-secondary education, higher monthly income, being married, and knowing someone with cancer were associated with an increase in the likelihood of displaying good awareness. Conclusion The overall awareness of OC risk and protective factors in this study was low. Educational interventions are needed to improve Palestinian women’s awareness.

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Section: Discussionmentioning

confidence: 99%

Awareness of ovarian cancer risk and protective factors: A national cross-sectional study from Palestine

et al. 2022

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“…Instruments used to measure symptom knowledge included the Cancer Awareness Measure (CAM) Robb et al, 2009;Waller et al, 2009), the Awareness and Beliefs about Cancer (ABC) measure (Donnelly et al, 2017), the Knowledge of Cancer Warning Signs Inventory (KCWSI) , the Identity subscale of the Illness Perception Questionnaire (IPQ) , and other diverse scales, including self-generated items. All but one study measured objective symptom knowledge (correct vs. incorrect recognition of symptoms as potentially indicative of cancer); the remaining study measured self-reported symptom knowledge before diagnosis .…”

Section: Symptom Knowledge (K=31)mentioning

confidence: 99%

“…The remaining studies measured beliefs about the curability of cancer or the benefits of early detection and treatment. Among the scales used were the Awareness and Beliefs about Cancer (ABC) measure (Donnelly et al, 2017), items from the Cure/control subscale from the Illness Perception Questionnaire , the Power Fatalism Inventory , and selfgenerated items. For the purpose of analyses, the results were expressed such that a higher score reflected more positive beliefs (one-point change in the used scale).…”

Section: Cancer Beliefs (K=18)mentioning

confidence: 99%

Psychological factors related to time to help-seeking for cancer symptoms: a meta-analysis across cancer sites

Petrova

Okan

Salamanca-Fernández

et al. 2019

Health Psychology Review

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The time patients wait before seeking help for cancer symptoms is among the most important factors contributing to diagnostic delays in cancer. We reviewed the association between time to help-seeking and three psychological factors: symptom knowledge, symptom interpretation, and beliefs about cancer (Prospero review protocol CRD42018088944). Forty-seven studies published between 1990 and 2019 met the inclusion criteria, providing data on 44,961 participants from 22 countries concerning seven cancer sites. A series of random-effects meta-analyses and meta-regressions were conducted. Better symptom knowledge was related to lower odds of a long help-seeking interval in both studies with healthy populations (OR=.73, 95% CI [.63, .84], k=19) and with patients (OR=.40, 95% CI [.23, .69], k=12), and so was interpreting experienced symptoms as cancer-related (OR=.52, 95% CI [.36, .75], k=13 studies with patients). More positive beliefs about cancer (i.e., that cancer is treatable) were associated with lower odds of a long help-seeking interval in both studies with healthy populations (OR=.70, 95% CI [.52, .92], k=11) and with patients (OR=.51, 95% CI [.32, .82], k=7). Symptom knowledge, interpretation, and beliefs about cancer are likely to be universal predictors of help-seeking. Theoretical models of patient help-seeking and interventions aiming to reduce delays should incorporate these factors.

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“…Factors such as access to health care and education also play a part in the decision to initiate help-seeking. Barriers such as financial concerns, lack of information online, perceived poor quality of care, negative influence of relatives, being too busy, fear and embarrassment appear to merit attention in terms of improving understanding about anticipated time to help-seeking for cancer [37][38][39].…”

Section: Discussionmentioning

confidence: 99%

Anticipated delay in help-seeking for cancer symptoms: Findings from a nationwide study of Malaysian adults

Schliemann

Ismail

Donnelly

et al. 2021

Cancer Epidemiology

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Do perceived barriers to clinical presentation affect anticipated time to presenting with cancer symptoms: an ICBP study

Abstract: Perceived barriers to help-seeking have a role in delaying GP presentation. Early diagnosis campaigns should address emotional and practical barriers that reduce early presentation with potential cancer symptoms.

Cited by 16 publications

References 24 publications

Awareness of ovarian cancer risk and protective factors: A national cross-sectional study from Palestine

Awareness of ovarian cancer risk and protective factors: A national cross-sectional study from Palestine

Psychological factors related to time to help-seeking for cancer symptoms: a meta-analysis across cancer sites

Anticipated delay in help-seeking for cancer symptoms: Findings from a nationwide study of Malaysian adults

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