Medical and psychosocial predictors of delay in seeking medical consultation for breast symptoms in women in a public sector setting
We examined demographic, medical and psychosocial factors related to delay in seeking medical consultation for breast symptoms. In this cross-sectional survey, 124 women with breast symptoms attending an outpatient breast surgery clinic in a county general hospital completed questionnaires measuring...
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| Veröffentlicht in: | Journal of behavioral medicine 2006-08, Vol.29 (4), p.327-334 |
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| container_title | Journal of behavioral medicine |
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| creator | FRIEDMAN, Lois C KALIDAS, Mamta ELLEDGE, Richard DULAY, Mario F ROMERO, Catherine CHANG, Jenny LISCUM, Kathleen R |
| description | We examined demographic, medical and psychosocial factors related to delay in seeking medical consultation for breast symptoms. In this cross-sectional survey, 124 women with breast symptoms attending an outpatient breast surgery clinic in a county general hospital completed questionnaires measuring demographic, medical and psychosocial variables. Our outcome variable was delay in seeking medical consultation. Younger age (p |
| doi_str_mv | 10.1007/s10865-006-9059-2 |
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In this cross-sectional survey, 124 women with breast symptoms attending an outpatient breast surgery clinic in a county general hospital completed questionnaires measuring demographic, medical and psychosocial variables. Our outcome variable was delay in seeking medical consultation. Younger age (p <or= 0.05), less education (p <or= 0.01), absence of a lump (p <or= 0.05), lower perceived risk (p <or= 0.001), less spirituality (p <or= 0.01), cost (p <or= 0.001) and not wanting to think about breast symptom(s) (p <or= 0.05) were related to delay. Multivariate analyses showed absence of a breast lump by education interaction (p <or= 0.05), risk perception (p <or= 0.001), spirituality (p <or= 0.01) and cost (p <or= 0.001) collectively accounted for 38.4% of the variance in delay. Health promotion programs targeting low-income populations should emphasize the importance of breast symptoms other than lumps, especially to younger and less educated women.]]></description><identifier>ISSN: 0160-7715</identifier><identifier>EISSN: 1573-3521</identifier><identifier>DOI: 10.1007/s10865-006-9059-2</identifier><identifier>PMID: 16807798</identifier><identifier>CODEN: JBMEDD</identifier><language>eng</language><publisher>New York, NY: Springer</publisher><subject>Adolescent ; Adult ; African Americans ; Aged ; Aged, 80 and over ; Ambulatory Care Facilities - statistics & numerical data ; Anxiety - diagnosis ; Anxiety - epidemiology ; Anxiety - psychology ; Attitude to Health ; Behavioral sciences ; Biological and medical sciences ; Breast cancer ; Breast Diseases - diagnosis ; Breast Diseases - epidemiology ; Breast Diseases - psychology ; Breast Neoplasms - diagnosis ; Breast Neoplasms - epidemiology ; Breast Neoplasms - psychology ; Breast surgery ; Cross-Sectional Studies ; Education ; Female ; Health Knowledge, Attitudes, Practice ; Health promotion ; Health Surveys ; Hospitals ; Hospitals, Public ; Humans ; Male ; Mammography ; Medical schools ; Medical sciences ; Medicine ; Mental health ; Middle Aged ; Motivation ; Patient Acceptance of Health Care - psychology ; Patient Acceptance of Health Care - statistics & numerical data ; Perceptions ; Prevention. Health policy. Planification ; Psychological aspects ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Public Sector ; Referral and Consultation - statistics & numerical data ; Religion ; Risk Assessment ; Risk factors ; Social psychiatry. 