{"id":"https://openalex.org/W7225760372","doi":"https://doi.org/10.47604/jhmn.4038","title":"Individual Determinants of Cancer Health Service Utilization among Newly Diagnosed Adult Cancer Patients in Garissa County, Kenya","display_name":"Individual Determinants of Cancer Health Service Utilization among Newly Diagnosed Adult Cancer Patients in Garissa County, Kenya","publication_year":2026,"publication_date":"2026-11-10","ids":{"openalex":"https://openalex.org/W7225760372","doi":"https://doi.org/10.47604/jhmn.4038"},"language":"en","primary_location":{"id":"doi:10.47604/jhmn.4038","doi":"https://doi.org/10.47604/jhmn.4038","is_oa":true,"landing_page_url":"https://doi.org/10.47604/jhmn.4038","pdf_url":null,"source":{"id":"https://openalex.org/S4210199436","display_name":"Journal of Health Medicine and Nursing","issn_l":"2520-4025","issn":["2520-4025"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Health, Medicine and Nursing","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.47604/jhmn.4038","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5140475328","display_name":"Fatuma Abukar","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I26805570","display_name":"Jomo Kenyatta University of Agriculture and Technology","ror":"https://ror.org/015h5sy57","country_code":"KE","type":"education","lineage":["https://openalex.org/I26805570"]}],"countries":["KE"],"is_corresponding":false,"raw_author_name":"Fatuma Abukar","raw_affiliation_strings":["Jomo Kenyatta University of Agriculture and Technology"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Jomo Kenyatta University of Agriculture and Technology","institution_ids":["https://openalex.org/I26805570"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110494563","display_name":"Dennis Magu","orcid":"https://orcid.org/0000-0001-5812-7600","observed_orcids":["https://orcid.org/0000-0001-5812-7600"]},"institutions":[{"id":"https://openalex.org/I26805570","display_name":"Jomo Kenyatta University of Agriculture and Technology","ror":"https://ror.org/015h5sy57","country_code":"KE","type":"education","lineage":["https://openalex.org/I26805570"]}],"countries":["KE"],"is_corresponding":false,"raw_author_name":"Dennis Magu","raw_affiliation_strings":["Jomo Kenyatta University of Agriculture and Technology"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Jomo Kenyatta University of Agriculture and Technology","institution_ids":["https://openalex.org/I26805570"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161394426","display_name":"Joseph Msanzu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I294845491","display_name":"Technical University of Mombasa","ror":"https://ror.org/01grm2d66","country_code":"KE","type":"education","lineage":["https://openalex.org/I294845491"]}],"countries":["KE"],"is_corresponding":false,"raw_author_name":"Joseph Msanzu","raw_affiliation_strings":["Technical University of Mombasa"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Technical University of Mombasa","institution_ids":["https://openalex.org/I294845491"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5088357823","display_name":"Mwiti Peter Kirimi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I26805570","display_name":"Jomo Kenyatta University of Agriculture and Technology","ror":"https://ror.org/015h5sy57","country_code":"KE","type":"education","lineage":["https://openalex.org/I26805570"]}],"countries":["KE"],"is_corresponding":false,"raw_author_name":"Mwiti Kirimi","raw_affiliation_strings":["Jomo Kenyatta University of Agriculture and Technology"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Jomo Kenyatta University of Agriculture and Technology","institution_ids":["https://openalex.org/I26805570"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"12","issue":"5","first_page":"1","last_page":"14"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.6187000274658203,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.6187000274658203,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12708","display_name":"Economic and Financial Impacts of Cancer","score":0.24779999256134033,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.027799999341368675,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6851000189781189},{"id":"https://openalex.org/C2776135927","wikidata":"https://www.wikidata.org/wiki/Q5242559","display_name":"Referral","level":2,"score":0.6758999824523926},{"id":"https://openalex.org/C2781354955","wikidata":"https://www.wikidata.org/wiki/Q11920938","display_name":"Marital