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Perceived barriers to timely treatment initiation and social support status among women with breast cancer in Ethiopia
Timely care is essential to increase breast cancer survival. However, patients in Ethiopia still face multilevel barriers on their pathway to timely treatment initiation. This cross-sectional study at Tikur Anbessa Specialized Hospital Oncology Unit in Addis Ababa assessed systemic treatment initiat...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8437283/ https://www.ncbi.nlm.nih.gov/pubmed/34516552 http://dx.doi.org/10.1371/journal.pone.0257163 |
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author | Teshome, Bethel Trabitzsch, Josephin Afework, Tsion Addissie, Adamu Kaba, Mirgissa Kantelhardt, Eva Johanna Getachew, Sefonias |
author_facet | Teshome, Bethel Trabitzsch, Josephin Afework, Tsion Addissie, Adamu Kaba, Mirgissa Kantelhardt, Eva Johanna Getachew, Sefonias |
author_sort | Teshome, Bethel |
collection | PubMed |
description | Timely care is essential to increase breast cancer survival. However, patients in Ethiopia still face multilevel barriers on their pathway to timely treatment initiation. This cross-sectional study at Tikur Anbessa Specialized Hospital Oncology Unit in Addis Ababa assessed systemic treatment initiation intervals of breast cancer patients and quantified the impact of socio-demographic and clinical factors, perceived barriers, and the patients´ perceived social support status on timely systemic treatment initiation (chemotherapy or hormonal therapy). A structured questionnaire was designed based on Pechansky´s “Concept of Access”. Applying simple and multivariate logistic regression we analysed the influence of patients´ characteristics as well as their perceived barriers on timely treatment initiation. We measured social support with the Multidimensional Score of Perceived Social Support (MSPSS) and used the Wilcoxon Rank-Sum Test to assess its relationship with timely treatment initiation. Of 196 patients included into the study, 53% received systemic treatment within 90 days of their pathological diagnosis–the median treatment initiation interval was 85 days (IQR 123.5). Older women and patients diagnosed at late stages had higher odds of timely treatment initiation. Not being able to pay for services and lack of transport were most often perceived as barriers towards timely care. However, none of the perceived barriers showed a substantial influence on timely treatment initiation in the multivariate regression model. The patients´ perceived social support was found to be high, with an average MSPSS score of 73 out of 84 (SD 13,63). No impact of the perceived social support status on timely treatment initiation was found. The percentage of breast cancer patients waiting longer than 90 days from pathological diagnosis to systemic treatment initiation in Ethiopia remains unacceptably high. While women generally feel well supported by their social environment, costs and accessibility of treatment are perceived to be major barriers towards timely treatment initiation. |
format | Online Article Text |
id | pubmed-8437283 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-84372832021-09-14 Perceived barriers to timely treatment initiation and social support status among women with breast cancer in Ethiopia Teshome, Bethel Trabitzsch, Josephin Afework, Tsion Addissie, Adamu Kaba, Mirgissa Kantelhardt, Eva Johanna Getachew, Sefonias PLoS One Research Article Timely care is essential to increase breast cancer survival. However, patients in Ethiopia still face multilevel barriers on their pathway to timely treatment initiation. This cross-sectional study at Tikur Anbessa Specialized Hospital Oncology Unit in Addis Ababa assessed systemic treatment initiation intervals of breast cancer patients and quantified the impact of socio-demographic and clinical factors, perceived barriers, and the patients´ perceived social support status on timely systemic treatment initiation (chemotherapy or hormonal therapy). A structured questionnaire was designed based on Pechansky´s “Concept of Access”. Applying simple and multivariate logistic regression we analysed the influence of patients´ characteristics as well as their perceived barriers on timely treatment initiation. We measured social support with the Multidimensional Score of Perceived Social Support (MSPSS) and used the Wilcoxon Rank-Sum Test to assess its relationship with timely treatment initiation. Of 196 patients included into the study, 53% received systemic treatment within 90 days of their pathological diagnosis–the median treatment initiation interval was 85 days (IQR 123.5). Older women and patients diagnosed at late stages had higher odds of timely treatment initiation. Not being able to pay for services and lack of transport were most often perceived as barriers towards timely care. However, none of the perceived barriers showed a substantial influence on timely treatment initiation in the multivariate regression model. The patients´ perceived social support was found to be high, with an average MSPSS score of 73 out of 84 (SD 13,63). No impact of the perceived social support status on timely treatment initiation was found. The percentage of breast cancer patients waiting longer than 90 days from pathological diagnosis to systemic treatment initiation in Ethiopia remains unacceptably high. While women generally feel well supported by their social environment, costs and accessibility of treatment are perceived to be major barriers towards timely treatment initiation. Public Library of Science 2021-09-13 /pmc/articles/PMC8437283/ /pubmed/34516552 http://dx.doi.org/10.1371/journal.pone.0257163 Text en © 2021 Teshome et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Teshome, Bethel Trabitzsch, Josephin Afework, Tsion Addissie, Adamu Kaba, Mirgissa Kantelhardt, Eva Johanna Getachew, Sefonias Perceived barriers to timely treatment initiation and social support status among women with breast cancer in Ethiopia |
title | Perceived barriers to timely treatment initiation and social support status among women with breast cancer in Ethiopia |
title_full | Perceived barriers to timely treatment initiation and social support status among women with breast cancer in Ethiopia |
title_fullStr | Perceived barriers to timely treatment initiation and social support status among women with breast cancer in Ethiopia |
title_full_unstemmed | Perceived barriers to timely treatment initiation and social support status among women with breast cancer in Ethiopia |
title_short | Perceived barriers to timely treatment initiation and social support status among women with breast cancer in Ethiopia |
title_sort | perceived barriers to timely treatment initiation and social support status among women with breast cancer in ethiopia |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8437283/ https://www.ncbi.nlm.nih.gov/pubmed/34516552 http://dx.doi.org/10.1371/journal.pone.0257163 |
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