Cynthia Mwachande, Dorothy Adong Olet, Stanley Wilson Acuda, Mwandida Matilda Nkhoma, Germanus Natuhwera
{"title":"影响宫颈癌患者迟来就诊的社会文化因素：一项定性探索性研究。","authors":"Cynthia Mwachande, Dorothy Adong Olet, Stanley Wilson Acuda, Mwandida Matilda Nkhoma, Germanus Natuhwera","doi":"10.1002/pon.70229","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Malawi has the highest cervical cancer mortality rates in the world. Late presentation for care associated with late diagnosis and poor survival rates remain a huge issue. Research into social and cultural factors and how these influence women's access to early healthcare in Malawi is still scanty.</p><p><strong>Objective: </strong>This study aimed to explore sociocultural factors that influence late presentation for healthcare among cervical cancer patients at Zomba Central Hospital, Malawi.</p><p><strong>Methods: </strong>This qualitative exploratory descriptive study recruited purposively selected women with advanced cancer of the cervix attending Zomba Central Hospital in Southeastern Malawi. Data were collected through one-on-one audio-taped interviews using a pilot-tested semi-structured interview guide. Thematic data analysis was used. Data saturation was reached at the 21<sup>st</sup> interview.</p><p><strong>Results: </strong>21 patients living with cervical cancer participated. Two broad domains and six main themes; three themes under each domain emerged: Domain 1: Sociocultural barriers (knowledge gap about cervical cancer, influence of culture and social networks, poverty and financial cost as a barrier) and Domain 2: Healthcare system-related barriers (access barriers related to limited health (cancer) care services, delays in the healthcare and referral system, human resource and knowledge gaps among health professionals).</p><p><strong>Conclusion: </strong>All the participants in this study narrated that they presented late when the cancer was already advanced with no possibility of cure. Ignorance about cervical cancer was common to all the participants in this study and appeared to be a wider sociocultural issue. There is an urgent need for multistakeholder and multicultural involvement and strengthening mass education of the community about cancer to improve awareness, destigmatize cancer, and dispel harmful cultural beliefs and practices regarding causes and treatment of cervical cancer. Training of health professionals at all levels about early detection and effective referral pathways is also urgent.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 7","pages":"e70229"},"PeriodicalIF":3.5000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Sociocultural Factors Influencing Late Presentation for Health Care Among Cervical Cancer Patients: A Qualitative Exploratory Study.\",\"authors\":\"Cynthia Mwachande, Dorothy Adong Olet, Stanley Wilson Acuda, Mwandida Matilda Nkhoma, Germanus Natuhwera\",\"doi\":\"10.1002/pon.70229\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Malawi has the highest cervical cancer mortality rates in the world. Late presentation for care associated with late diagnosis and poor survival rates remain a huge issue. Research into social and cultural factors and how these influence women's access to early healthcare in Malawi is still scanty.</p><p><strong>Objective: </strong>This study aimed to explore sociocultural factors that influence late presentation for healthcare among cervical cancer patients at Zomba Central Hospital, Malawi.</p><p><strong>Methods: </strong>This qualitative exploratory descriptive study recruited purposively selected women with advanced cancer of the cervix attending Zomba Central Hospital in Southeastern Malawi. Data were collected through one-on-one audio-taped interviews using a pilot-tested semi-structured interview guide. Thematic data analysis was used. Data saturation was reached at the 21<sup>st</sup> interview.</p><p><strong>Results: </strong>21 patients living with cervical cancer participated. Two broad domains and six main themes; three themes under each domain emerged: Domain 1: Sociocultural barriers (knowledge gap about cervical cancer, influence of culture and social networks, poverty and financial cost as a barrier) and Domain 2: Healthcare system-related barriers (access barriers related to limited health (cancer) care services, delays in the healthcare and referral system, human resource and knowledge gaps among health professionals).</p><p><strong>Conclusion: </strong>All the participants in this study narrated that they presented late when the cancer was already advanced with no possibility of cure. Ignorance about cervical cancer was common to all the participants in this study and appeared to be a wider sociocultural issue. There is an urgent need for multistakeholder and multicultural involvement and strengthening mass education of the community about cancer to improve awareness, destigmatize cancer, and dispel harmful cultural beliefs and practices regarding causes and treatment of cervical cancer. Training of health professionals at all levels about early detection and effective referral pathways is also urgent.</p>\",\"PeriodicalId\":20779,\"journal\":{\"name\":\"Psycho‐Oncology\",\"volume\":\"34 7\",\"pages\":\"e70229\"},\"PeriodicalIF\":3.5000,\"publicationDate\":\"2025-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psycho‐Oncology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/pon.70229\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ONCOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psycho‐Oncology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/pon.70229","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ONCOLOGY","Score":null,"Total":0}
Sociocultural Factors Influencing Late Presentation for Health Care Among Cervical Cancer Patients: A Qualitative Exploratory Study.
Introduction: Malawi has the highest cervical cancer mortality rates in the world. Late presentation for care associated with late diagnosis and poor survival rates remain a huge issue. Research into social and cultural factors and how these influence women's access to early healthcare in Malawi is still scanty.
Objective: This study aimed to explore sociocultural factors that influence late presentation for healthcare among cervical cancer patients at Zomba Central Hospital, Malawi.
Methods: This qualitative exploratory descriptive study recruited purposively selected women with advanced cancer of the cervix attending Zomba Central Hospital in Southeastern Malawi. Data were collected through one-on-one audio-taped interviews using a pilot-tested semi-structured interview guide. Thematic data analysis was used. Data saturation was reached at the 21st interview.
Results: 21 patients living with cervical cancer participated. Two broad domains and six main themes; three themes under each domain emerged: Domain 1: Sociocultural barriers (knowledge gap about cervical cancer, influence of culture and social networks, poverty and financial cost as a barrier) and Domain 2: Healthcare system-related barriers (access barriers related to limited health (cancer) care services, delays in the healthcare and referral system, human resource and knowledge gaps among health professionals).
Conclusion: All the participants in this study narrated that they presented late when the cancer was already advanced with no possibility of cure. Ignorance about cervical cancer was common to all the participants in this study and appeared to be a wider sociocultural issue. There is an urgent need for multistakeholder and multicultural involvement and strengthening mass education of the community about cancer to improve awareness, destigmatize cancer, and dispel harmful cultural beliefs and practices regarding causes and treatment of cervical cancer. Training of health professionals at all levels about early detection and effective referral pathways is also urgent.
期刊介绍：
Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology.
This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues.
Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.
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