A Retrospective Cross-Sectional Study on the Effect of Socio-Cultural Factors and Edication in Early Detection of Breast Cancer

Year 2024, Volume: 51 Issue: 1, 72 - 79, 14.03.2024

Abidin Tüzün , Zeynep Şener Bahçe , Erkan Dalbaşı

https://doi.org/10.5798/dicletip.1451596

Abstract

Backgrounds: The aim of this study is to investigate the preferences of female patients regarding the choice of surgeon for breast examination and the factors impacting this preference.
Methods: A questionnaire was administered by interviewing 746 patients who applied to the General Surgery outpatient clinic with complaints of breast disease, and the results were analyzed statistically. The questionnaire form included the patient's age, marital status, hormonal status, history of delivery, complaints, factors that may impact the choice of physician, educational status, physical examination findings, and imaging results.
Results: The study group included 746 patients aged between 14 and 76 years. While 284 (38%) of our patients applied to the outpatient clinic within 7 days of their first symptoms, 462 (62%) applied more than 7 days later. Due to late admission, advanced-stage breast cancer was detected in 2.8% of the patients. The most common reason for the delay in admission was the feeling of embarrassment in females of all age groups.
Conclusion: Women with breast disease apply to the physician in the late period due to feeling embarrassed, religious beliefs, spouse pressure, and having a reservation for being examined by a male doctor. Breast diseases could be detected and treated in an earlier period, by enabling patients to apply to a physician earlier, with training, especially for women.

Keywords

breast cancer, socio-cultural factors, female surgeon

References

• 1.Amir H, Tibi Y, Groutz A, Amit A, Azem F.Unpredicted gender preference of obstetricians andgynecologists by Muslim Israeli-Arab women.Patient education and counseling. 2012; 86:259–63.
• 2.Amer-Alshiek J, Alshiek T, Amir Levy YA, et al.Israeli Druze women's sex preferences whenchoosing obstetricians and gynecologists. IsraelJournal of Health Policy Research. 2015;4:13.
• 3.Sheldon GF. Workforce issues in general surgery.The American Surgeon. 2007;73:100-8.
• 4.Raymont A, Simpson J. Surgical workforce in NewZealand: Characteristics, activitied and limitations.ANZ Journal of Surgery. 2009; 79:230-4.
• 5.Lurie N, Slater J, McGovern P, et al. Preventive carefor woman: Does the sex of the physician matter?New England Journal of Medicine. 1993;329:478.
• 6.Roter DL, Hall JA, Aoki Y. Physician gender effectsin medical communication: a meta-analytic review.JAMA. 2002; 288.6:756-64.
• 7.Bertakis KD. The influence of gender on thedoctor-patient interaction. Patient education andcounseling. 2009; 76.3:356–60.
• 8.Lagro-Janssen AL. Medicine is not gender-neutral:influence of physician sex on medical care.Nederlandstijdschriftvoorgeneeskunde. 2008;152.20:1141–5.
• 9.Waller K. Women doctors for women patients?.British Journal of Medical Psychology. 1988;61.2:125–35.
• 10.Consedine NS, Reddig MK, Ladwig I, BroadbentEA. Gender and ethnic differences in colorectalcancer screening embarrassment and physiciangender preferences. In Oncology Nursing Forum.2011;38.6:409–17.
• 11.Shah DK, Karasek V, Gerkin RD, Ramirez FC,Young MA. Sex preferences for colonoscopists andGI physicians among patients and health careprofessionals. Gastrointestinal endoscopy. 2011;74.1:122–7.
• 12.Nolen HA, Moore JX, Rodgers JB, Wang HE,Walter LA. Focus: Sex and Gender Health PatientPreference for Physician Gender in the EmergencyDepartment. The Yale journal of biology andmedicine. 2016;89.2:131–42.
• 13.Godager G. Birds of a feather flock together: astudy of doctor-patient matching. Journal of healtheconomics. 2012;31.1:296–305.
• 14.Reid I. Patients' preference for male or femalebreast surgeons: questionnaire study. BMJ.1998;317.7165:1051-60.
• 15.Shin DW, Roter DL, Roh YK, et al. PhysicianGender and Patient Centered Communication: themoderating effect of psychosocial and biomedicalcase characteristics. Patient Education andCounseling. 2015;98.1:55-60.
• 16.McLean M, Al Ahbabi S, Al Ameri M, Al Yahyaei F,Bernsen R.Muslim women and medical students inthe clinical encounter. Medical Education.2010;44.3:306–15.
• 17.Lahat A, Assouline-Dayan Y, Katz LH, Fidder HH.The preference for an endoscopist specific sex: a linkbetween ethnic origin, religious belief, socioeconomic status, and procedure type. Patient preference and adherence. 2013;7:897–903.
• 18.Pasick RJ, D'Onofrio CN, Otero-Sabogal R.Similarities and differences across cultures:questions to inform a third generation for healthpromotion research. Health Education Quarterly.1996; 23.1:142–61.
• 19.Groutz A, Amir H, Caspi R, et al. Do women prefera female breast surgeon? Israel journal of healthpolicy research. 2016;5.1:1-6.
• 20.Padela AI, Killawi A, Heisler M, Demonner S,Fetters MD. The role of imams in AmericanMuslimhealth: Perspectives of Muslimcommunityleaders in Southeast Michigan. Journal of religionand health. 2011;50:359–73.
• 21.Alqufly AE, Alharbi BM, Alhatlany KK, Alhajjaj FS.Muslim female gender preference in delaying themedical care at emergency department in QassimRegion, Saudi Arabia.Journal of family medicine andprimary care. 2019;8.5:1658–63.
• 22.Amir H, Hazan M, Grutz O, Amit A, Azem F.Gender preference of obstetricians andgynecologists by ultra-orthodox Jewish women.Open Access Scientific Reports. 2012;1.10:1–5.
• 23.Abghari MS, Takemoto R, Sadiq A, et al. Patientperceptions and preferences when choosing anorthopaedic surgeon. The Iowa orthopaedic journal.2014;34:204-8.
• 24. Öner E, Girgin S, Uslukaya Ö, et al. A survey on the factors causing delayed diagnosis and treatment ofbreast cancer in Southeastern Anatolia. Journal ofClinical and Experimental Investigations.2015;6.4:375-81.