Adherence to Adjuvant Hormonal Therapy and Associated Factors Among Women with Breast Cancer Attending the Tikur Anbessa Specialized Hospital, Addis Ababa Ethiopia, 2019: A Cross-sectional Study

Zerko Wako,1 Daniel Mengistu,2 Negalign Getahun Dinegde,2 Tseganesh Asefa,1 Mulugeta Wassie1 1Department of Medical Nursing, School of Nursing, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia; 2School of Nursing and Midwifery, College of Health Science, Addis Ababa Uni...

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Autores principales: Wako Z, Mengistu D, Dinegde NG, Asefa T, Wassie M
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Lenguaje:EN
Publicado: Dove Medical Press 2021
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spelling oai:doaj.org-article:fca951595c0d4902a6b22b5bc7b79ce52021-12-02T18:05:42ZAdherence to Adjuvant Hormonal Therapy and Associated Factors Among Women with Breast Cancer Attending the Tikur Anbessa Specialized Hospital, Addis Ababa Ethiopia, 2019: A Cross-sectional Study1179-1314https://doaj.org/article/fca951595c0d4902a6b22b5bc7b79ce52021-06-01T00:00:00Zhttps://www.dovepress.com/adherence-to-adjuvant-hormonal-therapy-and-associated-factors-among-wo-peer-reviewed-fulltext-article-BCTThttps://doaj.org/toc/1179-1314Zerko Wako,1 Daniel Mengistu,2 Negalign Getahun Dinegde,2 Tseganesh Asefa,1 Mulugeta Wassie1 1Department of Medical Nursing, School of Nursing, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia; 2School of Nursing and Midwifery, College of Health Science, Addis Ababa University, Addis Ababa, EthiopiaCorrespondence: Zerko Wako Tel +251918728268Email zerkowako1992@gmail.comBackground: In breast cancer patients, adherence to adjuvant hormone therapy (AHT) is uncertain. Seven in every 10 patients were hormone receptor positive and adjuvant hormone therapy (AHT) is prescribed for 5– 10 years for a woman with breast cancer. Therefore, the aim of this research was to examine adherence to adjuvant hormone therapy and related factors among women with breast cancer attending the Tikur Anbessa Specialized Hospital Oncology Center.Methods: An institutional-based cross-sectional study was conducted from March to April, 2019. Systematic random sampling technique was used to select participants. A semi-structured questionnaire was used. Medication possession ratio (MPR) was used where score ≥ 80% was adherence. Data were entered in EpiData version 4.4.2.1 and transferred to SPSS version 25, and analyzed using binary logistic regression.Results: Out of 216 women with breast cancer 209 participated in the study with a response rate of 97%. The overall adherence in this study was 77.5%. Getting social support (OR=3.959, 95%CI: 1.570– 9.980), being on anastrozole (OR=0.139, 95%CI: 0.040– 0.485), getting a thorough therapeutic communication about treatment (OR=4.590, 95%CI: 1.061– 19.863), undergoing mastectomy (OR=0.215, 95%CI: 0.059– 0.788), having side effects (OR=0.210, 95%CI: 0.085– 0.517) were found to be significantly associated with adherence to AHT.Conclusion: In general, the overall adherence to AHT was 77.5% for women with breast cancer. Factors such as types of adjuvant hormone therapy, lack of side effects, mastectomy, getting social support, and thorough therapeutic communication were strongly linked with adherence to them.Keywords: adherence, adjuvant hormone therapy, breast cancer, EthiopiaWako ZMengistu DDinegde NGAsefa TWassie MDove Medical Pressarticleadherenceadjuvant hormone therapybreast cancerethiopiaNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENBreast Cancer: Targets and Therapy, Vol Volume 13, Pp 383-392 (2021)
institution DOAJ
collection DOAJ
language EN
topic adherence
adjuvant hormone therapy
breast cancer
ethiopia
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle adherence
adjuvant hormone therapy
breast cancer
ethiopia
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Wako Z