status","level":3,"score":0.6061000227928162},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.6047000288963318},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.5389000177383423},{"id":"https://openalex.org/C2777101753","wikidata":"https://www.wikidata.org/wiki/Q5433336","display_name":"Family income","level":2,"score":0.4553999900817871},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.4426000118255615},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.4122999906539917},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.40689998865127563},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3919999897480011},{"id":"https://openalex.org/C2986740045","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health services","level":3,"score":0.38370001316070557},{"id":"https://openalex.org/C145097563","wikidata":"https://www.wikidata.org/wiki/Q1148747","display_name":"Payment","level":2,"score":0.3817000091075897},{"id":"https://openalex.org/C2775949068","wikidata":"https://www.wikidata.org/wiki/Q4260475","display_name":"Health facility","level":4,"score":0.38019999861717224},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.37310001254081726},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.3727000057697296},{"id":"https://openalex.org/C142546437","wikidata":"https://www.wikidata.org/wiki/Q2661195","display_name":"Descriptive research","level":2,"score":0.3702000081539154},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.36250001192092896},{"id":"https://openalex.org/C2776463041","wikidata":"https://www.wikidata.org/wiki/Q3044843","display_name":"Cancer screening","level":3,"score":0.3596000075340271},{"id":"https://openalex.org/C147077947","wikidata":"https://www.wikidata.org/wiki/Q1515895","display_name":"Socioeconomic status","level":3,"score":0.35190001130104065},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.33629998564720154},{"id":"https://openalex.org/C152877465","wikidata":"https://www.wikidata.org/wiki/Q208042","display_name":"Regression analysis","level":2,"score":0.3181000053882599},{"id":"https://openalex.org/C2983635472","wikidata":"https://www.wikidata.org/wiki/Q334911","display_name":"Health insurance","level":3,"score":0.31439998745918274},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.305400013923645},{"id":"https://openalex.org/C2775951005","wikidata":"https://www.wikidata.org/wiki/Q3473024","display_name":"Community health","level":3,"score":0.3052999973297119},{"id":"https://openalex.org/C133462117","wikidata":"https://www.wikidata.org/wiki/Q4929239","display_name":"Data collection","level":2,"score":0.2980000078678131},{"id":"https://openalex.org/C2780892066","wikidata":"https://www.wikidata.org/wiki/Q1591167","display_name":"Household income","level":2,"score":0.2957000136375427},{"id":"https://openalex.org/C2250968","wikidata":"https://www.wikidata.org/wiki/Q1512929","display_name":"Health equity","level":3,"score":0.2935999929904938},{"id":"https://openalex.org/C78491826","wikidata":"https://www.wikidata.org/wiki/Q3045352","display_name":"Social determinants of health","level":3,"score":0.2879999876022339},{"id":"https://openalex.org/C116537","wikidata":"https://www.wikidata.org/wiki/Q2169973","display_name":"Service provider","level":3,"score":0.28769999742507935},{"id":"https://openalex.org/C87156501","wikidata":"https://www.wikidata.org/wiki/Q7268708","display_name":"Qualitative property","level":2,"score":0.27959999442100525},{"id":"https://openalex.org/C168285401","wikidata":"https://www.wikidata.org/wiki/Q1427245","display_name":"Stigma (botany)","level":2,"score":0.2766999900341034}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.47604/jhmn.4038","doi":"https://doi.org/10.47604/jhmn.4038","is_oa":true,"landing_page_url":"https://doi.org/10.47604/jhmn.4038","pdf_url":null,"source":{"id":"https://openalex.org/S4210199436","display_name":"Journal of Health Medicine and Nursing","issn_l":"2520-4025","issn":["2520-4025"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Health, Medicine and Nursing","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.47604/jhmn.4038","doi":"https://doi.org/10.47604/jhmn.4038","is_oa":true,"landing_page_url":"https://doi.org/10.47604/jhmn.4038","pdf_url":null,"source":{"id":"https://openalex.org/S4210199436","display_name":"Journal of Health Medicine and Nursing","issn_l":"2520-4025","issn":["2520-4025"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Health, Medicine and