Health-seeking behaviour and delayed presentation of oral cancer patients in a developing country: A qualitative study based on the self-regulatory model

Background: The aim of this study was to explore reasons for delayed health-seeking for late stage oral cancer patients. Methods: Semi-structured in-depth interviews were conducted with 35 oral cancer patients with TNM stage III to IV disease, who were treated at six tertiary regional centres managi...

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Main Authors: Azhar, Nurizyani, Doss, Jennifer Geraldine
Format: Article
Published: West Asia Organization for Cancer Prevention 2018
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Online Access:http://eprints.um.edu.my/22418/
http://journal.waocp.org/article_69124_f1650f64b36658b7bf984d74899cfd27.pdf
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spelling my.um.eprints.224182019-09-18T04:17:25Z http://eprints.um.edu.my/22418/ Health-seeking behaviour and delayed presentation of oral cancer patients in a developing country: A qualitative study based on the self-regulatory model Azhar, Nurizyani Doss, Jennifer Geraldine RK Dentistry Background: The aim of this study was to explore reasons for delayed health-seeking for late stage oral cancer patients. Methods: Semi-structured in-depth interviews were conducted with 35 oral cancer patients with TNM stage III to IV disease, who were treated at six tertiary regional centres managing oral cancer throughout Malaysia. Interviews were audio-recorded, transcribed verbatim, coded using NVivo (version 10.0) qualitative software and analysed using framework analysis. Results: Participants interpreted their early symptoms as a minor condition and did not consider it as requiring immediate attention. Four types of coping strategies causing delayed help-seeking emerged: 1) self-remedy 2) self-medication 3) seeking traditional healers and 4) consulting general medical practitioners (GPs) instead of dentists. Socio-economic factors, cultural beliefs and religious practices have some influence on diagnostic delay. Conclusion: Low levels of public knowledge and awareness regarding early signs and symptoms of oral cancer as well as GPs' misdiagnosis of early lesions results in delayed diagnosis. West Asia Organization for Cancer Prevention 2018 Article PeerReviewed Azhar, Nurizyani and Doss, Jennifer Geraldine (2018) Health-seeking behaviour and delayed presentation of oral cancer patients in a developing country: A qualitative study based on the self-regulatory model. Asian Pacific Journal of Cancer Prevention, 19 (10). pp. 2935-2941. ISSN 1513-7368 http://journal.waocp.org/article_69124_f1650f64b36658b7bf984d74899cfd27.pdf doi:10.22034/APJCP.2018.19.10.2935
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic RK Dentistry
spellingShingle RK Dentistry
Azhar, Nurizyani
Doss, Jennifer Geraldine
Health-seeking behaviour and delayed presentation of oral cancer patients in a developing country: A qualitative study based on the self-regulatory model
description Background: The aim of this study was to explore reasons for delayed health-seeking for late stage oral cancer patients. Methods: Semi-structured in-depth interviews were conducted with 35 oral cancer patients with TNM stage III to IV disease, who were treated at six tertiary regional centres managing oral cancer throughout Malaysia. Interviews were audio-recorded, transcribed verbatim, coded using NVivo (version 10.0) qualitative software and analysed using framework analysis. Results: Participants interpreted their early symptoms as a minor condition and did not consider it as requiring immediate attention. Four types of coping strategies causing delayed help-seeking emerged: 1) self-remedy 2) self-medication 3) seeking traditional healers and 4) consulting general medical practitioners (GPs) instead of dentists. Socio-economic factors, cultural beliefs and religious practices have some influence on diagnostic delay. Conclusion: Low levels of public knowledge and awareness regarding early signs and symptoms of oral cancer as well as GPs' misdiagnosis of early lesions results in delayed diagnosis.
format Article
author Azhar, Nurizyani
Doss, Jennifer Geraldine
author_facet Azhar, Nurizyani
Doss, Jennifer Geraldine
author_sort Azhar, Nurizyani
title Health-seeking behaviour and delayed presentation of oral cancer patients in a developing country: A qualitative study based on the self-regulatory model
title_short Health-seeking behaviour and delayed presentation of oral cancer patients in a developing country: A qualitative study based on the self-regulatory model
title_full Health-seeking behaviour and delayed presentation of oral cancer patients in a developing country: A qualitative study based on the self-regulatory model
title_fullStr Health-seeking behaviour and delayed presentation of oral cancer patients in a developing country: A qualitative study based on the self-regulatory model
title_full_unstemmed Health-seeking behaviour and delayed presentation of oral cancer patients in a developing country: A qualitative study based on the self-regulatory model
title_sort health-seeking behaviour and delayed presentation of oral cancer patients in a developing country: a qualitative study based on the self-regulatory model
publisher West Asia Organization for Cancer Prevention
publishDate 2018
url http://eprints.um.edu.my/22418/
http://journal.waocp.org/article_69124_f1650f64b36658b7bf984d74899cfd27.pdf
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score 13.211869