Rahkman Ardi (2021) Determinants of early breast cancer presentation: a qualitative exploration among female survivors in Indonesia. Psychology & Health, 8 (1). pp. 1-14. ISSN 1476-8321

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Abstract

Objective: Early presentation with breast cancer symptoms is cru cial to the effectiveness of treatment and the affected women’s long-term survival. However, in Indonesia, 60–70% of breast can cer patients first present themselves to the hospital in an advanced stage. Knowledge about the determinants of breast cancer early presentation could inform efforts to promote health care seeking at earlier symptomatic stages. In the current study, we explored the psychosocial determinants of early presentation among female breast cancer survivors. Methods: Face-to-face semi-structured interviews were conducted with 23 female breast cancer survivors in Surabaya, Indonesia (mean age ¼ 49.8 years). Directed content analysis approach was used to analyse the data. Results: Half of the respondents underwent breast cancer screen ing prior to onset of symptoms. Nine determinants of breast can cer early presentation were reflected in the women’s responses: (lack of) knowledge, perceived behavioural control, previous health related experiences and risk perceptions, attitudes and beliefs, norms, competing priorities, financial issues, instrumental factors, and health provider factors. Conclusion: Health promotion efforts should focus on both internal and external psychosocial determinants related to the breast cancer early presentation, and on involving women’s social environment as target for education. Additionally, providing accessible and affordable healthcare is important for early presentation.

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