Nursing","raw_type":"journal-article"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":16,"referenced_works":["https://openalex.org/W1604502480","https://openalex.org/W2024471968","https://openalex.org/W2978958418","https://openalex.org/W2980171774","https://openalex.org/W3177884570","https://openalex.org/W3184058581","https://openalex.org/W3205066649","https://openalex.org/W4229439346","https://openalex.org/W4293771659","https://openalex.org/W4308712322","https://openalex.org/W4313396138","https://openalex.org/W4383531642","https://openalex.org/W4386448097","https://openalex.org/W4392121709","https://openalex.org/W4393935425","https://openalex.org/W4399372990"],"related_works":[],"abstract_inverted_index":{"Purpose:":[0],"Cancer":[1],"remains":[2,36],"a":[3],"major":[4],"public":[5],"health":[6,34,52,123,150,154,208,264],"challenge":[7],"in":[8,11,25,111,217,241],"Kenya,":[9],"particularly":[10],"marginalized":[12],"regions":[13],"where":[14],"access":[15,298],"to":[16,41,249,299],"specialized":[17],"oncology":[18],"services":[19,35,53,124,209,265],"is":[20],"limited.":[21],"Despite":[22],"increasing":[23],"investments":[24],"cancer":[26,33,51,58,82,122,207,263,277,300],"prevention,":[27],"diagnosis,":[28],"and":[29,96,107,159,188,239,252,288,295],"treatment,":[30],"utilization":[31,49,120,205,218,261],"of":[32,45,50,121,161,185,194,206,214,230,262],"suboptimal.":[37],"This":[38,254],"study":[39,68,72,255],"sought":[40],"determine":[42],"the":[43,149,215,223,228,272],"influence":[44,229],"individual":[46,201,257],"factors":[47,202,258],"on":[48,244],"among":[54,266,302],"newly":[55,79],"diagnosed":[56,80],"adult":[57,81,267],"patients":[59,83],"attending":[60],"Garissa":[61],"County":[62],"Referral":[63],"Hospital,":[64],"Kenya.":[65],"Methodology:":[66],"The":[67,116,269],"utilized":[69],"cross":[70],"sectional":[71],"design.":[73],"Data":[74,88],"were":[75,91,100],"collected":[76],"from":[77,148],"161":[78],"using":[84,102],"structured":[85],"interviewer-administered":[86],"questionnaires,":[87],"collection":[89],"instruments":[90],"validated":[92],"through":[93],"expert":[94],"review":[95],"pretesting.":[97],"Quantitative":[98],"data":[99],"analyzed":[101],"descriptive":[103],"statistics,":[104],"Chi-square":[105],"tests,":[106],"simple":[108],"linear":[109],"regression":[110],"SPSS":[112],"version":[113],"25.":[114],"Findings:":[115],"findings":[117,221,270],"revealed":[118],"that":[119,168,200],"was":[125],"significantly":[126,203,259],"associated":[127],"with":[128],"age":[129],"(\u03c7\u00b2=49.99,":[130],"p<0.001),":[131,135,139,142,146,153,158,211],"marital":[132],"status":[133,156],"(\u03c7\u00b2=42.46,":[134],"education":[136],"level":[137],"(\u03c7\u00b2=112.94,":[138],"occupation":[140],"(\u03c7\u00b2=140.55,":[141],"household":[143],"income":[144],"(\u03c7\u00b2=131.39,":[145],"distance":[147],"facility":[151],"(\u03c7\u00b2=186.08,":[152],"insurance":[155],"(\u03c7\u00b2=55.11,":[157],"mode":[160],"payment":[162],"(\u03c7\u00b2=57.79,":[163],"p<0.001).":[164],"Descriptive":[165],"analysis":[166,198],"showed":[167],"respondents":[169],"perceived":[170],"cultural":[171,235],"beliefs":[172,182],"(Mean=4.10),":[173],"treatment":[174],"adherence":[175],"awareness":[176,278],"(Mean=4.01),":[177],"gender-related":[178],"concerns":[179],"(Mean=4.00),":[180],"religious":[181],"(Mean=3.98),":[183],"fear":[184],"diagnosis":[186],"(Mean=3.94),":[187],"stigma":[189,294],"(Mean=3.94)":[190],"as":[191],"important":[192],"determinants":[193],"service":[195],"utilization.":[196],"Regression":[197],"established":[199],"influenced":[204,260],"(\u03b2=0.604,":[210],"explaining":[212],"24.5%":[213],"variation":[216],"(R\u00b2=0.245).":[219],"Qualitative":[220],"corroborated":[222],"quantitative":[224],"results":[225],"by":[226],"highlighting":[227],"misconceptions":[231],"about":[232],"cancer,":[233],"stigma,":[234],"beliefs,":[236],"family":[237],"decision-making,":[238],"trust":[240],"healthcare":[242],"providers":[243],"treatment-seeking":[245],"behaviour.":[246],"Unique":[247],"Contribution":[248],"Theory,":[250],"Policy":[251],"Practice:":[253],"found":[256],"patients.":[268],"underscore":[271],"need":[273],"for":[274],"culturally":[275],"sensitive":[276],"programs,":[279],"strengthened":[280],"Individual":[281],"financial":[282],"protection":[283],"mechanisms,":[284],"enhanced":[285],"patient":[286],"education,":[287],"community-based":[289],"interventions":[290],"aimed":[291],"at":[292],"reducing":[293],"improving":[296],"timely":[297],"care":[301],"vulnerable":[303],"populations.":[304]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-11-11T00:00:00"}
