Perceived causes of cancer in a rural community of Ethiopia: a qualitative study

Background Although cancer incidence and mortality are rising in Ethiopia, lay and health professional perceptions of the disease remain limited. Objective To explore perceptions of cancer, including its causes, signs and symptoms, and transmission within a rural community in Ethiopia. Methods We co...

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Main Authors: Abigiya Wondimagegnehu, Muluken Gizaw, Lidya Genene Abebe, Brhanu Teka, Andreas M. Kaufmann, Tamrat Abebe, Shannon A. McMahon, Adamu Addissie, Eva J. Kantelhardt
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Global Health Action
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Online Access:http://dx.doi.org/10.1080/16549716.2024.2401862
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author Abigiya Wondimagegnehu
Muluken Gizaw
Lidya Genene Abebe
Brhanu Teka
Andreas M. Kaufmann
Tamrat Abebe
Shannon A. McMahon
Adamu Addissie
Eva J. Kantelhardt
author_facet Abigiya Wondimagegnehu
Muluken Gizaw
Lidya Genene Abebe
Brhanu Teka
Andreas M. Kaufmann
Tamrat Abebe
Shannon A. McMahon
Adamu Addissie
Eva J. Kantelhardt
author_sort Abigiya Wondimagegnehu
collection DOAJ
description Background Although cancer incidence and mortality are rising in Ethiopia, lay and health professional perceptions of the disease remain limited. Objective To explore perceptions of cancer, including its causes, signs and symptoms, and transmission within a rural community in Ethiopia. Methods We conducted a qualitative study in four rural neighbourhoods of Butajira in central Ethiopia. Seven Focus Group Discussions (FGDs) and six In-Depth Interviews (IDIs) were held with community members, women representatives, religious leaders and key informants using two interview guides (divided by method). Behaviour change theories and a community research framework were used to summarize the findings. Results Across respondent categories and data collection methods, respondents described cancer or nekersa, which translates as ‘an illness that cannot be cured’, as serious and fatal. Cancer was further viewed as becoming more common and as underpinning more deaths particularly among women. Causes of cancer largely focused on individual behaviours namely mitch (referring to exposure to sunlight), poor personal hygiene and urinating on the ground/dirty areas. Almost all participants strongly related cancer to a wound that does not heal and entails a foul-smelling discharge. Bleeding and weight loss were other commonly mentioned complaints of cancer. Conclusions Although cancer is known among rural communities in this area, misconceptions about cancer aetiology and conflation of the signs and symptoms of cancer versus other diseases merit health messaging. Our study calls for design research to determine how to culturally tailor educational materials and deliver health campaigns regarding cancer causes, signs and symptoms within this context.
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spelling doaj-art-8b774712f348480caa72c1ea4d6696d12025-02-05T12:46:14ZengTaylor & Francis GroupGlobal Health Action1654-98802024-12-0117110.1080/16549716.2024.24018622401862Perceived causes of cancer in a rural community of Ethiopia: a qualitative studyAbigiya Wondimagegnehu0Muluken Gizaw1Lidya Genene Abebe2Brhanu Teka3Andreas M. Kaufmann4Tamrat Abebe5Shannon A. McMahon6Adamu Addissie7Eva J. Kantelhardt8Addis Ababa UniversityAddis Ababa UniversityAddis Ababa UniversityMartin-Luther-UniversityCharité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institutes of HealthMartin-Luther-UniversityHeidelberg University HospitalAddis Ababa UniversityMartin-Luther-UniversityBackground Although cancer incidence and mortality are rising in Ethiopia, lay and health professional perceptions of the disease remain limited. Objective To explore perceptions of cancer, including its causes, signs and symptoms, and transmission within a rural community in Ethiopia. Methods We conducted a qualitative study in four rural neighbourhoods of Butajira in central Ethiopia. Seven Focus Group Discussions (FGDs) and six In-Depth Interviews (IDIs) were held with community members, women representatives, religious leaders and key informants using two interview guides (divided by method). Behaviour change theories and a community research framework were used to summarize the findings. Results Across respondent categories and data collection methods, respondents described cancer or nekersa, which translates as ‘an illness that cannot be cured’, as serious and fatal. Cancer was further viewed as becoming more common and as underpinning more deaths particularly among women. Causes of cancer largely focused on individual behaviours namely mitch (referring to exposure to sunlight), poor personal hygiene and urinating on the ground/dirty areas. Almost all participants strongly related cancer to a wound that does not heal and entails a foul-smelling discharge. Bleeding and weight loss were other commonly mentioned complaints of cancer. Conclusions Although cancer is known among rural communities in this area, misconceptions about cancer aetiology and conflation of the signs and symptoms of cancer versus other diseases merit health messaging. Our study calls for design research to determine how to culturally tailor educational materials and deliver health campaigns regarding cancer causes, signs and symptoms within this context.http://dx.doi.org/10.1080/16549716.2024.2401862perceptions about cancerrural communitymisconception of cancer causeshealth educationculturally tailored intervention
spellingShingle Abigiya Wondimagegnehu
Muluken Gizaw
Lidya Genene Abebe
Brhanu Teka
Andreas M. Kaufmann
Tamrat Abebe
Shannon A. McMahon
Adamu Addissie
Eva J. Kantelhardt
Perceived causes of cancer in a rural community of Ethiopia: a qualitative study
Global Health Action
perceptions about cancer
rural community
misconception of cancer causes
health education
culturally tailored intervention
title Perceived causes of cancer in a rural community of Ethiopia: a qualitative study
title_full Perceived causes of cancer in a rural community of Ethiopia: a qualitative study
title_fullStr Perceived causes of cancer in a rural community of Ethiopia: a qualitative study
title_full_unstemmed Perceived causes of cancer in a rural community of Ethiopia: a qualitative study
title_short Perceived causes of cancer in a rural community of Ethiopia: a qualitative study
title_sort perceived causes of cancer in a rural community of ethiopia a qualitative study
topic perceptions about cancer
rural community
misconception of cancer causes
health education
culturally tailored intervention
url http://dx.doi.org/10.1080/16549716.2024.2401862
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