Skip to main content
Erschienen in: Journal of Cancer Education 1/2019

04.08.2017

Cancer Awareness and Barriers to Seeking Medical Help Among Syrian Refugees in Jordan: a Baseline Study

verfasst von: Mohammad Al Qadire, Ma’en Aljezawi, Noha Al-Shdayfat

Erschienen in: Journal of Cancer Education | Ausgabe 1/2019

Einloggen, um Zugang zu erhalten

Abstract

Refugees in Jordan have an increased burden of cancer due to hard conditions and low income. An increase in awareness of the early signs of cancer could prompt early diagnosis. The current study aims to explore the level of cancer knowledge and barriers to seeking care among Syrian refugees in Jordan. A descriptive cross-sectional survey design was used. Two hundred and forty-one Syrian refugees living in the north of Jordan completed the Cancer Awareness Measure. The mean age was 27.9 (SD 9.1) years, ranging from 18 to 47 years. More than half (56%) of the participants were female. Participants were able to recognize a low number of symptoms (mean 4.4, SD 2.3) and risk factors (4.7 (out of 11), SD 1.9). The most commonly reported barrier was having no medical insurance (83.4%). Refugees’ knowledge of symptoms and risk factors was generally unsatisfactory. Barriers to seeking medical care were prevalent. Much work is needed to overcome barriers and enhance knowledge that can hinder early diagnosis and treatment.
Literatur
1.
Zurück zum Zitat Ahmad MM (2015) Knowledge and beliefs about cancer prevention and care in Jordan. IOSRD Int J Med 1(1):1–5 Ahmad MM (2015) Knowledge and beliefs about cancer prevention and care in Jordan. IOSRD Int J Med 1(1):1–5
2.
Zurück zum Zitat Al-Zalabani AH, Alharbi KD, Fallatah NI, Alqabshawi RI, Al-Zalabani AA, Alghamdi SM 2016 Breast cancer knowledge and screening practice and barriers among women in Madinah, Saudi Arabia. J Cancer Educ 1–7 Al-Zalabani AH, Alharbi KD, Fallatah NI, Alqabshawi RI, Al-Zalabani AA, Alghamdi SM 2016 Breast cancer knowledge and screening practice and barriers among women in Madinah, Saudi Arabia. J Cancer Educ 1–7
3.
Zurück zum Zitat Amin MA (2008) Knowledge, beliefs, attitudes and perceptions about breast and cervical cancer and screening among Arabic speaking immigrant women in Halifax. Doctoral dissertation, Mount Saint Vincent University, Nova Scotia Amin MA (2008) Knowledge, beliefs, attitudes and perceptions about breast and cervical cancer and screening among Arabic speaking immigrant women in Halifax. Doctoral dissertation, Mount Saint Vincent University, Nova Scotia
4.
Zurück zum Zitat Archangelidi O, Theodoromanolakis P, Mantas J (2015) The provision of health services in Jordan to Syrian refugees. Arch Med 9(2):2 Archangelidi O, Theodoromanolakis P, Mantas J (2015) The provision of health services in Jordan to Syrian refugees. Arch Med 9(2):2
5.
Zurück zum Zitat Campbell MK, Carr C, Devellis B, Switzer B, Biddle A, Walsh J, Zhou B, Sandler R (2009) A randomized trial of tailoring and motivational interviewing to promote fruit and vegetable consumption for cancer prevention and control. Ann Behav Med 38(2):71–85CrossRef Campbell MK, Carr C, Devellis B, Switzer B, Biddle A, Walsh J, Zhou B, Sandler R (2009) A randomized trial of tailoring and motivational interviewing to promote fruit and vegetable consumption for cancer prevention and control. Ann Behav Med 38(2):71–85CrossRef
6.
Zurück zum Zitat Colditz, Graham A, Karen M Emmons (2016) The role of universal health coverage in reducing cancer deaths and disparities. The Lancet 388(10045):638–640 Colditz, Graham A, Karen M Emmons (2016) The role of universal health coverage in reducing cancer deaths and disparities. The Lancet 388(10045):638–640
7.
Zurück zum Zitat Cousins S (2015) Syrian crisis: health experts say more can be done. Lancet 385(9972):931–934CrossRef Cousins S (2015) Syrian crisis: health experts say more can be done. Lancet 385(9972):931–934CrossRef
8.
