Symptomatic presentation with cervical cancer in Uganda: a qualitative study assessing the pathways to diagnosis in a low-income country

BMC Women's Health
A D MwakaFiona M Walter

Abstract

Symptomatic cervical cancer patients in low- and middle-income countries usually present with late stage disease and have poor survival. We explored the views of cervical cancer patients on their symptom appraisal and interpretations, and their help-seeking including lay consultations. We conducted an in-depth interview study in two northern Ugandan hospitals. Theoretical models underpinned the study guide for data collection and analysis. We used thematic analysis techniques, informed by the theoretical concepts in the Model of Pathways to Treatment. Sub-themes and themes were identified through consensus among investigators. Eighteen women aged 35-56 years, recently diagnosed with cervical cancer were interviewed. Their first symptoms included abnormal vaginal bleeding, offensive vaginal discharge and lower abdominal pain. Most participants did not perceive themselves to be at risk for cervical cancer and they usually attributed the initial symptoms to normal bodily changes or common illnesses such as sexually transmitted diseases. Lay consultations with husbands, relatives and friends were common and often influenced decisions and timing for seeking care. Prompt help-seeking was frequently triggered by perceived life threate...Continue Reading

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Citations

Jan 29, 2019·Health Policy and Planning·Lucas C CarlsonEmilie J Calvello Hynes
Nov 22, 2019·Scandinavian Journal of Caring Sciences·Maryam Momeni, Forough Rafii
Sep 3, 2020·Human Resources for Health·Josaphat ByamugishaCharles Ibingira
Apr 8, 2020·Evidence-based Complementary and Alternative Medicine : ECAM·Timothy OmaraMargaret Chepkemoi Koske
Jul 25, 2020·Annals of Global Health·Alfred JathoNoleb Mugume Mugisha
Jan 7, 2021·JCO Global Oncology·Minjoung Monica KooGeorgios Lyratzopoulos
May 4, 2021·International Journal of Women's Health·Mercy-Nkuba NassaliBadani Moreri-Ntshabele

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