Financial barriers to utilization of screening and treatment services for breast cancer: an equity analysis in Nigeria
To determine financial barriers that impede the utilization of screening and treatment services for breast cancer among Nigerian women from different socioeconomic groups. A descriptive study was carried out in 2013 among women attending the oncology clinic of a tertiary institution in Enugu, Southe...
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| Veröffentlicht in: | Nigerian journal of clinical practice 2015-03, Vol.18 (2), p.287-291 |
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| creator | Okoronkwo, I L Ejike-Okoye, P Chinweuba, A U Nwaneri, A C |
| description | To determine financial barriers that impede the utilization of screening and treatment services for breast cancer among Nigerian women from different socioeconomic groups.
A descriptive study was carried out in 2013 among women attending the oncology clinic of a tertiary institution in Enugu, Southeast Nigeria. Data were collected from 270 women using an interviewer-administered questionnaire. The links between the influence of socioeconomic factors on barriers to the utilization of breast cancer screening and treatment services were examined.
A total of 270 women were studied. The mean age was 34.69 (Standard deviation = 5.07) years. Half of the study participants were single 141 (51.3%), while 105 (38.2%) were married. Cost of medical treatment and not having insurance coverage was major financial barriers to utilization of screening and treatment services. The least poor and poor socioeconomic status (SES) groups utilized screening services and treatment more frequently than the very poor and poorest SES groups ( P = 0.034). There was no significant difference in the utilization of the different treatment options among the different socioeconomic groups with the exception of surgery (χ² = 11.397; P = 0.000).
Financial barriers limit the ability of women, especially the poorest SES group, to utilize screening and treatment services for early diagnosis and treatment of breast cancer. Interventions that will improve financial risk protection for women with breast cancer or at risk of breast cancer are needed to ensure equitable access to screening and treatment services. |
| doi_str_mv | 10.4103/1119-3077.151070 |
| format | Article |
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A descriptive study was carried out in 2013 among women attending the oncology clinic of a tertiary institution in Enugu, Southeast Nigeria. Data were collected from 270 women using an interviewer-administered questionnaire. The links between the influence of socioeconomic factors on barriers to the utilization of breast cancer screening and treatment services were examined.
A total of 270 women were studied. The mean age was 34.69 (Standard deviation = 5.07) years. Half of the study participants were single 141 (51.3%), while 105 (38.2%) were married. Cost of medical treatment and not having insurance coverage was major financial barriers to utilization of screening and treatment services. The least poor and poor socioeconomic status (SES) groups utilized screening services and treatment more frequently than the very poor and poorest SES groups ( P = 0.034). There was no significant difference in the utilization of the different treatment options among the different socioeconomic groups with the exception of surgery (χ² = 11.397; P = 0.000).
Financial barriers limit the ability of women, especially the poorest SES group, to utilize screening and treatment services for early diagnosis and treatment of breast cancer. Interventions that will improve financial risk protection for women with breast cancer or at risk of breast cancer are needed to ensure equitable access to screening and treatment services.</description><identifier>ISSN: 1119-3077</identifier><identifier>DOI: 10.4103/1119-3077.151070</identifier><identifier>PMID: 25666009</identifier><language>eng</language><publisher>India: Medknow Publications and Media Pvt. Ltd</publisher><subject>Adult ; Antineoplastic Agents - economics ; Antineoplastic Agents - therapeutic use ; Breast cancer ; Breast Neoplasms - diagnosis ; Breast Neoplasms - economics ; Breast Neoplasms - therapy ; Breast Self-Examination - utilization ; Care and treatment ; Diagnosis ; Early Detection of Cancer - economics ; Early Detection of Cancer - utilization ; Economic aspects ; Female ; Healthcare Disparities ; Humans ; Insurance Coverage - economics ; Insurance, Health - economics ; Mammography - economics ; Mammography - utilization ; Mastectomy - economics ; Mastectomy - utilization ; Medical care utilization ; Middle Aged ; Nigeria ; Physical Examination - economics ; Physical Examination - utilization ; Radiotherapy - economics ; Radiotherapy - utilization ; Social Class ; Socioeconomic Factors ; Transportation - economics ; Young Adult</subject><ispartof>Nigerian journal of clinical practice, 2015-03, Vol.18 (2), p.287-291</ispartof><rights>COPYRIGHT 2015 Medknow Publications and Media Pvt. Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c397t-71fb7c7090f72a7b4b1c67154032bed6da74bb605d56e8789ea9a900ba1590053</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25666009$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Okoronkwo, I L</creatorcontrib><creatorcontrib>Ejike-Okoye, P</creatorcontrib><creatorcontrib>Chinweuba, A U</creatorcontrib><creatorcontrib>Nwaneri, A C</creatorcontrib><title>Financial barriers to utilization of screening and treatment services for breast cancer: an equity analysis in Nigeria</title><title>Nigerian journal of clinical practice</title><addtitle>Niger J Clin Pract</addtitle><description>To determine financial barriers that impede the utilization of screening and treatment services for breast cancer among Nigerian women from different socioeconomic groups.
