|
| Cluster 1 | Cluster 2 | Cluster 3 | Cluster 4 |
(n=36) | (n=56) | (n=26) | (n=39) |
|
Clustering variables | | | | |
Primary care interval | >30 days | >30 days | >30 days | <30 days |
Directive | Correct | Correct | Incorrect | Correct |
Tumor size at FHP contact | >3cm | <3cm | <3cm | <3cm |
Number of personnel visited | one | one | >one | one |
Driving distance (min) to specialist | >60 | <60 | <60 | <60 |
Age | >40 | <40 | >40 | >40 |
Cluster label | Correct advice and late (older) | Correct advice and late (younger) | Erroneous advice and late | Correct advice and early |
Knowledge distribution across clusters | | | | |
Aware of breast cancer (%) | 72 | 87 | 68 | 79 |
Knowing treatment (mastectomy) | 6 | 13 | 3 | 8 |
Knowing patient | 7 | 12 | 7 | 10 |
Knowing case fatality | 4 | 6 | 2 | 6 |
Knowing case survival | 2 | 3 | 3 | 4 |
|
Perceived reason for the delay | | | | |
misdiagnosis | | 1 | 6 | 3 |
Symptom mis-interpretation (by patient) | 4 | 6 | 1 | 2 |
Systems (awaiting result, navigation, strike) | 3 | 8 | 2 | 1 |
fear of mastectomy | 3 | 2 | 0 | 1 |
financial and social issues | 4 | 5 | 3 | 1 |
spiritual and native healing | 1 | | 1 | |
|
Type of First Healthcare Provider | | | | |
doctor | 31 | 41 | 15 | 33 |
others (nurse, CHEW, chemist, pharmacist) | 5 | 15 | 11 | 4 |
Distribution of FHP directives | | | | |
upward referral | 17 | 31 | 0 | 24 |
investigating | 17 | 22 | 1 | 9 |
excising | 1 | 3 | 9 | 4 |
antibiotics/medications | 2 | 0 | 16 | 0 |
Age distribution (years) | | | | |
Range | 31-80 | 26-78 | 32-75 | 34-85 |
Mean/median/mode | 56/56/43 | 42/40/40 | 53/52/42 | 56/52/47 |
IQR | 47-65 | 34-48 | 46-62 | 47-65 |
Marital status | | | | |
married | 25 | 45 | 17 | 28 |
single | | 5 | | 1 |
Separate/divorced/widow | 3 | 4 | 7 | 5 |
Educational status > 6 years (%) | 67 | 76 | 65 | 59 |
Experienced stage migration (%) | 53 | 50 | 58 | 22 |
Deduction | Impact of distance and lack of resources (systems) | Deliberate delayers (socially unprepared to accept treatment The knowledgeable and independent decision maker | Impact personnel error Not knowledgeable and dependent on personnel for decision | Prepared to accept treatment |
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