Zurück zum Zitat Danaei G, Hoorn SV, Lopez AD, Murray CJL, Ezzati M, Comparative Risk Assessment collaborating group (2005) Causes of cancer in the world: comparative risk assessment of nine behavioural and environmental risk factors. Lancet 366(9499):1784–1793CrossRef Danaei G, Hoorn SV, Lopez AD, Murray CJL, Ezzati M, Comparative Risk Assessment collaborating group (2005) Causes of cancer in the world: comparative risk assessment of nine behavioural and environmental risk factors. Lancet 366(9499):1784–1793CrossRef
9.
Zurück zum Zitat Doocy S, Lyles E, Akhu-Zaheya L, Burton A, Burnham G (2016) Health service access and utilization among Syrian refugees in Jordan. Int J Equity Health 15(1):108CrossRef Doocy S, Lyles E, Akhu-Zaheya L, Burton A, Burnham G (2016) Health service access and utilization among Syrian refugees in Jordan. Int J Equity Health 15(1):108CrossRef
10.
Zurück zum Zitat Formosa J, Jenner R, Nguyen-Thi M-D, Stephens C, Wilson C, Ariyawardana A (2015) Awareness and knowledge of oral cancer and potentially malignant oral disorders among dental patients in far North Queensland, Australia. Asian Pac J Cancer Prev 16:4429–4434CrossRef Formosa J, Jenner R, Nguyen-Thi M-D, Stephens C, Wilson C, Ariyawardana A (2015) Awareness and knowledge of oral cancer and potentially malignant oral disorders among dental patients in far North Queensland, Australia. Asian Pac J Cancer Prev 16:4429–4434CrossRef
11.
Zurück zum Zitat Gelband H, Sankaranarayanan R, Gauvreau CL, Horton S, Anderson BO, Bray F, Cleary J, Dare AJ, Denny L, Gospodarowicz MK (2016) Costs, affordability, and feasibility of an essential package of cancer control interventions in low-income and middle-income countries: key messages from disease control priorities. Lancet 387(10033):2133–2144CrossRef Gelband H, Sankaranarayanan R, Gauvreau CL, Horton S, Anderson BO, Bray F, Cleary J, Dare AJ, Denny L, Gospodarowicz MK (2016) Costs, affordability, and feasibility of an essential package of cancer control interventions in low-income and middle-income countries: key messages from disease control priorities. Lancet 387(10033):2133–2144CrossRef
12.
Zurück zum Zitat Heus K, Sartawi T (2014) The realization of the right to health for refugees in Jordan. In: Toebes B, Ferguson R, Markovic M, Nnamuchi O (eds) The right to health. TMC Asser Press, The Hague, pp 193–229 Heus K, Sartawi T (2014) The realization of the right to health for refugees in Jordan. In: Toebes B, Ferguson R, Markovic M, Nnamuchi O (eds) The right to health. TMC Asser Press, The Hague, pp 193–229
14.
Zurück zum Zitat Macleod U, Mitchell ED, Burgess C, Macdonald S, Ramirez AJ (2009) Risk factors for delayed presentation and referral of symptomatic cancer: evidence for common cancers. Br J Cancer 101:S92–S101CrossRef Macleod U, Mitchell ED, Burgess C, Macdonald S, Ramirez AJ (2009) Risk factors for delayed presentation and referral of symptomatic cancer: evidence for common cancers. Br J Cancer 101:S92–S101CrossRef
15.
Zurück zum Zitat Marwa KI 2016 Psychosocial sequels of Syrian conflict. J Psychiatry Marwa KI 2016 Psychosocial sequels of Syrian conflict. J Psychiatry
17.
Zurück zum Zitat Radi SM (2013) Breast cancer awareness among Saudi females in Jeddah. Asian Pac J Cancer Prev 14(7):4307–4312CrossRef Radi SM (2013) Breast cancer awareness among Saudi females in Jeddah. Asian Pac J Cancer Prev 14(7):4307–4312CrossRef
18.
Zurück zum Zitat Robb K, Stubbings S, Ramirez A, Macleod U, Austoker J, Waller J, Hiom S, Wardle J (2009) Public awareness of cancer in Britain: a population-based survey of adults. Br J Cancer 101:S18–S23CrossRef Robb K, Stubbings S, Ramirez A, Macleod U, Austoker J, Waller J, Hiom S, Wardle J (2009) Public awareness of cancer in Britain: a population-based survey of adults. Br J Cancer 101:S18–S23CrossRef
19.
Zurück zum Zitat Salim EI, Moore MA, Al-Lawati JA, Al-Sayyad J, Bazawir A, Bener A, Corbex M, El-Saghir N, Habib OS, Maziak W (2009) Cancer epidemiology and control in the Arab world-past, present and future. Asian Pac J Cancer Prev 10(1):3–16PubMed Salim EI, Moore MA, Al-Lawati JA, Al-Sayyad J, Bazawir A, Bener A, Corbex M, El-Saghir N, Habib OS, Maziak W (2009) Cancer epidemiology and control in the Arab world-past, present and future. Asian Pac J Cancer Prev 10(1):3–16PubMed
20.
