UPTAKE BARRIERS TO THE TREATMENT OF PRECANCEROUS CERVICAL DISEASES
Background. The malignant cervical tumors are the second leading cause of female mortality in the Republic of Kazakhstan. Currently, there is a growth of untreated precancerous cervical diseases which have a potential to develop into cervical cancer. In this connection, the question arises what barriers exist to the treatment of precancerous cervical diseases.
Objective: To identify uptake barriers to the treatment of precancerous cervical diseases.
Materials and methods. A cross-sectional study with random sampling strategy. Sampling - 404 women of childbearing age, randomly selected. Statistical analysis was performed by SPSS 20.0.
Results. Four hundred and four women of childbearing age were interviewed, whose average age was 31 years, the prevalence of Kazakh women (45%), a large percentage of the respondents were married (58,9%). According to the social status of the respondents was as follows: government employees (30.9%), employees (28%), housewives (11,1%), students (12,1%) work in the service sector (6,9%), private entrepreneurs (10,9%).
Significant barriers to visiting health care facilities were the sense of constraint (75,2%), long hospital queues (78,2%), being very busy (60,6%), frequent referral to additional examinations and check-ups (60,4%).
Conclusion. The significant uptake barriers include: sense of constraint, long hospital queues as well as excessive referral to additional examinations.
Zhazira E. Orazgaliyeva 1, http://orcid.org/0000-0002-9933-3336
Yuliya M. Semenova 1, http://orcid.org/0000-0003-1324-7806
Karen Malone 2, http://orcid.org/0000-0002-2733-1921
Marzhan A. Dauletiarova 1, http://orcid.org/0000-0001-8178-4051
Togzhan Zh. Shalaganova 1, http://orcid.org/0000-0002-1552-0346
1 Semey State Medical University, Semey, Kazakhstan;
2 University of Western Sydney, Australia
1. Buleshov М.A., Tazhibayeva K.N., Buleshovа A.М., Grjibovski A.M., Zhanabayev N.S. Prichiny otkaza patsientov s podozreniem na zlokachestvennye novoobrazovaniya ot dal'neishego meditsinskogo obsledovaniya, po mneniyu uchastkovykh vrachei Yuzhno-Kazakhstanskoi oblasti [Causes of refusing medical examination by patients with suspected cancer as perceived by primary care physicians in South Kazakhstan region]. Nauka i Zdravookhranenie [Science & Healthcare]. 2016, 5, pp. 90-100. [in Russian]
2. Byulleten' Vsemirnoi organizatsii zdravookhraneniya [The bulletin of World Health Organization] 2011; 89 P. 248–249. [Electronic resource] Access mode: http://www.who.int/bulletin/volumes
3. Gosudarstvennaya programma razvitiya zdravookhraneniya Respubliki Kazakhstan «Salamatty Қazaқstan» na 2011-2015: ot 29 noyabrya 2010 goda [The State Programme of the Republic of Kazakhstan for Health Development "Salamatty Kazakhstan" for 2011-2015: dated November 29, 2010], Р.8 [Electronic resource] Access mode: http://www.mzsr.gov.kz
4. Grjibovski A.M. Analiz nominalnykh dannykh [Analysis of nominal data]. Ekologiya cheloveka [Human Ecology]. 2008. No.6. pp. 56-68. [in Russian]
5. Grjibovski A.M. Korrelatcionniy analiz [Correlation analysis]. Ekologiya cheloveka [Human Ecology]. 2008. No.9. pp. 50-60. [in Russian]
6. Grjibovski A.M., Ivanov S.V. Poperechnye (odnomomentnye) issledovaniya v zdravookhranenii [Cross-sectional studies in health sciences]. Nauka i Zdravookhranenie [Science & Healthcare]. 2015, 2, pp. 5-18. [in Russian]
7. Grjibovski A.M., Ivanov S.V., Gorbatova M.A. Opisatel'naya statistika s ispol'zovaniem paketov statisticheskikh programm Statistica i SPSS [Descriptive statistics using Statistica and SPSS software]. Nauka i Zdravookhranenie [Science & Healthcare]. 2016, 1, pp. 7-23. [in Russian]
8. Klinicheskie lektsii po akusherstvu i ginekologii [Clinical lectures on obstetrics and gynecology] / Pod red. A. N. Strizhakova, A. I. Davydova, L.D. Belotserkovtsevoi. – M.: Meditsina. 2004, 54 c.
9. Pokazateli onkologicheskoi sluzhby Respubliki Kazakhstan za 2013 god [Indicators Oncology Service of the Republic of Kazakhstan for 2013], Almaty 2014g. P. 88.
