Abstract
D.Litt. et Phil. (Communication Studies)
Breast cancer is a global health threat that amasses scores of new patients and fatalities annually. It has gradually escalated to epidemic status, with an estimated 1.7 million new cases being diagnosed annually. South African women have a 1 in 81 lifetime risk of developing breast cancer, with an age standardised incidence rate of 27 per 100 000 population. Disturbingly, underprivileged and marginalised women are now being diagnosed with a more aggressive, rapidly spreading form of breast cancer, which – tragically – they rarely survive. This study investigated how a selection of disadvantaged women from KwaZulu-Natal that were diagnosed with breast cancer, experienced and perceived this illness. By examining the narratives of this neglected majority, I sought to establish how their breast cancer reality is lived, communicated, and negotiated. The study found that despite facing numerous socio-cultural and structural challenges, Zulu breast cancer patients are resilient and proactive about overcoming this disease. Consequently, the study endorses the creation of culture-congruent health communication strategies that promote prompt detection and treatment of breast abnormalities. Further, it supports the improvement of existing healthcare services that are geared towards women with breast cancer.