Psychosocial effects of mastectomy on married African women in Northwestern Nigeria

Odigie, V I; Tanaka, Rika; Yusufu, L. M. D.; Gomna, Alexander; Odigie, E. C.; Dawotola, D.; Margaritoni, Marko

doi:10.1002/pon.1675

Cited by 48 publications

(48 citation statements)

References 14 publications

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“…Costs of care [18] or lack of awareness of health care coverage [19] can also be an impediment to women seeking medical care especially since costs of a biopsy, pathology, surgery, radiotherapy and chemotherapy often need to be covered by the patients. Finally, there are reports that women avoid medical care because of a fear of mastectomy [8, 20], especially given documented instances of husbands leaving their wives after such procedures [21]. …”

Section: Discussionmentioning

confidence: 99%

Factors contributing to delays in diagnosis of breast cancers in Ghana, West Africa

Brinton

Figueroa

Adjei

et al. 2016

Breast Cancer Res Treat

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Background Late diagnoses and poor prognoses of breast cancer are common throughout Africa. Methods To identify responsible factors, we utilized data from a population-based case-control study involving 1,184 women with breast malignancies conducted in three hospitals in Accra and Kumasi, Ghana. Interviews focused on potential breast cancer risk factors as well as factors that might contribute to presentation delays. We calculated odds ratios (OR) and 95% confidence intervals (CI) comparing malignances with biopsy masses larger than 5 cm. (62.4% of the 1,027 cases with measurable lesions) to smaller lesions. Results In multivariate analyses, strong predictors of larger masses were limited education (OR=1.96, 95% CI 1.32–2.90

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Section: Discussionmentioning

confidence: 99%

Factors contributing to delays in diagnosis of breast cancers in Ghana, West Africa

Brinton

Figueroa

Adjei

et al. 2016

Breast Cancer Res Treat

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“…The existing literature emphasizes the female breast as a symbol of femininity and womanliness. Women characterize the loss of a breast as deprivation of womanhood or identity (28)(29)(30)(31). Some of the participants in our study declared that after mastectomy they could not do housework or work in the garden, and this situation made them feel empty and inadequate.…”

Section: My Body Imagementioning

confidence: 93%

Body Image of Women with Breast Cancer After Mastectomy: A Qualitative Research

2016

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“…Delays in seeking treatment may reflect a sense of hopelessness and fatalism [63], particularly given that many women’s experience with breast cancer has involved a death by a close family member or friend. Fear of mastectomy remains a prominent barrier to timely treatment [60, 64], particularly given that husbands often leave their wives following such surgery [65]. These delays are unfortunate, as it has been estimated that earlier detection methods could increase survival rates in sub-Saharan Africa for one third of cancer patients [3].…”

Section: Access To Carementioning

confidence: 99%

Breast cancer in Sub-Saharan Africa: opportunities for prevention

Brinton

Figueroa

Awuah

et al. 2014

Breast Cancer Res Treat

173

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Purpose Although breast cancer is a growing health problem in sub-Saharan Africa, reasons for its increased occurrence remain unclear. Methods We reviewed published literature to determine the magnitude of the increase in breast cancer, associated risk factors (including for breast cancer subtypes), and ways to reduce incidence and mortality. Results Some of the increased breast cancer occurrence likely reflects that women are living longer and adopting lifestyles that favor higher incidence rates. However, a greater proportion of breast cancers occur among premenopausal women as compared to elsewhere, which may reflect unique risk factors. Breast cancers diagnosed among African women reportedly include a disproportionate number of poor prognosis tumors, including hormone receptor negative, triple negative and core basal phenotype tumors. However, it is unclear how lack of standardized methods for tissue collection, fixation and classification contribute to these rates. Given appropriate classifications, it will be of interest to compare rates with other populations and to identify risk factors that relate to specific tumor subtypes. This includes not only risk factors that have been recognized in other populations but some that may play unique roles among African women, such as genetic factors, microbiomata, xenoestrogens, hair relaxers and skin lighteners. Conclusions With limited opportunities for effective treatment, a focus is needed on identifying etiologic factors that may be amenable to intervention. It will also be essential to understand reasons why women delay seeking care after the onset of symptoms and for there to be educational campaigns about the importance of early detection.

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Psychosocial effects of mastectomy on married African women in Northwestern Nigeria

Cited by 48 publications

References 14 publications

Factors contributing to delays in diagnosis of breast cancers in Ghana, West Africa

Factors contributing to delays in diagnosis of breast cancers in Ghana, West Africa

Body Image of Women with Breast Cancer After Mastectomy: A Qualitative Research

Breast cancer in Sub-Saharan Africa: opportunities for prevention

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