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Early Detection of Breast Cancer and Barrier to Screening Programmes amongst Thai Migrant Women in Australia: A Qualitative Study
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Dusanee SuwankhongPranee Liamputtong 《Asian Pacific journal of cancer prevention》2018,19(4):1089-1097
Background: Breast cancer screening programme is seen as the best practice to detect breast cancer early. However,there are circumstances that can prevent immigrant women from attending screening programmes. Little is knownabout Thai migrants and the barriers to their seeking breast cancer screening when living in a new homeland. This paperaimed to discuss the barriers to attending screening services among Thai migrant women living in Australia. Methods:This study adopted qualitative approach. Semi-structured in-depth interviewing and drawing methods were employedas data collection technique with 25 Thai migrant women who had not experienced breast cancer and were living inMetropolitan Melbourne, Australia. Thematic analysis method was employed to analyse the data. Results: Basing onthe Health Belief Model, most Thai migrant women did not perceive that they were at risk of breast cancer. Despiteseeing a breast cancer screening programme as important, the women rarely paid attention to breast cancer screeningand used the mammography services provided by the Australian health care system. The barriers included the locationof the services, unfamiliar patterns of health care provision, and language difficulties. Conclusions: There are manybarriers that that they encountered in Australia that prevent Thai migrant women living in Melbourne Australia to payattention to mammographic screening service provided by Australia health system. Our findings suggest that healthservices and interventions need to be designed more sensitive to the needs and socio-cultural context of migrant womenin general and Thai migrant women in particular. 相似文献
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Although the cooperation between modern and traditional medicine (TM) is increasingly promoted in health care system of nationwide,
there remains many barriers. In this study, we examined the barriers and possible ways of promoting cooperation between traditional
healers and modern health system. Ethnographic method including participant observations, in-depth interviews, focus groups,
and unobtrusive methods were employed for data collection. Sixty six key participants of six stakeholders participated in
this study. There are many barriers existing in relation to promote the legal role of traditional healers. This is because
modern and traditional healers recognise health legalities differently. Modern health professionals try to motivate and require
traditional healers to meet their standards, whereas traditional healers face integration difficulties and resist those approaches;
rather, they are concerning with preserving their own traditions. Their traditional health practices do not meet the “best
practice” standards necessary for them to gain the trust of modern doctors. Importantly, the licensing issue is key barrier
creating difficulties for traditional healers. However, traditional healers are recognised for their benefit role in health
care if cooperated with modern health professions. To make cooperation possible, all stakeholders need to understand cultural
beliefs of traditional healers relating to cooperation with modern medicine. Supporting power for promotion of cooperation
at the community level is the key strategy to suit community needs and contexts. In addition, cooperation requires clarification
of the responsibilities of all stakeholders at the local and central levels. 相似文献
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Living with breast cancer: the experiences and meaning‐making among women in Southern Thailand
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We conducted in‐depth interviews with 20 women living with breast cancer and invited them to take part in a drawing method. In this paper, we discuss the lived experiences and meaning‐making of breast cancer among women in southern Thailand. Our data revealed that the diagnosis of breast cancer generated numerous emotional responses. However, after the initial shock, most women started to accept their reality. The acceptance of their breast cancer played an essential role in the meaning‐making discourse because it assisted the women to be able to sustain the equilibrium of their emotional well‐being. Meaning‐making and the Buddhist belief about bad karma was a prominent theme. The belief that adversities in life were the result of bad deeds that one had committed to others in the past not only helped the women to accept their fate but also to deal with their life situations better. Our findings suggest that these women act in their own agencies to counteract any negativity they might encounter from their breast cancer trajectory. It provides a theoretical understanding about the ways Thai women deal with their breast cancer which can be adopted as a means to provide culturally sensitive care for women with breast cancer in Thailand and elsewhere. 相似文献
4.
Traditional healers (
mor baan
) played an important role in Thai health long before the introduction of Western medicine. Although modern health professional
play a key role of health care provider of Thai health care system, traditional healers and their practice still exist in
most rural areas of Thailand. In this article, we address the roles and practices of traditional healers in southern Thailand.
An ethnographic method was employed. This approach is the hallmark method used to describe the role and the practice of traditional
healers and to grasp in-depth understanding of their everyday life. Participation observation and unstructured interview with
18 traditional healers were conducted. Thematic analysis method was used to analyse the data. Most of the traditional healers
chose their role because they were influenced by their ancestors, although a few others chose it because of individual interests
and a desire to help ill people. All are trained in multiple skills, using supernatural spirits, ceremonies and natural plant
products as resources for counteracting various health problems. They refer patients to modern hospitals or other healers
if they cannot adequately manage illness themselves. Their service provision is flexible and based on a holistic approach
that suits people’s lifestyles and needs. The role of traditional healer tends not to attract the interest of younger generations,
although traditional healers have contributed greatly to people’s health. Their presence improves people’s access to healthcare
and offers an alternative to modern medicine, which often has a limited role. We conclude that the services of traditional
healers should be incorporated into contemporary healthcare provision of Thai health care system. 相似文献
5.
Physical and Emotional Experiences of Chemotherapy: a Qualitative Study among Women with Breast Cancer in Southern Thailand
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Background: Chemotherapy treatment can increase survival rates among women with breast cancer elsewhere.However, it also has negative impact on women’s general appearance, body image and psychological functioning.This study aimed to describe the experiences of chemotherapy treatment among Thai women with breast cancerin rural communities, sounthern Thailand. Methods: Qualitative approach was employed to gain insights aboutthe experiences of the women. In-depth interviewing and drawing methods were conducted with 20 Thai womenwho had been diagnosed with breast cancer. Thematic method was used to analyse the data. Results: Three themesemerged from the findings: I feel so weak: Lack of physical energy; experiencing physical and emotional burdens andmanaging health and life. Women were traumatized by effects of chemotherapy and suffered severe physical side effects.Most received inadequate professional support from health care providers and had to rely on their own judgment anduse local resources to deal with the effects of their treatment and to improve their health and well-being. Conclusions:Chemotherapy brought about traumatic experiences to Thai women with breast cancer. Continual support is needed forthe women to reduce the difficulties they might encounter. Support groups should be established for these women whenreceiving and completing chemotherapy treatment. Our finding suggested that social support programs that meet theirneed are salient means that could reduce the sufferings of these women. Nurses and other health care professionals inthe local community should play their important role to establish such group and make it accessible for all. 相似文献
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Breast cancer diagnosis: biographical disruption,emotional experiences and strategic management in Thai women with breast cancer
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In this article we draw on Bury's theory of biographical disruption to discuss the meanings of, and emotional experiences related to, being diagnosed with breast cancer among southern Thai women. Qualitative methods, including in‐depth interviewing and drawing methods, were used to collect data from 20 women with breast cancer. The women perceived breast cancer to be a rhok raai; an evil or dread disease. They believed that breast cancer would lead to death. The disruption in their biography occurred when they detected abnormalities indicating breast cancer. The women's narratives revealed their chaotic lives upon this diagnosis and the news precipitated in them shock, fear, anxiety and loss of hope. Although they experienced chaos and disruption, the women cultivated strategies that helped them cope with their experiences by accepting their fate and adhering to Buddhist beliefs and practices. Through their narratives of biographical disruption, the women in our study offer healthcare providers knowledge that could lead to an appreciation of their needs and concerns. This knowledge is crucial for health professionals who wish to provide emotional support to women who have been diagnosed with breast cancer in Thailand and elsewhere. 相似文献
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