Zurück zum Zitat Schapira L (2016) Caring for refugees with cancer: a case for training of US oncology professionals. In: Silbermann M (eds) Cancer care in countries and societies in transition. Springer, Cham, pp 399–407 Schapira L (2016) Caring for refugees with cancer: a case for training of US oncology professionals. In: Silbermann M (eds) Cancer care in countries and societies in transition. Springer, Cham, pp 399–407
21.
Zurück zum Zitat Shah SM, Ayash C, Pharaon NA, Gany FM (2008) Arab American immigrants in New York: health care and cancer knowledge, attitudes, and beliefs. J Immigr Minor Health 10(5):429–436CrossRef Shah SM, Ayash C, Pharaon NA, Gany FM (2008) Arab American immigrants in New York: health care and cancer knowledge, attitudes, and beliefs. J Immigr Minor Health 10(5):429–436CrossRef
22.
Zurück zum Zitat Shin A, Sandin S, Lof M, Margolis KL, Kim K, Couto E, Adami HO, Weiderpass E (2015) Alcohol consumption, body mass index and breast cancer risk by hormone receptor status: Women’ Lifestyle and Health Study. BMC Cancer 15(1):1CrossRef Shin A, Sandin S, Lof M, Margolis KL, Kim K, Couto E, Adami HO, Weiderpass E (2015) Alcohol consumption, body mass index and breast cancer risk by hormone receptor status: Women’ Lifestyle and Health Study. BMC Cancer 15(1):1CrossRef
23.
Zurück zum Zitat Silbermann M, Daher M, Kebudi R, Nimri O, Al-Jadiry M, Baider L (2016) Middle eastern conflicts: implications for refugee health in the European Union and middle eastern host countries. J Glob Oncol 2(6):422–430 Silbermann M, Daher M, Kebudi R, Nimri O, Al-Jadiry M, Baider L (2016) Middle eastern conflicts: implications for refugee health in the European Union and middle eastern host countries. J Glob Oncol 2(6):422–430
24.
Zurück zum Zitat Smith LK, Pope C, Botha JL (2005) Patients’ help-seeking experiences and delay in cancer presentation: a qualitative synthesis. Lancet 366(9488):825–831CrossRef Smith LK, Pope C, Botha JL (2005) Patients’ help-seeking experiences and delay in cancer presentation: a qualitative synthesis. Lancet 366(9488):825–831CrossRef
25.
Zurück zum Zitat Spiegel P, Khalifa A, Mateen FJ (2014) Cancer in refugees in Jordan and Syria between 2009 and 2012: challenges and the way forward in humanitarian emergencies. Lancet Oncol 15(7):e290–e297CrossRef Spiegel P, Khalifa A, Mateen FJ (2014) Cancer in refugees in Jordan and Syria between 2009 and 2012: challenges and the way forward in humanitarian emergencies. Lancet Oncol 15(7):e290–e297CrossRef
26.
Zurück zum Zitat Stephens FO, Aigner KR (2016) Basics of oncology. Springer, Cham Stephens FO, Aigner KR (2016) Basics of oncology. Springer, Cham
27.
Zurück zum Zitat Stubbings S, Robb K, Waller J, Ramirez A, Austoker J, Macleod U, Hiom S, Wardle J (2009) Development of a measurement tool to assess public awareness of cancer. Br J Cancer 101:S13–S17CrossRef Stubbings S, Robb K, Waller J, Ramirez A, Austoker J, Macleod U, Hiom S, Wardle J (2009) Development of a measurement tool to assess public awareness of cancer. Br J Cancer 101:S13–S17CrossRef
29.
Zurück zum Zitat Waller J, Robb K, Stubbings S, Ramirez A, Macleod U, Austoker J, Hiom S, Wardle J (2009) Awareness of cancer symptoms and anticipated help seeking among ethnic minority groups in England. Br J Cancer 101:S24–S30CrossRef Waller J, Robb K, Stubbings S, Ramirez A, Macleod U, Austoker J, Hiom S, Wardle J (2009) Awareness of cancer symptoms and anticipated help seeking among ethnic minority groups in England. Br J Cancer 101:S24–S30CrossRef
30.
Zurück zum Zitat Yarbro CH, Wujcik D, Gobel BH (2010) Cancer nursing: principles and practice. Jones & Bartlett Publishers, Burlington Yarbro CH, Wujcik D, Gobel BH (2010) Cancer nursing: principles and practice. Jones & Bartlett Publishers, Burlington
Metadaten
Titel
Cancer Awareness and Barriers to Seeking Medical Help Among Syrian Refugees in Jordan: a Baseline Study
verfasst von
Mohammad Al Qadire
Ma’en Aljezawi
Noha Al-Shdayfat
Publikationsdatum
04.08.2017
Verlag
Springer US
Erschienen in
Journal of Cancer Education / Ausgabe 1/2019
Print ISSN: 0885-8195
Elektronische ISSN: 1543-0154
DOI
https://doi.org/10.1007/s13187-017-1260-1