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In this cross-sectional survey, 124 women with breast symptoms attending an outpatient breast surgery clinic in a county general hospital completed questionnaires measuring demographic, medical and psychosocial variables. Our outcome variable was delay in seeking medical consultation. Younger age (p <or= 0.05), less education (p <or= 0.01), absence of a lump (p <or= 0.05), lower perceived risk (p <or= 0.001), less spirituality (p <or= 0.01), cost (p <or= 0.001) and not wanting to think about breast symptom(s) (p <or= 0.05) were related to delay. Multivariate analyses showed absence of a breast lump by education interaction (p <or= 0.05), risk perception (p <or= 0.001), spirituality (p <or= 0.01) and cost (p <or= 0.001) collectively accounted for 38.4% of the variance in delay. Health promotion programs targeting low-income populations should emphasize the importance of breast symptoms other than lumps, especially to younger and less educated women.]]></description><subject>Adolescent</subject><subject>Adult</subject><subject>African Americans</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Ambulatory Care Facilities - statistics & numerical data</subject><subject>Anxiety - diagnosis</subject><subject>Anxiety - epidemiology</subject><subject>Anxiety - psychology</subject><subject>Attitude to Health</subject><subject>Behavioral sciences</subject><subject>Biological and medical sciences</subject><subject>Breast cancer</subject><subject>Breast Diseases - diagnosis</subject><subject>Breast Diseases - epidemiology</subject><subject>Breast Diseases - psychology</subject><subject>Breast Neoplasms - diagnosis</subject><subject>Breast Neoplasms - epidemiology</subject><subject>Breast Neoplasms - psychology</subject><subject>Breast surgery</subject><subject>Cross-Sectional Studies</subject><subject>Education</subject><subject>Female</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health promotion</subject><subject>Health Surveys</subject><subject>Hospitals</subject><subject>Hospitals, Public</subject><subject>Humans</subject><subject>Male</subject><subject>Mammography</subject><subject>Medical schools</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Mental health</subject><subject>Middle Aged</subject><subject>Motivation</subject><subject>Patient Acceptance of Health Care - psychology</subject><subject>Patient Acceptance of Health Care - statistics & numerical data</subject><subject>Perceptions</subject><subject>Prevention. Health policy. Planification</subject><subject>Psychological aspects</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Public Sector</subject><subject>Referral and Consultation - statistics & numerical data</subject><subject>Religion</subject><subject>Risk Assessment</subject><subject>Risk factors</subject><subject>Social psychiatry. Ethnopsychiatry</subject><subject>Socioeconomic Factors</subject><subject>Spirituality</subject><subject>Texas</subject><subject>Variables</subject><subject>Womens health</subject><issn>0160-7715</issn><issn>1573-3521</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpdkU-L1TAUxcPgMPPm6QdwI0HQXceb5k-TpQzqCCNuZh_SNNWObVNzU-Tt_eCmvMKAq3u5-Z1DOIeQ1wxuGUDzARloJSsAVRmQpqovyIHJhldc1uwFOQBTUDUNk9fkBvEJCmiEuSLXTGloGqMP5O-30A3ejdTNHV3w5H9GjH4ohyVtLzkmpLGnXRjdiQ4zxRB-DfMPOu06H2dcx-zyEGfax0TbFBxmiqdpyXHCTfMnTmHeFkeXtR0HX1w25zJyLmYvyWXvRgyv9nkkj58_Pd7dVw_fv3y9-_hQeS5VrnzfsrbWpgYmai2NUd4J0ULTQyu8YU5zLQXrjek6z0F7I2uuHYhWil51_Ejen22XFH-vAbOdBvRhHN0c4opWadVIXTRH8vY_8CmuaS5fszVnJU9RmwKxM-RTREyht0saJpdOloHd6rHnemxJ3W712M34zW68tiXAZ8XeRwHe7YDDkm6f3OwHfOY0yFoJxf8BP4KZMQ</recordid><startdate>20060801</startdate><enddate>20060801</enddate><creator>FRIEDMAN, Lois C</creator><creator>KALIDAS, Mamta</creator><creator>ELLEDGE, Richard</creator><creator>DULAY, Mario F</creator><creator>ROMERO, Catherine</creator><creator>CHANG, Jenny</creator><creator>LISCUM, Kathleen R</creator><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><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>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20060801</creationdate><title>Medical and psychosocial predictors of delay in seeking medical consultation for breast symptoms in women in a public sector setting</title><author>FRIEDMAN, Lois C ; KALIDAS, Mamta ; ELLEDGE, Richard ; DULAY, Mario F ; ROMERO, Catherine ; CHANG, Jenny ; LISCUM, Kathleen