Negotiating cancer alone: A qualitative study exploring care experiences of racially and ethnically diverse women diagnosed with breast cancer during COVID-19.

Autor:	Martinez Leal, Isabel, Acquati, Chiara, Rogova, Anastasia, Chen, Tzuan A, Connors, Shahnjayla K, Agrawal, Pooja, McNeill, Lorna H, Reitzel, Lorraine R
Předmět:	BREAST tumor diagnosis AFRICAN Americans QUALITATIVE research RESEARCH funding HISPANIC Americans BREAST tumors INTERVIEWING CANCER patients DESCRIPTIVE statistics CLINICAL health psychology RESEARCH methodology HEALTH equity CONFIDENCE intervals DATA analysis software COVID-19 pandemic
Zdroj:	Journal of Health Psychology; Apr2024, Vol. 29 Issue 5, p367-381, 15p
Abstrakt:	COVID-19 has critically impacted cancer care services including reduced screenings, diagnoses, and surgeries; particularly among Black and Latina/x women who already suffer worse outcomes. This qualitative study explored the care experiences of a diverse sample of breast cancer survivors (N = 21; 7 Black, 4 Hispanic, 10 White) undergoing treatment during the pandemic via online semi-structured interviews. Grounded theory analysis yielded the core category " negotiating cancer alone," that included: (1) psychological distress, negotiating the cancer trajectory in isolation; (2) provider/healthcare system diagnostic and treatment delays; (3) heightened anxiety about treatment delays causing cancer progression; (4) supportive care limitations; and (5) disparate experiences of cancer care disruptions. Black and Latina/x women described greater delays in care, financial challenges, treatment complications, and insurance limitations than White women. The study identifies cancer patients' pandemic-related psychological, healthcare system, and health equity challenges and suggests recommendations to support their increased psychological needs during oncologic care disruptions. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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