Healthcare utilisation, cancer screening and potential barriers to accessing cancer care in rural South West Nigeria: a cross-sectional study
| Autor: | Samson Gbenga Ogunleye, Olalekan Olasehinde, Olusegun I. Alatise, Kelli O'Connell, Avinash Sharma, Funmilola Wuraola, T. Peter Kingham, Mengmeng Du, Adewale Aderounmu, Marquerite L Samson |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Rural Population medicine.medical_specialty Nigeria Uterine Cervical Neoplasms Global Health preventive medicine organisation of health services Health Services Accessibility 03 medical and health sciences 0302 clinical medicine Environmental health Epidemiology Health care Cancer screening medicine Humans Mass Screening health economics 030212 general & internal medicine Africa South of the Sahara Early Detection of Cancer Health policy Preventive healthcare Health economics business.industry Nigerians public health Cancer health policy General Medicine Middle Aged Patient Acceptance of Health Care medicine.disease Cross-Sectional Studies 030220 oncology & carcinogenesis Medicine Female epidemiology business |
| Zdroj: | BMJ Open, Vol 11, Iss 7 (2021) BMJ Open |
| ISSN: | 2044-6055 |
| Popis: | Background/aimsCancer burden is predicted to double by 2030 in sub-Saharan Africa; access to healthcare services for cancer management is a priority in the region. In Nigeria, National Cancer Control Plan aims to ensure >50% cancer screening of eligible populations by 2022 for all Nigerians. We describe healthcare utilisation, cancer screening activities and potential barriers to accessing cancer care within an understudied rural community-based adult population in South West Nigeria.MethodsIn April 2018, we conducted a cross-sectional study of community-based adults (>18 years) ~130 km east of Ibadan, 250 km from Lagos in Osun State, South West Nigeria. Participants completed a face-to-face survey in local dialect. We used a questionnaire to assess demographics, health status, income, medical expenditures, doctor visits and cancer screening history.ResultsWe enrolled 346 individuals: with median age of 52 years and 75% women. Of the entire cohort, 4% had medical insurance. 46% reported a major medical cost in the last year. Cancer screening activities were infrequent in eligible participants: 1.5% reported having had cervical cancer screening, 3.3% mammogram and 5% colonoscopy screening. Cancer screening assessment was less frequent in those with less income and lower education levels. Using a multivariable logistic regression model including personal income, insurance status and education, higher personal income was associated with more cancer screening activity (OR 2.7, 95% CI 1.3 to 5.7, pConclusionsDespite national increases in cancer cases, we highlight a deficiency in cancer screening and universal healthcare coverage within a community-based adult Nigerian population. Subject to availability of governmental resources, increasing financial risk protection, awareness and targeted resource allocation may help expand access in Nigeria. |
| Databáze: | OpenAIRE |
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