Health seeking behavior among cancer patients attending Ocean Road Cancer Institute, Tanzania.
OBJECTIVE
To characterize cancer patients and to determine the associated health seeking behaviours.


METHODS
Between September 2005 and February 2006, we collected data using structured and semi-structured interviews among new cancer patients attending the ORCI. Findings are summarized using univarite and bivariate analyses.


RESULTS
There were 330 cancer patients during the study period. The mean age was 48 (SD = 13.5) years ranging between 21 and 84 years. The majority, 205 (62.1%), were females. More than two thirds of all patients, that is 225 (68.2%), presented at the ORCI at advanced stages of disease. Many patients reported to have neither heard, 193 (58.5%), nor to know cancer symptoms, 203 (61.5%). Only 185 (56.1%) of all patients reported their willingness to disclose and a freedom to talk about the disease. Risk factors for cancer staging were sex, patient's education status, awareness and knowledge of disease symptoms.


CONCLUSIONS
Interventions targeted to improve health care seeking behaviour among cancer patients need to include health education and sensitization specifically of cancer disease, establish a strong referral mechanisms at primary health level and to start a population cancer registry for monitoring and evaluation purposes.
Kazaura
Methods R
MR
Department of Epidemiology and Biostatistics, School of Public Health and Social Sciences, Muhimbili University College of Health Sciences, Dar es Salaam, Tanzania. mrkazaura@muchs.ac.tz
Kombe
Dominista
D
Yuma
Safina
S
Mtiro
Hussein
H
Mlawa
Genoveva
G
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D002173:Cancer Care Facilities / Q000706:statistics & numerical data*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D009369:Neoplasms / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D008517:Phytotherapy / Q000706:statistics & numerical data; D013636:Tanzania; D013997:Time Factors