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Understanding Variation in Men's Help-Seeking for Cancer Symptoms: A Semistructured Interview Study

机译:了解男性对癌症症状寻求帮助的差异:半结构化访谈研究

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Men appear more likely to delay seeking medical advice for cancer symptoms, resulting in later stage at diagnosis and poorer health outcomes. Limited research has investigated variation in men's experiences of and responses to cancer symptoms. This study examined the psychosocial aspects of men's help-seeking for cancer symptoms, as well as potential variation across men residing in urban and rural Australia. Semistructured interviews were conducted with men recently diagnosed with cancer (n = 13). Participants' partners (n = 8) were recruited to enable data triangulation. Interview schedules addressed participants' pathway to cancer treatment, cancer knowledge, masculinity, and rural living. A theoretical thematic analysis approach was used. Medical help-seeking behavior was similar for participants residing in urban and rural areas. Five key themes and one subtheme were identified, including symptom factors, traditional masculine norms (subtheme: women's health-related responsibilities), level of concern, conflicting responsibilities and access, and trust in medical professionals. Participants from rural Australia experienced greater access difficulties and noted optimism regarding symptoms. Results highlight important within-gender differences in the psychosocial barriers to help-seeking for cancer symptoms. Future research should further explore variation between men and test the predictive strength of factors.
机译:男性似乎更有可能延迟寻求癌症症状的医疗建议,从而在诊断和健康状况较差时导致后期。有限的研究调查了男性对癌症症状的经历和反应的差异。这项研究检查了男性寻求癌症症状的帮助的社会心理方面,以及居住在澳大利亚城市和农村地区的男性的潜在变化。对最近被诊断出患有癌症的男性进行了半结构化访谈(n = 13)。参与者的合作伙伴(n = 8)被招募以实现数据三角剖分。访谈时间表涉及参与者的癌症治疗途径,癌症知识,男性气质和农村生活。使用了一种理论主题分析方法。居住在城市和农村地区的参与者的寻求帮助行为相似。确定了五个关键主题和一个子主题,包括症状因素,传统的男性规范(子主题:与妇女的健康相关责任),关注程度,责任矛盾,访问率以及对医疗专业人员的信任。来自澳大利亚农村地区的参与者遇到了更大的访问困难,并注意到症状的乐观情绪。结果凸显了心理社会障碍的重要性别差异,以寻求癌症症状。未来的研究应进一步探索男性之间的差异,并测试因素的预测强度。

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