Research Article
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Investigation of Cancer Attitudes and Affecting Factors of Women Registered In A Family Health Center In Erzurum

Year 2022, Volume: 16 Issue: 3, 559 - 573, 26.09.2022
https://doi.org/10.21763/tjfmpc.1035670

Abstract

Introduction:Thisstudywasconductedtoevaluatethewomen’sattitudestowardscancerandtoexaminetheinfluencingfactors. Method:Thestudywascarriedout in descriptivedesign. Thestudywasconducted in SolakzadeFamily Health Center affiliatedwith Erzurum PalandokenDistrict Health DirectoratebetweenDecember01, 2018 andMarch 31, 2019. Thesample of thestudyconsisted of 380 women, whoappliedbetweentheaforementioneddates, met theinclusioncriteriaandagreedtoparticipate in thestudy. The data werecollectedusingthe ‘Personal Information Form’ andthe ‘QuestionnaireforMeasuringAttitudesTowardCancer(CancerStigma)–CommunityVersion’ andwereevaluatedusingfrequency, percentage, t-test, One-Way Analysis of Variance, LSD Post Hoc test, Kruskal Wallis H test, Mann Whitney U test andDunnet’s T3 Post Hoc analyses. A meanscore of 2.5 andabovefromthescaleindicates a negativeattitudetowardscancer. Results: In the study, it was found that the women’s total mean score of the Questionnaire for Measuring Attitudes Toward Cancer was 2.06±0.66, mean score of impossible recovery subscale was 2.30±0.91, mean score of discrimination subscale was 1.76±0.99, and mean score of revealing/spreading the cancer diagnosis subscale was 1.97±0.91. As a result of the statistical analysis, it was determined that there was a significant difference between the Impossible Recovery subscale scores and woman’s age, educational background, marriage year, husband’s age, husband’s educational background, working condition, occupation, income status, and family type (p<0.05). Conclusion:In this study, the mean score of the survey measuring women's attitudes towards cancer was found to be 2.06±0.66 and it was seen that 24.2% of the participants had a negative attitude towards cancer..Since the sociodemographic characteristics of women affect their attitudes towards cancer, its effect on screening behaviors cannot be ignored.Women should be educated to reduce their negative attitudes towards cancer.The active role of health professionals who are in constant contact with women in these trainings will be beneficial in reducing women's negative attitudes towards cancer.