Weitere Artikel der Ausgabe 1/2019

Journal of Cancer Education 1/2019 Zur Ausgabe

Umsetzung der POMGAT-Leitlinie läuft

03.05.2024 DCK 2024 Kongressbericht

Seit November 2023 gibt es evidenzbasierte Empfehlungen zum perioperativen Management bei gastrointestinalen Tumoren (POMGAT) auf S3-Niveau. Vieles wird schon entsprechend der Empfehlungen durchgeführt. Wo es im Alltag noch hapert, zeigt eine Umfrage in einem Klinikverbund.

CUP-Syndrom: Künstliche Intelligenz kann Primärtumor finden

30.04.2024 Künstliche Intelligenz Nachrichten

Krebserkrankungen unbekannten Ursprungs (CUP) sind eine diagnostische Herausforderung. KI-Systeme können Pathologen dabei unterstützen, zytologische Bilder zu interpretieren, um den Primärtumor zu lokalisieren.

Sind Frauen die fähigeren Ärzte?

30.04.2024 Gendermedizin Nachrichten

Patienten, die von Ärztinnen behandelt werden, dürfen offenbar auf bessere Therapieergebnisse hoffen als Patienten von Ärzten. Besonders gilt das offenbar für weibliche Kranke, wie eine Studie zeigt.

Adjuvante Immuntherapie verlängert Leben bei RCC

25.04.2024 Nierenkarzinom Nachrichten

Nun gibt es auch Resultate zum Gesamtüberleben: Eine adjuvante Pembrolizumab-Therapie konnte in einer Phase-3-Studie das Leben von Menschen mit Nierenzellkarzinom deutlich verlängern. Die Sterberate war im Vergleich zu Placebo um 38% geringer.

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.