Delayed Presentation of Self-discovered Breast Cancer Symptoms in Iranian Women: A Qualitative Study

作者：Khakbazan Zohreh; Taghipour Ali; Roudsari Robab Latifnejad^*; Mohammadi Eesa; Omranipour Ramesh

来源：Asian Pacific Journal of Cancer Prevention, 2014, 15(21): 9427-9432.

DOI：10.7314/APJCP.2014.15.21.9427

• Breast cancer
• delay
• Iran

Delayed presentation of symptomatic breast cancer is a public health issue in Iran, making a major contribution to low survival. Despite the importance of this problem, current knowledge is insufficient to inform interventions to shorten patient delay. The aim of this study was to explore factors influencing patient delay in Iranian women with self-discovered breast cancer symptom. Materials and Methods: This qualitative study was conducted during 2012-2013. Purposeful sampling was used to recruit 20 Iranian women with self-discovered symptoms of breast cancer who attended the Cancer Institute of Tehran University of Medical Sciences, Tehran, Iran. Data were collected through semi-structured in-depth audiotaped interviews, which were transcribed and analyzed using conventional content analysis with MAXqda software version 10. Findings: Content analysis of the data revealed four main themes related to the delay in seeking medical help including: 1) attributing symptoms to the benign conditions; 2) conditional health behavior; 3) inhibiting emotional expression; and 4) barriers to access to health care systems. Conclusions: These results suggest that patient delay is influenced by complex and multiple factors. Effective intervention to reduce patient delay for breast cancer should be developed by focusing on improvement of women%26apos;s medical knowledge, managing patients%26apos; emotional expression and reform of the referral system.

• 出版日期2014