References

  • 1. World Health Organization. The Global CancerObservatory (Globocan) 2020.Database. https://gco.iarc.fr/ Erişim Tarihi:07.12.2021
  • 2. Sette CP, Capitão CG, de Francisco Carvalho L. Depressivesymptoms in patientswithcancer. Open Journal of MedicalPsychology. 2016;5(1):7-16.
  • 3. Marlow LA, Waller J, Wardle J. Doeslungcancerattractgreaterstigmathanothercancertypes? Lung Cancer.2015;88(1):104-7.
  • 4. Badihian S, Choi EK, Kim IR, Parnia A, Manouchehri N, Badihian N, et al. AttitudestowardCancerandCancerpatients in an urban Iranianpopulation. TheOncologist. 2017;22(8):944-50.
  • 5. Yılmaz M, Dişsiz G, Demir F, Irız S, Alacacioglu A. Reliabilityandvaliditystudy of a tooltomeasurecancerstigma: Patientversion. Asia-Pacific journal of oncologynursing. 2017a;4(2):155-161
  • 6. Cho J, Smith K, Choi EK, Kim IR, Chang YJ, Park HY et al. Publicattitudestowardcancerandcancerpatients: a nationalsurvey in Korea. Psycho‐Oncology 2013;22(3): 605-13.
  • 7. Shiri FH, Mohtashami J, Nasiri M, Manoochehri H, Rohani C. Stigmaandrelatedfactors in Iranianpeoplewithcancer. Asian Pacific journal of cancerprevention: APJCP.2018; 19(8):2285-90
  • 8. Hvidberg L, Wulff CN, Pedersen AF, Vedsted P. Barrierstohealthcareseeking, beliefsaboutcancerandthe role of socio-economicposition. A Danishpopulation-basedstudy. Preventivemedicine. 2015;71:107-13.
  • 9. Broom A, Doron A. Therise of cancer in urban India: Culturalunderstandings, structuralinequalitiesandtheemergence of theclinic. Health. 2012;16(3):250-66.
  • 10. William M, Kuffour G, Ekuadzi E, YeboahM , El Duah M , Tuffour P. Assessment of psychologicalbarrierstocervicalcancerscreeningamongwomen in Kumasi, Ghanausing a mixedmethodsapproach. African Health Sciences. 2013;13(4):1054-61.
  • 11. Williams MS. A qualitativeassessment of thesocialculturalfactorsthatinfluencecervicalcancerscreeningbehaviorsandthehealthcommunicationpreferences of women in Kumasi, Ghana. Journal of CancerEducation. 2014;29(3): 555-62.
  • 12. Desautels C, Trudel-Fitzgerald C, Ruel S, Ivers H, Savard J. Do cancer-relatedbeliefsinfluencetheseverity, incidence, andpersistence of psychologicalsymptoms? Cancernursing 2017;40(4):E50-E58.
  • 13. Pedersen AF, Forbes L, Brain K, Hvidberg L, Wulff CN , Lagerlund M. et al. Negativecancerbeliefs, recognition of cancersymptomsandanticipated time tohelp-seeking: an internationalcancer benchmarking partnership (ICBP) study. BMC cancer 2018;18(1):1-10
  • 14. Yılmaz M, Dişsiz G, Göçmen F, Usluoğlu A, Alacacioğlu A. ThestudyTurkishversion of validationandreliability of a questionnaireformeasuringattitudestowardcancer (cancerstigma)- communityversion. Journal of Anatolia Nursingand Health Sciences. 2017b;20(2):99-106.
  • 15. Nyblade L, Stockton M, Travasso S, Krishnan S. A qualitativeexploration of cervicalandbreastcancerstigma in Karnataka, India. BMC Women's Health 2017;17(1):1-15
  • 16. Bayrami R, Taghipour A, Ebrahimipour H. Personalandsocio-culturalbarrierstocervicalcancerscreening in Iran, patientandproviderperceptions: a qualitativestudy. Asian Pacific Journal of CancerPrevention. 2015;16(9):3729-34.
  • 17. Rastad H, Khanjani N, Khandani BK. Causes of delay in seekingtreatment in patientswithbreastcancer in Iran: a qualitativecontentanalysisstudy. AsianPac J CancerPrev. 2012;13(9):4511-15.
  • 18. Meacham E, Orem J, Nakigudde G, Zujewski JA, Rao D. Exploringstigma as a barriertocancer service engagementwithbreastcancersurvivors in Kampala, Uganda. Psycho‐oncology. 2016;25(10):1206-11.
  • 19. Loke AY, Chan ACO, Wong YT. Facilitatorsandbarrierstotheacceptance of humanpapillomavirus (HPV) vaccinationamongadolescentgirls: a comparisonbetweenmothersandtheiradolescentdaughters in Hong Kong. BMC ResearchNotes. 2017;10(1):1-13.
  • 20. Ramathuba DU, Ngambi D. Knowledge andattitudes of womentowardshuman papilloma virusand HPV vaccine in thulamelamunicipality of vhembedistrict in Limpopoprovince, South Africa. AfricanJournal of Reproductive Health 2018;22(3): 111-19.
  • 21. Kawar LN. BarrierstobreastcancerscreeningparticipationamongJordanianandPalestinianAmericanwomen. EuropeanJournal of OncologyNursing. 2013;17(1): 88-94.
  • 22. Enjezab B. CancerscreeningpracticeamongIranianMiddle-agedwomen. Journal of MidwiferyandReproductive Health. 2016;4(4):770-78.
  • 23. Nabaa HA, Shelleh N. BarrierspreventingPalestinianwomenfromhaving a mammogram: a qualitativestudy. The Lancet. 2018;391:S16.sayfa??kaça kadar
  • 24. Lim JN, Ojo AA. Barrierstoutilisation of cervicalcancerscreening in Sub Sahara Africa: a systematicreview. EuropeanJournal of CancerCare. 2017;26(1):1-15
  • 25. Gele AA, Qureshi SA, Kour P, Kumar B, Diaz E. BarriersandfacilitatorstocervicalcancerscreeningamongPakistaniand Somali immigrantwomen in Oslo: a qualitativestudy. International Journal of Women's Health. 2017;9:487-96
  • 26. Kwok C, White K, Roydhouse JK. Chinese-Australianwomen’sknowledge, facilitatorsandbarriersrelatedtocervicalcancerscreening: a qualitativestudy. Journal of ImmigrantandMinority Health. 2011;13(6):1076-83
  • 27. Ünalan P, Baş G,Atalay A,KasapbaşT, Kurt S,Uzuner A. Marmara Üniversitesi kadın doğum polikliniğine başvuranların papsmear konusundaki bilgileri ve test sonuçları. Zeynep Kamil Tıp Bülteni. 2005; 36(4): 147-151.
  • 28. Kalyoncu C, Işıklı B, Özalp S, Küçük N. Osmangazi Üniversitesi Kadın Hastalıkları ve Doğum Polikliniğine Başvuranların PapSmear Hakkında Bilgi Tutum ve Davranışları. Sağlık ve Toplum 2003;13:60-66.