A descriptive study was carried out in 2013 among women attending the oncology clinic of a tertiary institution in Enugu, Southeast Nigeria. Data were collected from 270 women using an interviewer-administered questionnaire. The links between the influence of socioeconomic factors on barriers to the utilization of breast cancer screening and treatment services were examined.
A total of 270 women were studied. The mean age was 34.69 (Standard deviation = 5.07) years. Half of the study participants were single 141 (51.3%), while 105 (38.2%) were married. Cost of medical treatment and not having insurance coverage was major financial barriers to utilization of screening and treatment services. The least poor and poor socioeconomic status (SES) groups utilized screening services and treatment more frequently than the very poor and poorest SES groups ( P = 0.034). There was no significant difference in the utilization of the different treatment options among the different socioeconomic groups with the exception of surgery (χ² = 11.397; P = 0.000).
Financial barriers limit the ability of women, especially the poorest SES group, to utilize screening and treatment services for early diagnosis and treatment of breast cancer. Interventions that will improve financial risk protection for women with breast cancer or at risk of breast cancer are needed to ensure equitable access to screening and treatment services.</description><subject>Adult</subject><subject>Antineoplastic Agents - economics</subject><subject>Antineoplastic Agents - therapeutic use</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - diagnosis</subject><subject>Breast Neoplasms - economics</subject><subject>Breast Neoplasms - therapy</subject><subject>Breast Self-Examination - utilization</subject><subject>Care and treatment</subject><subject>Diagnosis</subject><subject>Early Detection of Cancer - economics</subject><subject>Early Detection of Cancer - utilization</subject><subject>Economic aspects</subject><subject>Female</subject><subject>Healthcare Disparities</subject><subject>Humans</subject><subject>Insurance Coverage - economics</subject><subject>Insurance, Health - economics</subject><subject>Mammography - economics</subject><subject>Mammography - utilization</subject><subject>Mastectomy - economics</subject><subject>Mastectomy - utilization</subject><subject>Medical care utilization</subject><subject>Middle Aged</subject><subject>Nigeria</subject><subject>Physical Examination - economics</subject><subject>Physical Examination - utilization</subject><subject>Radiotherapy - economics</subject><subject>Radiotherapy - utilization</subject><subject>Social Class</subject><subject>Socioeconomic Factors</subject><subject>Transportation - economics</subject><subject>Young Adult</subject><issn>1119-3077</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkcFrFDEUxueg2Fq9e5KAIF52TXZmko23UloVir3Uc3jJvNk-ySRtkimsf30zbC0WSg4vfPy-D977muaD4OtO8ParEEKvWq7UWvSCK_6qOX6Sjpq3Of_hXOp2K940R5teSsm5Pm7uLyhAcASeWUiJMGVWIpsLefoLhWJgcWTZJcRAYccgDKwkhDJhKCxjuieHmY0xMVvlXJircZi-VZLh3UxlX3_g95kyo8B-0Q4Twbvm9Qg-4_vHedL8vji_Pvuxurz6_vPs9HLlWq3KSonRKqe45qPagLKdFU4q0Xe83Vgc5ACqs1byfuglbtVWI2jQnFsQfR19e9J8OeTepng3Yy5mouzQewgY52yE7Dupt-1GVPTTAd2BR0NhjCWBW3Bz2nGhunrVJXD9AlXfgBO5GHCkqj8zfP7PcIPgy02Ofl5Om5-D_AC6FHNOOJrbRBOkvRHcLA2bpU6z1GkODVfLx8ftZjvh8GT4V2_7AC2poVM</recordid><startdate>20150301</startdate><enddate>20150301</enddate><creator>Okoronkwo, I L</creator><creator>Ejike-Okoye, P</creator><creator>Chinweuba, A U</creator><creator>Nwaneri, A C</creator><general>Medknow Publications and Media Pvt. Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20150301</creationdate><title>Financial barriers to utilization of screening and treatment services for breast cancer: an equity analysis in Nigeria</title><author>Okoronkwo, I L ; Ejike-Okoye, P ; Chinweuba, A U ; Nwaneri, A C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c397t-71fb7c7090f72a7b4b1c67154032bed6da74bb605d56e8789ea9a900ba1590053</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Antineoplastic Agents - economics</topic><topic>Antineoplastic Agents - therapeutic use</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - diagnosis</topic><topic>Breast Neoplasms - economics</topic><topic>Breast Neoplasms - therapy</topic><topic>Breast Self-Examination - utilization</topic><topic>Care and treatment</topic><topic>Diagnosis</topic><topic>Early Detection of Cancer - economics</topic><topic>Early Detection of Cancer - utilization</topic><topic>Economic aspects</topic><topic>Female</topic><topic>Healthcare Disparities</topic><topic>Humans</topic><topic>Insurance Coverage - economics</topic><topic>Insurance, Health - economics</topic><topic>Mammography - economics</topic><topic>Mammography - utilization</topic><topic>Mastectomy - economics</topic><topic>Mastectomy - utilization</topic><topic>Medical care utilization</topic><topic>Middle Aged</topic><topic>Nigeria</topic><topic>Physical Examination - economics</topic><topic>Physical Examination - utilization</topic><topic>Radiotherapy - economics</topic><topic>Radiotherapy - utilization</topic><topic>Social Class</topic><topic>Socioeconomic Factors</topic><topic>Transportation - economics</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Okoronkwo, I L</creatorcontrib><creatorcontrib>Ejike-Okoye, P</creatorcontrib><creatorcontrib>Chinweuba, A U</creatorcontrib><creatorcontrib>Nwaneri, A C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Nigerian journal of clinical practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Okoronkwo, I L</au><au>Ejike-Okoye, P</au><au>Chinweuba, A U</au><au>Nwaneri, A C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Financial barriers to utilization of screening and treatment services for breast cancer: an equity analysis in Nigeria</atitle><jtitle>Nigerian journal of clinical practice</jtitle><addtitle>Niger J Clin Pract</addtitle><date>2015-03-01</date><risdate>2015</risdate><volume>18</volume><issue>2</issue><spage>287</spage><epage>291</epage><pages>287-291</pages><issn>1119-3077</issn><abstract>To determine financial barriers that impede the utilization of screening and treatment services for breast cancer among Nigerian women from different socioeconomic groups.
A descriptive study was carried out in 2013 among women attending the oncology clinic of a tertiary institution in Enugu, Southeast Nigeria. Data were collected from 270 women using an interviewer-administered questionnaire. The links between the influence of socioeconomic factors on barriers to the utilization of breast cancer screening and treatment services were examined.
A total of 270 women were studied. The mean age was 34.69 (Standard deviation = 5.07) years. Half of the study participants were single 141 (51.3%), while 105 (38.2%) were married. Cost of medical treatment and not having insurance coverage was major financial barriers to utilization of screening and treatment services. The least poor and poor socioeconomic status (SES) groups utilized screening services and treatment more frequently than the very poor and poorest SES groups ( P = 0.034). There was no significant difference in the utilization of the different treatment options among the different socioeconomic groups with the exception of surgery (χ² = 11.397; P = 0.000).
Financial barriers limit the ability of women, especially the poorest SES group, to utilize screening and treatment services for early diagnosis and treatment of breast cancer. Interventions that will improve financial risk protection for women with breast cancer or at risk of breast cancer are needed to ensure equitable access to screening and treatment services.</abstract><cop>India</cop><pub>Medknow Publications and Media Pvt. Ltd</pub><pmid>25666009</pmid><doi>10.4103/1119-3077.151070</doi><tpages>5</tpages></addata></record> |
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| subjects | Adult Antineoplastic Agents - economics Antineoplastic Agents - therapeutic use Breast cancer Breast Neoplasms - diagnosis Breast Neoplasms - economics Breast Neoplasms - therapy Breast Self-Examination - utilization Care and treatment Diagnosis Early Detection of Cancer - economics Early Detection of Cancer - utilization Economic aspects Female Healthcare Disparities Humans Insurance Coverage - economics Insurance, Health - economics Mammography - economics Mammography - utilization Mastectomy - economics Mastectomy - utilization Medical care utilization Middle Aged Nigeria Physical Examination - economics Physical Examination - utilization Radiotherapy - economics Radiotherapy - utilization Social Class Socioeconomic Factors Transportation - economics Young Adult |
| title | Financial barriers to utilization of screening and treatment services for breast cancer: an equity analysis in Nigeria |
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