R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-cfb1b2892014285996ca44b07f0b4c91a838541f99ddc308c95238a04b54f6d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>African Americans</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Ambulatory Care Facilities - statistics & numerical data</topic><topic>Anxiety - diagnosis</topic><topic>Anxiety - epidemiology</topic><topic>Anxiety - psychology</topic><topic>Attitude to Health</topic><topic>Behavioral sciences</topic><topic>Biological and medical sciences</topic><topic>Breast cancer</topic><topic>Breast Diseases - diagnosis</topic><topic>Breast Diseases - epidemiology</topic><topic>Breast Diseases - psychology</topic><topic>Breast Neoplasms - diagnosis</topic><topic>Breast Neoplasms - epidemiology</topic><topic>Breast Neoplasms - psychology</topic><topic>Breast surgery</topic><topic>Cross-Sectional Studies</topic><topic>Education</topic><topic>Female</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health promotion</topic><topic>Health Surveys</topic><topic>Hospitals</topic><topic>Hospitals, Public</topic><topic>Humans</topic><topic>Male</topic><topic>Mammography</topic><topic>Medical schools</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Mental health</topic><topic>Middle Aged</topic><topic>Motivation</topic><topic>Patient Acceptance of Health Care - psychology</topic><topic>Patient Acceptance of Health Care - statistics & numerical data</topic><topic>Perceptions</topic><topic>Prevention. 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In this cross-sectional survey, 124 women with breast symptoms attending an outpatient breast surgery clinic in a county general hospital completed questionnaires measuring demographic, medical and psychosocial variables. Our outcome variable was delay in seeking medical consultation. Younger age (p <or= 0.05), less education (p <or= 0.01), absence of a lump (p <or= 0.05), lower perceived risk (p <or= 0.001), less spirituality (p <or= 0.01), cost (p <or= 0.001) and not wanting to think about breast symptom(s) (p <or= 0.05) were related to delay. Multivariate analyses showed absence of a breast lump by education interaction (p <or= 0.05), risk perception (p <or= 0.001), spirituality (p <or= 0.01) and cost (p <or= 0.001) collectively accounted for 38.4% of the variance in delay. Health promotion programs targeting low-income populations should emphasize the importance of breast symptoms other than lumps, especially to younger and less educated women.]]></abstract><cop>New York, NY</cop><pub>Springer</pub><pmid>16807798</pmid><doi>10.1007/s10865-006-9059-2</doi><tpages>8</tpages></addata></record> |
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| ispartof | Journal of behavioral medicine, 2006-08, Vol.29 (4), p.327-334 |
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| subjects | Adolescent Adult African Americans Aged Aged, 80 and over Ambulatory Care Facilities - statistics & numerical data Anxiety - diagnosis Anxiety - epidemiology Anxiety - psychology Attitude to Health Behavioral sciences Biological and medical sciences Breast cancer Breast Diseases - diagnosis Breast Diseases - epidemiology Breast Diseases - psychology Breast Neoplasms - diagnosis Breast Neoplasms - epidemiology Breast Neoplasms - psychology Breast surgery Cross-Sectional Studies Education Female Health Knowledge, Attitudes, Practice Health promotion Health Surveys Hospitals Hospitals, Public Humans Male Mammography Medical schools Medical sciences Medicine Mental health Middle Aged Motivation Patient Acceptance of Health Care - psychology Patient Acceptance of Health Care - statistics & numerical data Perceptions Prevention. Health policy. Planification Psychological aspects Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Public Sector Referral and Consultation - statistics & numerical data Religion Risk Assessment Risk factors Social psychiatry. Ethnopsychiatry Socioeconomic Factors Spirituality Texas Variables Womens health |
| title | Medical and psychosocial predictors of delay in seeking medical consultation for breast symptoms in women in a public sector setting |
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