A framework for improving early detection of breast cancer in sub-Saharan Africa: A qualitative study of help-seeking behaviors among Malawian women

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• 作者：Racquel E. Kohler ; PhD ; MSPH^a ; ^b ; ¹ ; ^{rkohler@email.unc.edu} ; Satish Gopal ; MD MPH^b ; ^c ; Anna R. Miller ; MPH^d ; Clara N. Lee ; MD MPP^c ; Bryce B. Reeve ; PhD^a ; ^c ; Bryan J. Weiner ; PhD^a ; ^c ; Stephanie B. Wheeler ; PhD MPH^a ; ^c
• 关键词：Breast cancer ; Breast symptoms ; Help-seeking behavior ; Early detection ; Delay ; Malawi ; Sub-Saharan Africa
• 刊名：Patient Education and Counseling
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：100
• 期：1
• 页码：167-173
• 全文大小：621 K
• 卷排序：100

文摘

This is the first study to describe the breast cancer help-seeking pathway in Africa. Malawian patients were largely unaware of breast cancer, which led to long delays. Complex individual, interpersonal, health system, and social factors affected access. The proposed framework identifies areas for interventions to improve early detection. A multi-level approach to improve breast cancer early detection is needed.