Perceptions and experiences of prostate cancer patients in a public tertiary hospital in urban South Africa

被引:2
|
作者
Kim, Andrew Wooyoung [1 ,2 ]
Lambert, Madeleine [3 ]
Norris, Shane A. [2 ,4 ,5 ]
Mendenhall, Emily [2 ,3 ]
机构
[1] Univ Calif Berkeley, Dept Anthropol, Berkeley, CA 94720 USA
[2] Univ Witwatersrand, Fac Hlth Sci, SAMRC Dev Pathways Hlth Res Unit, Johannesburg, South Africa
[3] Georgetown Univ, Walsh Sch Foreign Serv, Washington, DC USA
[4] Univ Southampton, Sch Human Dev & Hlth, Southampton, England
[5] Univ Southampton, NIHR Southampton Biomed Res Ctr, Southampton, England
关键词
Prostate cancer; barriers to care; perceptions; psychosocial stress; men; distrust; social support; qualitative research; South Africa; PREVENTION; BEHAVIORS;
D O I
10.1080/13557858.2023.2174253
中图分类号
C95 [民族学、文化人类学];
学科分类号
0304 ; 030401 ;
摘要
Prostate cancer is among the most prevalent forms of cancer worldwide and is reported to have the highest incidence, mortality, and 5-year prevalence rate of all cancers among men living in Africa. Despite this widespread burden in the African continent, little is known about the perspectives and experience of prostate cancer among African men. To further understand experiences among patients living in urban South Africa, we conducted in-depth, semi-structured qualitative interviews to examine the perceptions and experiences of 28 Black African prostate cancer patients receiving treatment at a major tertiary hospital in Johannesburg, South Africa. Our data explored four major areas of patients' experiences with prostate cancer: detection, diagnosis, treatment, and follow-up care. Our results showed that the experience of living with prostate cancer among low-income, Black South African men is a stressful and emotionally painful experience due in part to men feeling that they had insufficient knowledge about their own condition and feeling disempowered or ill-equipped to manage their cancer. These feelings were strongly associated with distrust or dissatisfaction with physicians and the health care system. Resilience factors include social support from family, friends, and religious communities, acceptance of their diagnosis, religion, and positive appraisals of their medical care.
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页码:696 / 711
页数:16
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