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Determinants of Patient Delay in Seeking Diagnosis and Treatment among Moroccan Women with Cervical Cancer
- Source :
- Obstetrics and Gynecology International, Obstetrics and Gynecology International, Vol 2016 (2016)
- Publication Year :
- 2016
- Publisher :
- Hindawi Publishing Corporation, 2016.
-
Abstract
- Introduction. This study sought to investigate potential determinants of patient delay among Moroccan women with cervical cancer. Methods. A cross-sectional study was conducted from June 2014 to June 2015 at the National Institute of Oncology in Rabat. Data were collected using questionnaire among patients with cervical cancer locally advanced or metastatic (stages IIA–IVB). Medical records were abstracted to complete clinical information. An interval longer than 90 days between discovery of initial symptoms and presentation to a provider was defined as a patient delay. Results. Four hundred and one patients with cervical cancer enrolled in this study. The mean age was 52.4 years (SD = 11.5). 53.6% were illiterate. Abnormal vaginal bleeding was identified for 65.8% of patients. 60.1% were diagnosed at stages IIA-IIB. 55.4% were found having patient delay. The regression analyses showed the association between literacy (p<0.001), distance of the place of the first consultation (p=0.031), abnormal vaginal bleeding as an earlier symptom (p<0.001), stage at diagnosis (p<0.03), knowledge of symptoms (p<0.001), knowledge of causes (p=0.008), and practice of gynecological exam during the last three years (p=0.018) and the patient delay. Conclusion. Educational messages should aim at increasing awareness of cervical cancer, assisting women in symptom recognition, and encouraging earlier presentation.
- Subjects :
- medicine.medical_specialty
Article Subject
Cross-sectional study
Population
MEDLINE
lcsh:Gynecology and obstetrics
03 medical and health sciences
0302 clinical medicine
Internal medicine
Medicine
Vaginal bleeding
030212 general & internal medicine
education
lcsh:RG1-991
Gynecology
Cervical cancer
education.field_of_study
business.industry
Medical record
Obstetrics and Gynecology
Cancer
medicine.disease
030220 oncology & carcinogenesis
Presentation (obstetrics)
medicine.symptom
business
Research Article
Subjects
Details
- Language :
- English
- ISSN :
- 16879589
- Database :
- OpenAIRE
- Journal :
- Obstetrics and Gynecology International
- Accession number :
- edsair.doi.dedup.....2096c6c08b278842fddc8a10a89a5a85
- Full Text :
- https://doi.org/10.1155/2016/4840762