Background: In South Africa (SA), women with breast cancer (BC) present to the health care system at advanced stages of the disease, resulting in poor prognosis. Limited awareness of the disease, large distances to health care centers, and lack of affordable transportation have all been implicated as factors delaying presentation. In addition, women in SA have limited social and financial independence, which may make it difficult for them to resolve their own health care needs. Despite this, little is known about what South African male partners know about breast cancer and what role they play in their partner’s access to health care.
Methods: This interpretive qualitative case study, guided by the theoretical framework of hegemonic masculinity(ies), used semi-structured interviews to investigate perceptions and knowledge of BC and gender norms in regards to health care access in a group of black South African males (n=20) in long-term heterosexual relationships living in a resource-poor setting. Interview data was analyzed using thematic analysis and compared to observational data collected through opportunities with local BC organizations.
Results: Participants demonstrated very little knowledge of breast cancer and cancer in general. Some specific misconceptions about cancer are reported, including confusion between cancer and HIV. Participants were positive about receiving health care for cancer but are burdened by barriers to reaching care and a lack of access to information about the disease. The men describe themselves as playing an active, mostly positive role in their partner’s access to health care. They demonstrate perspectives about gender relations that defy hegemonic forms of masculinity.
Conclusions: Major public health efforts are required to increase awareness of BC in order to encourage earlier presentation to the healthcare system. These efforts should recognize the importance of the male partner in women’s health issues. / Thesis / Master of Science (MSc) / In South Africa, women with breast cancer often do not reach the conventional healthcare system until the disease has progressed significantly and chances of survival are poor. This occurs because of a lack of knowledge about the disease and large distances to health care centers. Furthermore, in the male-dominated society of South Africa, women have limited independence. Therefore, this study sought to determine what men in South African know about breast cancer and how they are involved in their partner’s access to health care. Interviews were conducted with 20 men living in a resource-poor setting. The men portrayed little knowledge and specific misconceptions about breast cancer and cancer in general. They appear to be playing an active and mostly positive role in their partner’s access to health care. Public health efforts should increase awareness of the disease and recognize the significant role of the male partner in women’s health issues.
| Identifer | oai:union.ndltd.org:mcmaster.ca/oai:macsphere.mcmaster.ca:11375/22655 |
| Date | January 2017 |
| Creators | Burgess, Raquel Colleen |
| Contributors | Eyles, John, Mcbride, Ruari-Santiago, Global Health |
| Source Sets | McMaster University |
| Language | English |
| Detected Language | English |
| Type | Thesis |
| Relation | https://academic.oup.com/heapro/article/doi/10.1093/heapro/daac075/6639402?guestAccessKey=31320474-b9a8-4db1-af20-3b6daeb82027 |
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