Pathways to breast cancer diagnosis and treatment: exploring the social relations of diagnostic delay

Texto & Contexto - Enfermagem

Jan Angus²  Lawrence Paszat¹  Patricia Mckeever²  Anne Trebilcock¹  Farzina Shivji²  Beth Edwards² 

[1] ,University of Toronto Lawrence S. Bloomberg Faculty of Nursing Toronto Ontario ,Canada

关键词: Qualitative research;    Breast neoplasms;    Women's health;    Pesquisa qualitativa;    Neoplasias mamárias;    Saúde da mulher;    Investigación cualitativa;    Neoplasias de mama;    Salud de la mujer;   

DOI  :  10.1590/S0104-07072007000400002

来源: SciELO

【 摘 要 】

In epidemiological studies, inequitable access to breast cancer care aligns with such variables as income, age, education, ethnicity and residential location. These variables correspond to structural patterns of advantage and disadvantage, which in turn may constrain or facilitate timely access to care. The purpose of this study was to understand the complexities of women's pathways to diagnosis. Thirty-five women from diverse backgrounds and who had clinically detectable breast symptoms at time of diagnosis participated in semi-structured interviews. All were receiving or completing treatment when they participated. Data were analyzed using the strategies of induction, comparison and abduction. All of the participants described a variety of activities involved in seeking care for breast cancer. The findings illustrate how the social relations of health care, rather than simply patient or provider delay, may contribute barriers to timely diagnosis. We illustrate how women's widely differing social and material contexts offer opportunities and barriers to access.

【 授权许可】

CC BY   
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