10. Rakhypbekov T.K., Grjibovski A.M. K voprosu o neobkhodimosti povysheniya kachestva kazakhstanskikh nauchnykh publikatsii dlya uspeshnoi integratsii v mezhdunarodnoe nauchnoe soobshchestvo [The need for improvement of the quality of kazakhstani publications for successful integration in the international research community]. Nauka i Zdravoohranenie [Science & Healthcare]. 2015, 1, pp. 5-12. [in Russian]
11. Romanovskaya E.S. Sotsiokul'turnye faktory i institutsionnye sub"ekty, determiniruyushchie zdorov'e naseleniya [Sociocultural factors and institutional entities that determine health]. Vestnik Chelyabinskogo gosudarstvennogo universiteta [Bulletin of the Chelyabinsk State University]. 2011/ №30. pp. 154-160. [in Russian]
12. Statisticheskii sbornik «Zdorov'e naseleniya Respubliki Kazakhstan i deyatel'nost' organizatsii zdravookhraneniya v 2015 godu» [Statistical Yearbook «Health of the Republic of Kazakhstan and activities of health care organizations in 2015»], Astana 2016. pp. 292. [Electronic resource] Access mode: http://www.mzsr.gov.kz/ru/node/338910
13. Statisticheskii sbornik «Zdorov'e naseleniya RK i deyatel'nost' organizatsii zdravookhraneniya v 2011 godu». [Statistical Yearbook «Health of the Population and the activities of health care organizations in 2011»] Astana. 2012. pp. 254. [Electronic resource] Access mode: http://www.mzsr.gov.kz/ru/node/338910
14. Khisamutdinova R.R. Kul'tura sokhraneniya zdorov'ya kak proyavlenie samoidentifikatsii [Culture preservation of health as an expression of identity]. Sbornik nauchnykh trudov «Problemy grazhdanskoi i regional'noi identichnosti v sovremennoi Rossii» [Collection of scientific works «Problems of civil and regional identity in modern Russia»]. Ul'yanovsk 2015 g. pp. 257-259. [in Russian]
15. Khuzikhanov F.V., Guseva E.B. Marketingovoe issledovanie udovletvorennosti potrebitelei meditsinskikh diagnosticheskikh uslug [Marketing research of consumer satisfaction of medical diagnostic services]. Vestnik Rossiiskogo nauchnogo tsentra rentgen radiologii Minzdrava Rossii [Bulletin of the Russian Scientific Center of Radiology X-rays of Ministry of Health of Russia]. 2010. № 10/1. pp. 32.
16. Shalgumbaeva G.M., Sagidullina G.G., Sandybaev M.N. Izuchenie bar'erov dlya prokhozhdeniya skrininga na rannee vyyavlenie patologii sheiki matki v gorode Semei [Barriers to cervical cancer screening at women of Semey city]. Nauka i Zdravoohranenie [Science & Healthcare]. 2014. №2. рр. 55-56. [in Russian]
17. Ashing-Giwa K.T. Diagnostic and therapeutic delays among a multiethnic sample of breast and cervical cancer survivors // Cancer. 2010. Vol. 116. № 13 рр. 3195–3204.
18. Elmore J.G. Solving the Problem of Overdiagnosis // N Engl J Med. 2016. № 13;375(15). рр. 1483-1486. [Electronic resource] Access mode: http://www.pubmed.gov
19. Isabel C. Scarinci, Francisco A.R. Garcia, Erin Kobetz, Edward E. Partridge, Heather M. Brandt, Maria C. Bell, Mark Dignan, Grace X. Ma, Jane L. Daye, Philip E. Castle. Cervical cancer prevention, New tools and old barriers // Cancer. 2010. Vol. 116. № 11 рр. 2531–2542.
20. Iagurto I., Bishop A., Sánchez G. Betancourt Z., Robles S. Perceived barriers and benefits to cervical cancer screening in Latin America / / Preventive Medicine. 2004. Vol. 39. № 1. рр. 91–98.
21. Kazdin, Alan E. Family experience of barriers to treatment and premature termination from child therapy // Journal of Consulting and Clinical Psychology. 1997. Vol. 65. №3. рр. 453-463.
22. Lee, Miok C. Ed.D., R.N., C.S., A.N.P. Knowledge, Barriers, and Motivators Related to Cervical Cancer Screening Among Korean-American Women: A FOCUS GROUP APPROACH. / / Cancer Nursing. 2000. Vol. 23. №3. рр. 168-175.
23. Maria Luisa Marván, Yamilet Ehrenzweig & Rosa Lilia Catillo-López. Knowledge about cervical cancer prevention and psychosocial barriers to screening among Mexican women / / Journal of Psychosomatic Obstetrics & Gynecology. 2013. Vol. 34. № 4. рр. 163-169.
24. Morgan D.J., Dhruva S.S., Wright S.M., Korenstein D. 2016 Update on Medical Overuse: A Systematic Review / / JAMA Intern Med. 2016 Nov 1;176(11). рр. 1687-1692. [Electronic resource] Access mode: http://www.pubmed.gov
25. Nishimura H., Yatich N., Huchko М. Facilitators and Barriers to Cervical Cancer Screening in Migori County, Kenya / / JGO. 2016. №3. рр.82
26. Robin M. Kowalski, Kelly J. Brown. Psychosocial Barriers to Cervical Cancer Screening: Concerns With Self-presentation and Social Evaluation / / Journal of Applied Social Psychology. 1994. Vol. 24. №11. рр. 941–958.