Mengistu D
Dinegde NG
Asefa T
Wassie M
Adherence to Adjuvant Hormonal Therapy and Associated Factors Among Women with Breast Cancer Attending the Tikur Anbessa Specialized Hospital, Addis Ababa Ethiopia, 2019: A Cross-sectional Study
description Zerko Wako,1 Daniel Mengistu,2 Negalign Getahun Dinegde,2 Tseganesh Asefa,1 Mulugeta Wassie1 1Department of Medical Nursing, School of Nursing, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia; 2School of Nursing and Midwifery, College of Health Science, Addis Ababa University, Addis Ababa, EthiopiaCorrespondence: Zerko Wako Tel +251918728268Email zerkowako1992@gmail.comBackground: In breast cancer patients, adherence to adjuvant hormone therapy (AHT) is uncertain. Seven in every 10 patients were hormone receptor positive and adjuvant hormone therapy (AHT) is prescribed for 5– 10 years for a woman with breast cancer. Therefore, the aim of this research was to examine adherence to adjuvant hormone therapy and related factors among women with breast cancer attending the Tikur Anbessa Specialized Hospital Oncology Center.Methods: An institutional-based cross-sectional study was conducted from March to April, 2019. Systematic random sampling technique was used to select participants. A semi-structured questionnaire was used. Medication possession ratio (MPR) was used where score ≥ 80% was adherence. Data were entered in EpiData version 4.4.2.1 and transferred to SPSS version 25, and analyzed using binary logistic regression.Results: Out of 216 women with breast cancer 209 participated in the study with a response rate of 97%. The overall adherence in this study was 77.5%. Getting social support (OR=3.959, 95%CI: 1.570– 9.980), being on anastrozole (OR=0.139, 95%CI: 0.040– 0.485), getting a thorough therapeutic communication about treatment (OR=4.590, 95%CI: 1.061– 19.863), undergoing mastectomy (OR=0.215, 95%CI: 0.059– 0.788), having side effects (OR=0.210, 95%CI: 0.085– 0.517) were found to be significantly associated with adherence to AHT.Conclusion: In general, the overall adherence to AHT was 77.5% for women with breast cancer. Factors such as types of adjuvant hormone therapy, lack of side effects, mastectomy, getting social support, and thorough therapeutic communication were strongly linked with adherence to them.Keywords: adherence, adjuvant hormone therapy, breast cancer, Ethiopia
format article
author Wako Z
Mengistu D
Dinegde NG
Asefa T
Wassie M
author_facet Wako Z
Mengistu D
Dinegde NG
Asefa T
Wassie M
author_sort Wako Z
title Adherence to Adjuvant Hormonal Therapy and Associated Factors Among Women with Breast Cancer Attending the Tikur Anbessa Specialized Hospital, Addis Ababa Ethiopia, 2019: A Cross-sectional Study
title_short Adherence to Adjuvant Hormonal Therapy and Associated Factors Among Women with Breast Cancer Attending the Tikur Anbessa Specialized Hospital, Addis Ababa Ethiopia, 2019: A Cross-sectional Study
title_full Adherence to Adjuvant Hormonal Therapy and Associated Factors Among Women with Breast Cancer Attending the Tikur Anbessa Specialized Hospital, Addis Ababa Ethiopia, 2019: A Cross-sectional Study
title_fullStr Adherence to Adjuvant Hormonal Therapy and Associated Factors Among Women with Breast Cancer Attending the Tikur Anbessa Specialized Hospital, Addis Ababa Ethiopia, 2019: A Cross-sectional Study
title_full_unstemmed Adherence to Adjuvant Hormonal Therapy and Associated Factors Among Women with Breast Cancer Attending the Tikur Anbessa Specialized Hospital, Addis Ababa Ethiopia, 2019: A Cross-sectional Study
title_sort adherence to adjuvant hormonal therapy and associated factors among women with breast cancer attending the tikur anbessa specialized hospital, addis ababa ethiopia, 2019: a cross-sectional study
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/fca951595c0d4902a6b22b5bc7b79ce5
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