Erzurum'da Bir Aile Sağlığı Merkezi'ne Kayıtlı Kadınların Kanser Tutumları ve Etkileyen Faktörlerin İncelenmesi

Year 2022, Volume: 16 Issue: 3, 559 - 573, 26.09.2022
https://doi.org/10.21763/tjfmpc.1035670

Abstract

Giriş: Bu çalışma kadınların kanser tutumlarının değerlendirilmesi ve etkileyen faktörlerin incelenmesi amacıyla yapılmıştır. Yöntem: Bu araştırma tanımlayıcı tipte yapılmıştır. Araştırma Erzurum Palandöken İlçe Sağlık Müdürlüğü’ne bağlı Solakzade Aile Sağlığı Merkezi’nde 1 Aralık 2018 - 31 Mart 2019 tarihleri arasında yapılmıştır. Bu tarihler arasında başvuran, araştırmaya dahil edilme kriterlerine uyan ve çalışmaya katılmaya gönüllü olan 380 kadın araştırmanın örneklemini oluşturmuştur. Verilerin toplanmasında ‘Kişisel Bilgi Formu’ ve ‘Kansere İlişkin Tutumları Ölçme Anketi (Kanser Damgası)-Toplum Versiyonu Ölçeği’ kullanılmıştır. Verilerin değerlendirilmesinde, frekans, yüzde, t Testi, Tek Yönlü Varyans analizi, LSD Post Hoc testi, Kruskal Wallis H testi, Mann Whitney U testi, Dunnet T3 Post Hoc analizleri kullanılmıştır. Ölçekten alınan puan ortalamasının 2.5 ve üzeri olması kansere karşı olumsuz bir tutumu ifade etmektedir. Bulgular: Bu çalışmada kadınların kansere ilişkin tutumları ölçme anketi toplam puan ortalamasının 2.06±0.66, iyileşmenin imkânsız olması alt boyutu puan ortalamasının 2.30±0.91, ayrımcılık alt boyutu puan ortalamasının 1.76±0.99, kanser tanısını ortaya çıkarma/yayma alt boyutu puan ortalamasının 1.97±0.91 olduğu bulunmuştur. Yapılan istatistiksel analizde katılımcılara uyguladığımız tutum ölçeğinin iyileşmenin imkansız olması alt boyutu ile kadının yaşı, eğitim durumu, evlilik yılı, eşinin yaşı, eşinin eğitim durumu, çalışma durumu, meslek, gelir durumu ve aile tipi arasında anlamlı fark olduğu bulunmuştur (p<0.05). Sonuç: Bu çalışmada kadınların kansere ilişkin tutumları ölçme anketi toplam puan ortalaması 2.06±0.66 bulunmuş ve katılımcıların % 24.2’sinin kansere karşı olumsuz tutuma sahip olduğu görülmüştür. Kadınların sosyodemografik özellikleri kansere karşı tutumlarını etkilediğinden tarama davranışları üzerindeki etkisi de yok sayılamaz. Kadınlara kansere karşı olumsuz tutumlarını azaltmak için sağlık eğitim verilmesi ve bu eğitimlerde kadınlarla sürekli iletişim halinde olan sağlık profesyonellerinin aktif rol alması kadınların kansere ilişkin negatif tutumlarının azaltılmasında faydalı olabilir.

