ArticleGlobalization and health2018
Perceived barriers to early detection of breast cancer in Wakiso District, Uganda using a socioecological approach.
Article in Globalization and health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Barriers and enablers of breast cancer screening among women in East Africa: a systematic review.BMC public health · 2023Pooled it
- Barriers to cervical cancer and breast cancer screening uptake in low- and middle-income countries: a systematic review.Health policy and planning · 2023Pooled it
- Health system factors that influence diagnostic and treatment intervals in women with breast cancer in sub-Saharan Africa: a systematic review.BMC public health · 2021Pooled it
- Article
- Article
- Development and Validation of the Socio-Ecological Scale for Identifying Delays in Treatment for Breast Cancer Patients.International journal of breast cancer · 2025Article
- Level of Awareness, Screening Practices, and Self-Detection Among Breast Cancer Patients.European journal of breast health · 2025Article
- Development of a Culturally Appropriate Text Messaging Platform for Improving Breast Cancer Screening Uptake Among Ghanaian Women in Metropolitan Areas.International journal of breast cancer · 2024Article
- Multi-level barriers to early detection of breast cancer among rural midlife women in Tanzania: A qualitative case study.PloS one · 2024Article
- Awareness of lung cancer among urban residents in Sichuan Province and its impact on their willingness to choose medical institutions for cancer screening.Frontiers in public health · 2024Article
- Moving forward through consensus: a national Delphi approach to determine the top research priorities in prostate cancer in Uganda.BMJ open · 2023Article
- Breast cancer knowledge among health professionals: A pre-post-knowledge-based intervention study.Journal of family medicine and primary care · 2022Article
- Breast cancer in elderly patients: a clinicopathological review of a Nigerian database.Ecancermedicalscience · 2022Article
- "Some They Need Male, Some They Need Female": A Gendered Approach for Breast Cancer Detection in Uganda.Frontiers in global women's health · 2022Article
- A scoping review: Facilitators and barriers of cervical cancer screening and early diagnosis of breast cancer in Sub-Saharan African health settings.Gynecologic oncology reports · 2020Article
- Cancer Risk Studies and Priority Areas for Cancer Risk Appraisal in Uganda.Annals of global health · 2020Review
- Community health workers and early detection of breast cancer in low-income and middle-income countries: a systematic scoping review of the literature.BMJ global health · 2020Article
- Patient Advocacy Approaches to Improving Care for Breast and Cervical Cancer in East and Southern Africa.JCO global oncology · 2020Article
- Time Interval between Self-Detection of Symptoms to Treatment of Breast Cancer.Asian Pacific journal of cancer prevention : APJCP · 2020Article
- Clinicopathological characteristics and health care for Tibetan women with breast cancer: a cross-sectional survey.BMC cancer · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEarly detection of breast cancer is known to improve its prognosis. However, women in most low and middle income countries, including Uganda, do not detect it early hence present at an advanced stage. This study investigated the perceived barriers to early detection of breast cancer in Wakiso district, Uganda using a multilevel approach focused through a socioecological framework.
methodsUsing qualitative methods, participants were purposively selected to take part in the study. 5 semi-structured interviews were conducted among the community members while two focus groups were conducted amongst women's group and community health workers (CHWs) in Ssisa sub county, Wakiso district. In addition, 7 key informant interviews with health professionals, policy makers and public health researchers were carried out.
resultsFindings from the study revealed that barriers to early detection of breast cancer are multifaceted and complex, cutting across individual, interpersonal, organizational, community and policy barriers. The major themes that emerged from the study included: knowledge, attitudes, beliefs and practices (KABP); health system and policy constraints; and structural barriers. Prominent barriers associated with KABP were low knowledge, apathy, fear and poor health seeking behaviours. Barriers within the health systems and policy arenas were mostly centred around competing health care burdens within the country, lack of a cancer policy and weak primary health care capacity in Wakiso district. Distance, poverty and limited access to media were identified as the most prominent structural barriers.
conclusionBarriers to early detection of breast cancer are complex and go beyond individual behaviours. These barriers interact across multiple levels of influence such as organizational, community and policy. The findings of this study could provide opportunities for investment in multi-level interventions.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.