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Women seeking women 27 - franklinkelsey5 - 09-21-2025
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Article about women seeking women 27:
| Journal of Clinical Oncology
A pilot study of the decision-making process of seeking medical care in women diagnosed with large breast tumors. Show More Department of Public Health, Brody School of Medicine, Greenville, NC,
A pilot study of the decision-making process of seeking medical care in women diagnosed with large breast tumors. Show More Department of Public Health, Brody School of Medicine, Greenville, NC, East Carolina University, Greenville, NC, Brody School of Medicine at East Carolina University, Greenville, NC, Leo Jenkins Cancer Center, Brody School of Medicine at East Carolina University, Greenville, NC.
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Abstract. Background: Twelve percent of women diagnosed with invasive breast cancer in eastern NC present with large tumors (≥ 4 cm). The reasons for presentation with advanced cancer are not known and may include both social factors and tumor characteristics. Methods: The objective of this qualitative pilot study was to investigate the decision-making process of seeking medical care in women diagnosed with ≥ 4 cm breast tumors through in-depth interviews. Six female breast cancer patients treated at Brody School of Medicine completed in-depth qualitative semistructured interviews along with demographic questionnaires. The interviews, designed to uncover barriers and motivators to seeking breast cancer diagnosis and care, were recorded and transcribed verbatim. Results: Six women (aged 44-68) completed the interview process, three African Americans and three Caucasians. Mean tumor at diagnosis size was 11.2 cm (range 4-18 cm). Three women who lived alone hid breast cancer symptoms from their family, of these, two women had fungating tumors and one had nipple drainage for more than 1 year prior to diagnosis. Four women had health insurance. Two women reported being without insurance for more than 10 years and cited this as the primary reason for delaying care. Both insured and uninsured subjects delayed care due to fear of being a burden to family, financially or support wise. One woman delayed care due to fear of chemotherapy and radiation. Three women reported regular mammograms, two presented with fast-growing tumors, one had a chest wall tumor that was missed on mammography. Conclusions: Three of six patients presenting with locally advanced disease stated that they made a decision to delay medical care. Subjects’ lack of insurance, fear of cancer and cancer treatments, and concern for family were among reasons for delays. Qualitative approaches may be useful in studying factors that affect patient access to care. More research is needed on ways to improve access and empower women to seek care.
Women seeking women 27