References

  • 1. World Health Organization. The Global CancerObservatory (Globocan) 2020.Database. https://gco.iarc.fr/ Erişim Tarihi:07.12.2021
  • 2. Sette CP, Capitão CG, de Francisco Carvalho L. Depressivesymptoms in patientswithcancer. Open Journal of MedicalPsychology. 2016;5(1):7-16.
  • 3. Marlow LA, Waller J, Wardle J. Doeslungcancerattractgreaterstigmathanothercancertypes? Lung Cancer.2015;88(1):104-7.
  • 4. Badihian S, Choi EK, Kim IR, Parnia A, Manouchehri N, Badihian N, et al. AttitudestowardCancerandCancerpatients in an urban Iranianpopulation. TheOncologist. 2017;22(8):944-50.
  • 5. Yılmaz M, Dişsiz G, Demir F, Irız S, Alacacioglu A. Reliabilityandvaliditystudy of a tooltomeasurecancerstigma: Patientversion. Asia-Pacific journal of oncologynursing. 2017a;4(2):155-161
  • 6. Cho J, Smith K, Choi EK, Kim IR, Chang YJ, Park HY et al. Publicattitudestowardcancerandcancerpatients: a nationalsurvey in Korea. Psycho‐Oncology 2013;22(3): 605-13.
  • 7. Shiri FH, Mohtashami J, Nasiri M, Manoochehri H, Rohani C. Stigmaandrelatedfactors in Iranianpeoplewithcancer. Asian Pacific journal of cancerprevention: APJCP.2018; 19(8):2285-90
  • 8. Hvidberg L, Wulff CN, Pedersen AF, Vedsted P. Barrierstohealthcareseeking, beliefsaboutcancerandthe role of socio-economicposition. A Danishpopulation-basedstudy. Preventivemedicine. 2015;71:107-13.
  • 9. Broom A, Doron A. Therise of cancer in urban India: Culturalunderstandings, structuralinequalitiesandtheemergence of theclinic. Health. 2012;16(3):250-66.
  • 10. William M, Kuffour G, Ekuadzi E, YeboahM , El Duah M , Tuffour P. Assessment of psychologicalbarrierstocervicalcancerscreeningamongwomen in Kumasi, Ghanausing a mixedmethodsapproach. African Health Sciences. 2013;13(4):1054-61.
  • 11. Williams MS. A qualitativeassessment of thesocialculturalfactorsthatinfluencecervicalcancerscreeningbehaviorsandthehealthcommunicationpreferences of women in Kumasi, Ghana. Journal of CancerEducation. 2014;29(3): 555-62.
  • 12. Desautels C, Trudel-Fitzgerald C, Ruel S, Ivers H, Savard J. Do cancer-relatedbeliefsinfluencetheseverity, incidence, andpersistence of psychologicalsymptoms? Cancernursing 2017;40(4):E50-E58.
  • 13. Pedersen AF, Forbes L, Brain K, Hvidberg L, Wulff CN , Lagerlund M. et al. Negativecancerbeliefs, recognition of cancersymptomsandanticipated time tohelp-seeking: an internationalcancer benchmarking partnership (ICBP) study. BMC cancer 2018;18(1):1-10
  • 14. Yılmaz M, Dişsiz G, Göçmen F, Usluoğlu A, Alacacioğlu A. ThestudyTurkishversion of validationandreliability of a questionnaireformeasuringattitudestowardcancer (cancerstigma)- communityversion. Journal of Anatolia Nursingand Health Sciences. 2017b;20(2):99-106.
  • 15. Nyblade L, Stockton M, Travasso S, Krishnan S. A qualitativeexploration of cervicalandbreastcancerstigma in Karnataka, India. BMC Women's Health 2017;17(1):1-15
  • 16. Bayrami R, Taghipour A, Ebrahimipour H. Personalandsocio-culturalbarrierstocervicalcancerscreening in Iran, patientandproviderperceptions: a qualitativestudy. Asian Pacific Journal of CancerPrevention. 2015;16(9):3729-34.
