乳腺癌发病率和影响农村斐济人口延迟呈现的因素:一种定性研究
Enoch Kolinibaravi1, Melanie Spiekermann2, Andrew Hill2
1Labasa Hospital, Labasa, Fiji.
World journal of surgery
|December 17, 2025
概括
斐济的乳腺癌发病率正在上升,由于缺乏知识,恐惧和医疗保健系统问题,乳腺癌的呈现有显著的延迟. 解决这些障碍对于改善低资源环境的结果至关重要.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 全球健康差异的差异
背景情况:
- 乳腺癌死亡率在低收入和中等收入国家更高.
- 斐济面临着高乳腺癌死亡率,延迟呈现被怀疑是主要因素.
- 在斐济推迟展示的原因仍然不太清楚.
研究的目的:
- 调查斐济乳腺癌的发病率和死亡率.
- 识别和理解导致斐济乳腺癌患者延迟入院的因素.
主要方法:
- 在斐济拉巴萨医院 (2018-2022) 进行了一项回顾性混合方法研究.
- 从医院记录中提取了发病率和死亡率数据.
- 进行了定性患者访谈,以探索延迟呈现的原因,遵守SRQR指南.
主要成果:
- 确诊了112例乳腺癌病例,发病率从13个增加到24.3/100,000 (p < 0.05).
- 从症状发作到表现的中位延迟时间为86.9周.
- 延迟出现的六个主要主题是:缺乏知识,恐惧,医疗保健系统问题,替代治疗,财务/运输障碍和缺乏家庭支持.
结论:
- 斐济的乳腺癌发病率正在增加.
- 呈现的大量延迟仍然存在,严重影响患者的治疗结果.
- 解决已识别的障碍对于改善斐济乳腺癌护理至关重要.
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