Factors associated to Late Diagnosis of Breast Cancer among women in Public and Private Hospital in Hawassa City, Southern Ethiopia
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Date
2018-05
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Addis Ababa Universty
Abstract
Introduction: Breast cancer is the most prevalent cancer among women globally and the second commonest cancer overall. In Africa, breast cancer was also the most commonly diagnosed cancer and the second leading cause of death. Ethiopian women typically present for care at a late stage in the disease.
Objective: To assess determinants of late stage diagnosis of patients with breast cancer in public and private Hospital of Hawassa Ethiopia, 2018.
Methodology: A facility based unmatched case control design mixed with qualitative study design conducted with a sample of 310 women who attend in public and private hospital of Hawassa Ethiopia. Random sampling technique used to select (155 cases and 155 controls) in two health facilities while two study facilities were selected using purposive sampling. A pretested structured questionnaire used to collect data and coded to enter into a data based and cleaned for any inconsistencies and missing values using STATA V 14.1 descriptive analysis to know the overall association of explanatory variables by examined by using multivariate logistic regression. Statistical significance declared if the P-value < 0.05.
Result: A total of 310 women involved in the study. The mean age of respondents was
43 years (+8).out of total participants 108(69.7%)controls and 110(71.0%)cases was indicated that lump was the first symptom. After adjustment for important risk factor for late stage diagnosis those women not having formal education (AOR= 4.35, 95% CI (1.61, 11.75), patient delay (AOR= 3.22, 95%CI (1.72, 6.01), health care provider delay(AOR= 2.67, 95%CI (1.47, 4.83) referral delay AOR= 2.25, 95%CI (1.27, 4.00)and total diagnostic delay AOR= 8.03, 95%CI (3.18, 20.28) was associated with late stage diagnosis.
Conclusion and recommendation. Late diagnosis of breast cancer was significantly associated with education, patient delay, health care provider’s delay, referral delay and total diagnostic delay. Hence attention should be given on symptom recognition, early diagnosis and treatment of breast cancer.
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Keywords
Breast cancer,commonest cancer overall