Determinants of Patient Delay in Seeking Diagnosis and Treatment among Moroccan Women with Cervical Cancer
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 p...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2016-01-01
|
| Series: | Obstetrics and Gynecology International |
| Online Access: | http://dx.doi.org/10.1155/2016/4840762 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832555938328870912 |
|---|---|
| author | Fatima Ouasmani Zaki Hanchi Bouchra Haddou Rahou Rachid Bekkali Samir Ahid Abdelhalem Mesfioui |
| author_facet | Fatima Ouasmani Zaki Hanchi Bouchra Haddou Rahou Rachid Bekkali Samir Ahid Abdelhalem Mesfioui |
| author_sort | Fatima Ouasmani |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-a1cdc66c0a454e73ba682674a09caa84 |
| institution | Kabale University |
| issn | 1687-9589 1687-9597 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Obstetrics and Gynecology International |
| spelling | doaj-art-a1cdc66c0a454e73ba682674a09caa842025-02-03T05:46:44ZengWileyObstetrics and Gynecology International1687-95891687-95972016-01-01201610.1155/2016/48407624840762Determinants of Patient Delay in Seeking Diagnosis and Treatment among Moroccan Women with Cervical CancerFatima Ouasmani0Zaki Hanchi1Bouchra Haddou Rahou2Rachid Bekkali3Samir Ahid4Abdelhalem Mesfioui5Laboratory of Genetic, Neuroendocrinology and Biotechnology, Faculty of Sciences, Ibn Tofail University, Kenitra, MoroccoNational Institute of Oncology, Rabat, MoroccoLaboratory of Genetic, Neuroendocrinology and Biotechnology, Faculty of Sciences, Ibn Tofail University, Kenitra, MoroccoLalla Salma Foundation-Prevention and Treatment of Cancers, Rabat, MoroccoLaboratory of Epidemiology and Clinical Research, Medical and Pharmacy School, Mohammed V University, Rabat, MoroccoLaboratory of Genetic, Neuroendocrinology and Biotechnology, Faculty of Sciences, Ibn Tofail University, Kenitra, MoroccoIntroduction. 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.http://dx.doi.org/10.1155/2016/4840762 |
| spellingShingle | Fatima Ouasmani Zaki Hanchi Bouchra Haddou Rahou Rachid Bekkali Samir Ahid Abdelhalem Mesfioui Determinants of Patient Delay in Seeking Diagnosis and Treatment among Moroccan Women with Cervical Cancer Obstetrics and Gynecology International |
| title | Determinants of Patient Delay in Seeking Diagnosis and Treatment among Moroccan Women with Cervical Cancer |
| title_full | Determinants of Patient Delay in Seeking Diagnosis and Treatment among Moroccan Women with Cervical Cancer |
| title_fullStr | Determinants of Patient Delay in Seeking Diagnosis and Treatment among Moroccan Women with Cervical Cancer |
| title_full_unstemmed | Determinants of Patient Delay in Seeking Diagnosis and Treatment among Moroccan Women with Cervical Cancer |
| title_short | Determinants of Patient Delay in Seeking Diagnosis and Treatment among Moroccan Women with Cervical Cancer |
| title_sort | determinants of patient delay in seeking diagnosis and treatment among moroccan women with cervical cancer |
| url | http://dx.doi.org/10.1155/2016/4840762 |
| work_keys_str_mv | AT fatimaouasmani determinantsofpatientdelayinseekingdiagnosisandtreatmentamongmoroccanwomenwithcervicalcancer AT zakihanchi determinantsofpatientdelayinseekingdiagnosisandtreatmentamongmoroccanwomenwithcervicalcancer AT bouchrahaddourahou determinantsofpatientdelayinseekingdiagnosisandtreatmentamongmoroccanwomenwithcervicalcancer AT rachidbekkali determinantsofpatientdelayinseekingdiagnosisandtreatmentamongmoroccanwomenwithcervicalcancer AT samirahid determinantsofpatientdelayinseekingdiagnosisandtreatmentamongmoroccanwomenwithcervicalcancer AT abdelhalemmesfioui determinantsofpatientdelayinseekingdiagnosisandtreatmentamongmoroccanwomenwithcervicalcancer |