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Understanding the causes of breast cancer treatment delays at a teaching hospital in Ghana

Sanuade, OA; Ayettey, H; Hewlett, S; Dedey, F; Wu, L; Akingbola, T; Ogedegbe, G; (2021) Understanding the causes of breast cancer treatment delays at a teaching hospital in Ghana. Journal of Health Psychology , 26 (3) pp. 357-366. 10.1177/1359105318814152. Green open access

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Abstract

Poor outcomes for breast cancer in Ghana have been attributed to late presentation of symptoms at biomedical facilities. This study explored factors accounting for delays in initiation of breast cancer treatment at the Korle-Bu Teaching Hospital in Accra. Focus group discussions were conducted with 20 women with breast cancer. A theory-driven thematic analysis identified three multilevel factors influencing treatment seeking delays: (1) patient (e.g. misinterpretation of symptoms, fear), (2) healthcare provider (e.g. negative attitudes) and (3) health systems (e.g. shortage of medicines). Addressing treatment delays will require multilevel interventions, including culturally congruent education, psychosocial counselling/support and strengthening health systems.

Type: Article
Title: Understanding the causes of breast cancer treatment delays at a teaching hospital in Ghana
Open access status: An open access version is available from UCL Discovery
DOI: 10.1177/1359105318814152
Publisher version: https://doi.org/10.1177/1359105318814152
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Ghana, breast cancer, healthcare provider attitudes, healthcare systems, illness perception, treatment delays
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health > Infection and Population Health
UCL > Provost and Vice Provost Offices > UCL SLASH
UCL > Provost and Vice Provost Offices > UCL SLASH > Faculty of S&HS
UCL > Provost and Vice Provost Offices > UCL SLASH > Faculty of S&HS > SHS Faculty Office
UCL > Provost and Vice Provost Offices > UCL SLASH > Faculty of S&HS > SHS Faculty Office > UCL Institute for Advanced Studies
URI: https://discovery.ucl.ac.uk/id/eprint/10067865
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