McDermott_EC risks paper EJOGRB accepted version.pdf (273.23 kB)

Knowledge of the risk factors and symptons associated with endometrial cancer in British South Asian and British white women

Download (273.23 kB)
journal contribution
posted on 27.03.2018, 14:48 by Priyanga Kumarakulasingam, Hilary McDermott, Louise Boutler, Nafisa Patel, Douglas G. Tincello, E.L. Moss
ABSTRACT Objective: To explore differences in the background knowledge of Endometrial Cancer (EC), its risk factors, symptoms and prognosis of Endometrial Cancer (EC) between British White (BW) and British South Asian (BSA) women who had undergone treatment for stage I endometrial cancer within the past 3-years. Study design: Face-to-face, semi-structured interviews exploring knowledge; diagnosis; treatment; follow-up; and survivorship were undertaken and analysed using Thematic Analysis. Results: Twenty-one women were interviewed (13 BW and 8 BSA). BW and BSA women reported similar views, experiences and concerns with regards to EC. Knowledge appeared to differ amongst the two groups with BSA women reporting being more aware that unscheduled vaginal bleeding could be associated with a malignancy but having lower levels of knowledge of the risk factors that can lead to EC, compared to BW women. There was a lack of understanding of the difference between cervical cancer and EC and as a result, many women reported taking reassurance from negative cervical cytology as excluding EC and there was also the misconception amongst some of the women that there was a link between sexual behaviour and EC. Women from both groups used the lay healthcare system to discuss their situation/symptoms, however BSA women reported to have specifically sought out women within their social network who had previously undergone treatment for EC. Conclusions: Greater effort is needed to raise awareness in both the BW/BSA communities of the symptoms associated with EC that should prompt medical review. Educational efforts are required to overcome the reported perception that EC is synonymous with cervical cancer and cannot be detected by cervical screening.

Funding

FUNDING: The University of Leicester and the University Hospitals of Leicester Gynaecological Cancer Research Fund

History

School

  • Sport, Exercise and Health Sciences

Published in

European Journal of Obstetrics Gynaecology and Reproductive Biology

Citation

KUMARAKULASINGAM, P. ...et al., 2018. Knowledge of the risk factors and symptons associated with endometrial cancer in British South Asian and British white women. European Journal of Obstetrics Gynaecology and Reproductive Biology, 224, pp. 85–88.

Publisher

© Elsevier

Version

AM (Accepted Manuscript)

Publisher statement

This work is made available according to the conditions of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) licence. Full details of this licence are available at: https://creativecommons.org/licenses/by-nc-nd/4.0/

Acceptance date

01/03/2018

Publication date

2018-03-03

Notes

This paper was published in the journal European Journal of Obstetrics Gynaecology and Reproductive Biology and the definitive published version is available at https://doi.org/10.1016/j.ejogrb.2018.03.002.

ISSN

0301-2115

Language

en

Exports

Loughborough Publications

Exports