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Adherence to cancer prevention guidelines in South Africa is associated with health care access.

Publication ,  Journal Article
Okwali, M; Greenlee, H; Ginindza, T; Jolly, P; Akinyemiju, TF
Published in: Int Health
May 2016

BACKGROUND: Cancer prevention guidelines have been developed to improve knowledge and adherence to modifiable cancer risk factors. The implementation of these guidelines has largely been studied in North American and European populations. The aim of this study was to examine the association between health care access and adherence to the World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) cancer prevention guidelines in South Africa, where the cancer incidence is rising. METHODS: Data from the 2003 South Africa World Health Survey was used to assess adherence to WCRF/AICR cancer prevention guidelines on alcohol, body mass index, nutrition, physical activity and smoking. Health care affordability, availability, accessibility, accommodation and acceptability in the past 12 months were assessed via self-report. RESULTS: Residing in a high socio-economic status household (affordability), visiting a non-governmental health care facility (availability), perception of health care provider skills as adequate (accommodation) and lack of perception of worse treatment based on social class (acceptability) were each associated with higher levels of adherence to the WCRF/AICR guidelines. CONCLUSIONS: In South Africa, better access to health care is associated with better patient adherence to cancer prevention guidelines. Future studies and efforts can focus on improving access to quality health care in this population.

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Published In

Int Health

DOI

EISSN

1876-3405

Publication Date

May 2016

Volume

8

Issue

3

Start / End Page

211 / 219

Location

England

Related Subject Headings

  • South Africa
  • Patient Compliance
  • Neoplasms
  • Middle Aged
  • Male
  • Incidence
  • Humans
  • Health Surveys
  • Health Services Accessibility
  • Guidelines as Topic
 

Citation

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Okwali, M., Greenlee, H., Ginindza, T., Jolly, P., & Akinyemiju, T. F. (2016). Adherence to cancer prevention guidelines in South Africa is associated with health care access. Int Health, 8(3), 211–219. https://doi.org/10.1093/inthealth/ihv044
Okwali, Michelle, Heather Greenlee, Themba Ginindza, Pauline Jolly, and Tomi F. Akinyemiju. “Adherence to cancer prevention guidelines in South Africa is associated with health care access.Int Health 8, no. 3 (May 2016): 211–19. https://doi.org/10.1093/inthealth/ihv044.
Okwali M, Greenlee H, Ginindza T, Jolly P, Akinyemiju TF. Adherence to cancer prevention guidelines in South Africa is associated with health care access. Int Health. 2016 May;8(3):211–9.
Okwali, Michelle, et al. “Adherence to cancer prevention guidelines in South Africa is associated with health care access.Int Health, vol. 8, no. 3, May 2016, pp. 211–19. Pubmed, doi:10.1093/inthealth/ihv044.
Okwali M, Greenlee H, Ginindza T, Jolly P, Akinyemiju TF. Adherence to cancer prevention guidelines in South Africa is associated with health care access. Int Health. 2016 May;8(3):211–219.
Journal cover image

Published In

Int Health

DOI

EISSN

1876-3405

Publication Date

May 2016

Volume

8

Issue

3

Start / End Page

211 / 219

Location

England

Related Subject Headings

  • South Africa
  • Patient Compliance
  • Neoplasms
  • Middle Aged
  • Male
  • Incidence
  • Humans
  • Health Surveys
  • Health Services Accessibility
  • Guidelines as Topic