TAILIEUCHUNG - Delayed presentation in breast cancer: a study in Iranian women

Third, the findings reveal that frequent midwifery care users are more likely to consult acupuncturists and doulas. This finding supports previous research identifying midwives as a popular source of CAM information for pregnant women [5] and often encouraging CAM use for women in their care [31]. Alternatively, this finding could suggest that women choosing different models of maternity care also hold different values and approaches to CAM use, an issue identified in more general CAM utilisation research [2] but still requiring further investigation in relation to maternity care [32]. Previous research identifies midwives as referring to a range of CAM. | BMC Women s Health BioMed Central Research article Open Access Delayed presentation in breast cancer a study in Iranian women Ali Montazeri Mandana Ebrahimi Neda Mehrdad Mariam Ansari and Akram Sajadian Address Iranian Centre for Breast Cancer ICBC Tehran Iran Email Ali Montazeri - ali@ Mandana Ebrahimi - ebrahimiman@ Neda Mehrdad - neda_mehrdad@ Mariam Ansari - ansari@ Akram Sajadian - asadjadian@ Corresponding author Published 07 July 2003 Received 12 April 2003 BMC Women s Health 2003 3 4 Accepted 07 July 2003 This article is available from http 1472-6874 3 4 2003 Montazeri et al licensee BioMed Central Ltd. This is an Open Access article verbatim copying and redistribution of this article are permitted in all media for any purpose provided this notice is preserved along with the article s original URL. Abstract Background A cross sectional study was conducted in Tehran Iran to examine the extent of patient delay and associated factors in the presentation of breast cancer. Methods A group of newly diagnosed breast cancer patients were interviewed and were asked about the period from first onset of symptoms to first medical consultation to indicate patient delay. This was studied in relation to patients age educational level marital status family history of breast cancer history of benign breast disease number of children and the nature of the first symptom seen. Results In all 190 breast cancer patients were interviewed. Of these 75 presented to physician within 3 months. Forty-two patients 25 delayed more than 3 months. In multivariate regression analysis it was found that there was a risk for longer delay in widowed or divorced women OR 95 CI women with a positive family history of breast cancer OR 95 CI and less educated patients illiterate OR 95 CI primary schooling OR 95 CI . Significant associations also were found between delay .

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