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Type: Journal article
Title: Barriers to seeking help for skin cancer detection in Rural Australia
Author: Fennell, K.
Martin, K.
Wilson, C.
Trenerry, C.
Sharplin, G.
Dollman, J.
Citation: Journal of Clinical Medicine, 2017; 6(2):19-1-19-13
Publisher: MDPI AG
Issue Date: 2017
ISSN: 2077-0383
Statement of
Kate M. Fennell, Kimberley Martin, Carlene J. Wilson, Camilla Trenerry, Greg Sharplin and James Dollman
Abstract: This study explores rural South Australians' barriers to help-seeking for skin cancer detection. A total of 201 randomly selected rural adults (18-94 years, 66% female) were presented with a skin-cancer-related scenario via telephone and were asked the extent to which various barriers would impede their help-seeking, based on an amended version of the Barriers to Help-Seeking Scale. Older (≥63 years) and less educated participants endorsed barriers more strongly than their younger, more educated counterparts in the following domains; "Concrete barriers and distrust of caregivers", "Emotional control", "Minimising problem and Normalisation", "Need for control and self-reliance" (every domain other than "Privacy"). Socioeconomic disadvantage, gender, and farmer status did not predict stronger overall barriers, but some gender and occupation-related differences were detected at the item level. Farmers were also more likely to endorse the "Minimising problem and normalization" domain than their non-farmer working rural counterparts. Widely endorsed barriers included the tendency to minimise the problem, a desire to remain in control/not be influenced by others, reluctance to show emotion or complain, and having concerns about privacy or waiting times.
Keywords: rural; barrier; help; help-seeking; skin; cancer; psychosocial; physician-patient relations
Description: Published: 13 February 2017
Rights: © 2017 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (
RMID: 0030075069
DOI: 10.3390/jcm6020019
Appears in Collections:Psychology publications

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