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학술저널
저자정보
Ghazali, Sumarni Mohd (Epidemiology and Biostatistics Unit, Institute for Medical Research) Othman, Zabedah (Radiotherapy and Oncology Department, Kuala Lumpur Hospital) Cheong, Kee Chee (Epidemiology and Biostatistics Unit, Institute for Medical Research) Lim, Kuang Hock (Institute for Public Health) Wan Mahiyuddin, Wan Rozita (Epidemiology and Biostatistics Unit, Institute for Medical Research) Kamaluddin, Muhammad Amir (Environmental Health Research Centre, Institute for Medical Research) Yusoff, Ahmad Faudzi (Epidemiology and Biostatistics Unit, Institute for Medical Research) Mustafa, Amal Nasir (Epidemiology and Biostatistics Unit, Institute for Medical Research)
저널정보
아시아태평양암예방학회 Asian Pacific journal of cancer prevention : APJCP Asian Pacific journal of cancer prevention : APJCP 제14권 제2호
발행연도
2013.1
수록면
1,141 - 1,145 (5page)

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Delay in seeking treatment for breast cancer is a barrier to the early diagnosis and management of the disease, resulting in a poorer prognosis. We here estimated the prevalence of delayed presentation for breast cancer and identified possible influential sociodemographic factors in a cross-sectional study of 250 patients diagnosed with primary breast cancer at the Radiotherapy and Oncology Clinic in Kuala Lumpur Hospital. Data were collected by face-to-face interview using a structured questionnaire and from medical records. We examined associations between delayed presentation (presenting to a physician more than 3 months after self-discovery of a symptom) and sociodemographic characteristics, practice of breast self examination (BSE), history of benign breast disease, family history of breast cancer and type of symptom, symptom disclosure and advice from others to seek treatment using multiple logistic regression. Time from self-discovery of symptom to presentation ranged from tghe same day to 5 years. Prevalence of delayed presentation was 33.1% (95%CI: 27.4, 39.3). A significantly higher proportion of delayers presented with late stages (stage III/IV) (58.3% vs. 26.9%, p<0.001). Divorced or widowed women (OR: 2.23, 95% CI: 1.11, 4.47) had a higher risk of delayed presentation than married women and women who never performed breast self examination were more likely to delay presentation compared to those who regularly performed BSE (OR: 2.74, 95% CI: 1.33, 5.64). Our findings indicate that delayed presentation for breast cancer symptoms among Malaysian women is high and that marital status and breast self examination play major roles in treatment-seeking for breast cancer symptoms.

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