  • 17. Rastad H, Khanjani N, Khandani BK. Causes of delay in seekingtreatment in patientswithbreastcancer in Iran: a qualitativecontentanalysisstudy. AsianPac J CancerPrev. 2012;13(9):4511-15.
  • 18. Meacham E, Orem J, Nakigudde G, Zujewski JA, Rao D. Exploringstigma as a barriertocancer service engagementwithbreastcancersurvivors in Kampala, Uganda. Psycho‐oncology. 2016;25(10):1206-11.
  • 19. Loke AY, Chan ACO, Wong YT. Facilitatorsandbarrierstotheacceptance of humanpapillomavirus (HPV) vaccinationamongadolescentgirls: a comparisonbetweenmothersandtheiradolescentdaughters in Hong Kong. BMC ResearchNotes. 2017;10(1):1-13.
  • 20. Ramathuba DU, Ngambi D. Knowledge andattitudes of womentowardshuman papilloma virusand HPV vaccine in thulamelamunicipality of vhembedistrict in Limpopoprovince, South Africa. AfricanJournal of Reproductive Health 2018;22(3): 111-19.
  • 21. Kawar LN. BarrierstobreastcancerscreeningparticipationamongJordanianandPalestinianAmericanwomen. EuropeanJournal of OncologyNursing. 2013;17(1): 88-94.
  • 22. Enjezab B. CancerscreeningpracticeamongIranianMiddle-agedwomen. Journal of MidwiferyandReproductive Health. 2016;4(4):770-78.
  • 23. Nabaa HA, Shelleh N. BarrierspreventingPalestinianwomenfromhaving a mammogram: a qualitativestudy. The Lancet. 2018;391:S16.sayfa??kaça kadar
  • 24. Lim JN, Ojo AA. Barrierstoutilisation of cervicalcancerscreening in Sub Sahara Africa: a systematicreview. EuropeanJournal of CancerCare. 2017;26(1):1-15
  • 25. Gele AA, Qureshi SA, Kour P, Kumar B, Diaz E. BarriersandfacilitatorstocervicalcancerscreeningamongPakistaniand Somali immigrantwomen in Oslo: a qualitativestudy. International Journal of Women's Health. 2017;9:487-96
  • 26. Kwok C, White K, Roydhouse JK. Chinese-Australianwomen’sknowledge, facilitatorsandbarriersrelatedtocervicalcancerscreening: a qualitativestudy. Journal of ImmigrantandMinority Health. 2011;13(6):1076-83
  • 27. Ünalan P, Baş G,Atalay A,KasapbaşT, Kurt S,Uzuner A. Marmara Üniversitesi kadın doğum polikliniğine başvuranların papsmear konusundaki bilgileri ve test sonuçları. Zeynep Kamil Tıp Bülteni. 2005; 36(4): 147-151.
  • 28. Kalyoncu C, Işıklı B, Özalp S, Küçük N. Osmangazi Üniversitesi Kadın Hastalıkları ve Doğum Polikliniğine Başvuranların PapSmear Hakkında Bilgi Tutum ve Davranışları. Sağlık ve Toplum 2003;13:60-66.
There are 28 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Orijinal Articles
Authors

Özlem Arı 0000-0002-3688-7040

Meral Kılıç 0000-0001-9770-7448

Publication Date September 26, 2022
Submission Date December 12, 2021
Published in Issue Year 2022 Volume: 16 Issue: 3

Cite

Vancouver Arı Ö, Kılıç M. Erzurum’da Bir Aile Sağlığı Merkezi’ne Kayıtlı Kadınların Kanser Tutumları ve Etkileyen Faktörlerin İncelenmesi. TJFMPC. 2022;16(3):559-73.

English or Turkish manuscripts from authors with new knowledge to contribute to understanding and improving health and primary care are welcome.