在南非一家三级医院接受宫颈癌症治疗的妇女中的知识、错误信息、耻辱和披露犹豫

IF 1.9 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY South African Journal of Psychology Pub Date : 2023-01-11 DOI:10.1177/00812463221148323
Robyn Williams, H. Simonds, R. Roomaney
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引用次数: 2

摘要

癌症在低收入和中等收入国家的高发病率和高负担促使人们对该疾病的预防和筛查进行了大量研究。然而,很少有研究关注在南非与这种疾病共存和接受治疗的经历。我们的目的是探索在南非一家三级医院接受宫颈癌症治疗的女性的知识、错误信息、羞辱和披露犹豫。我们对15名在南非一家学术医院完成宫颈癌症治疗的女性进行了半结构访谈。访谈采用录音、转录和专题分析法进行分析。在这篇文章中,我们描述了参与者对癌症的了解和理解,他们的错误信息和耻辱的经历,以及向他人透露自己疾病的犹豫。参与者报告对癌症知之甚少。他们报告了许多错误信息来源,如家庭成员甚至医疗专业人员,这些信息有时会导致寻求诊断和治疗的延误。此外,参与者报告称,他们对自己的诊断感到耻辱。我们强调了沟通在增加知识、减少羞辱和错误信息以及促进癌症女性披露方面可以发挥的核心作用。我们为卫生保健从业者和研究人员提供建议。
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Knowledge, misinformation, stigma, and disclosure hesitancy among women receiving curative treatment for cervical cancer at a tertiary hospital in South Africa
The high prevalence and burden of cervical cancer in low- and middle-income countries have spurred much research into preventing and screening for the disease. However, little research has focussed on the experience of living with the disease and undergoing treatment in South Africa. Our aim was to explore knowledge, misinformation, stigma, and disclosure hesitancy among women receiving curative treatment for cervical cancer at a tertiary hospital in South Africa. We conducted semistructured interviews with 15 women who completed curative treatment for cervical cancer at an academic hospital in South Africa. Interviews were audio-recorded, transcribed, and analysed using thematic analysis. In this article, we describe participants’ knowledge and understanding of cervical cancer, their experience of misinformation and stigma and hesitancy to disclose their illness to others. Participants reported little knowledge about cervical cancer. They reported many sources of misinformation, such as family members and even medical professionals, which at times contributed to delays in seeking diagnosis and treatment. Furthermore, participants reported feeling stigma associated with their diagnosis. We highlight the central role that communication can play in increasing knowledge, reducing stigma and misinformation, and facilitating disclosure among women with cervical cancer. We include recommendations for health care practitioners and researchers.
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来源期刊
South African Journal of Psychology
South African Journal of Psychology PSYCHOLOGY, MULTIDISCIPLINARY-
CiteScore
3.40
自引率
10.50%
发文量
39
期刊介绍: The South African Journal of Psychology publishes contributions in English from all fields of psychology. While the emphasis is on empirical research, the Journal also accepts theoretical and methodological papers, review articles, short communications, reviews and letters containing fair commentary. Priority is given to articles which are relevant to Africa and which address psychological issues of social change and development.
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