|
| | Cluster 1 | Cluster 2 | Cluster 3 | Cluster 4 |
| (n=36) | (n=56) | (n=26) | (n=39) |
|
| Clustering variables | | | | |
| Primary care interval | >30 days | >30 days | >30 days | <30 days |
| Directive | Correct | Correct | Incorrect | Correct |
| Tumor size at FHP contact | >3cm | <3cm | <3cm | <3cm |
| Number of personnel visited | one | one | >one | one |
| Driving distance (min) to specialist | >60 | <60 | <60 | <60 |
| Age | >40 | <40 | >40 | >40 |
| Cluster label | Correct advice and late (older) | Correct advice and late (younger) | Erroneous advice and late | Correct advice and early |
| Knowledge distribution across clusters | | | | |
| Aware of breast cancer (%) | 72 | 87 | 68 | 79 |
| Knowing treatment (mastectomy) | 6 | 13 | 3 | 8 |
| Knowing patient | 7 | 12 | 7 | 10 |
| Knowing case fatality | 4 | 6 | 2 | 6 |
| Knowing case survival | 2 | 3 | 3 | 4 |
|
| Perceived reason for the delay | | | | |
| misdiagnosis | | 1 | 6 | 3 |
| Symptom mis-interpretation (by patient) | 4 | 6 | 1 | 2 |
| Systems (awaiting result, navigation, strike) | 3 | 8 | 2 | 1 |
| fear of mastectomy | 3 | 2 | 0 | 1 |
| financial and social issues | 4 | 5 | 3 | 1 |
| spiritual and native healing | 1 | | 1 | |
|
| Type of First Healthcare Provider | | | | |
| doctor | 31 | 41 | 15 | 33 |
| others (nurse, CHEW, chemist, pharmacist) | 5 | 15 | 11 | 4 |
| Distribution of FHP directives | | | | |
| upward referral | 17 | 31 | 0 | 24 |
| investigating | 17 | 22 | 1 | 9 |
| excising | 1 | 3 | 9 | 4 |
| antibiotics/medications | 2 | 0 | 16 | 0 |
| Age distribution (years) | | | | |
| Range | 31-80 | 26-78 | 32-75 | 34-85 |
| Mean/median/mode | 56/56/43 | 42/40/40 | 53/52/42 | 56/52/47 |
| IQR | 47-65 | 34-48 | 46-62 | 47-65 |
| Marital status | | | | |
| married | 25 | 45 | 17 | 28 |
| single | | 5 | | 1 |
| Separate/divorced/widow | 3 | 4 | 7 | 5 |
| Educational status > 6 years (%) | 67 | 76 | 65 | 59 |
| Experienced stage migration (%) | 53 | 50 | 58 | 22 |
| Deduction | Impact of distance and lack of resources
(systems) | Deliberate delayers (socially unprepared to accept treatment
The knowledgeable and independent decision maker | Impact personnel error
Not knowledgeable and dependent on personnel for decision | Prepared to accept treatment |
|
