Experiences of Advanced Breast Cancer Among Latina Immigrants: A Qualitative Pilot Study
Autor: | Shelley R. Adler, Yvette Z. Coulter, Elina Serrano, Lisabeth Castro-Smyth, Johanna Glaser, Ariana Thompson-Lastad |
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Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Epidemiology media_common.quotation_subject Immigration Clinical Trials and Supportive Activities Language barrier Emigrants and Immigrants Breast Neoplasms Pilot Projects Basic Behavioral and Social Science Article 03 medical and health sciences 0302 clinical medicine Breast cancer Latina 7.1 Individual care needs Clinical Research Advanced cancer Immigrants Qualitative research Behavioral and Social Science medicine Humans 030212 general & internal medicine Socioeconomic status Qualitative Research media_common Cancer Terminal Care 030505 public health Public health Public Health Environmental and Occupational Health Social environment Hispanic or Latino medicine.disease Family medicine End of life Public Health and Health Services Female Management of diseases and conditions Public Health Thematic analysis Hispanic Americans 0305 other medical science Psychology |
Zdroj: | Journal of immigrant and minority health, vol 22, iss 6 J Immigr Minor Health |
Popis: | To explore the experiences of Latina immigrants with advanced breast cancer and their support networks. We conducted semi-structured interviews with low-income Latina immigrants with advanced breast cancer and their support networks (informal caregivers, physicians, and complementary medicine (CM) practitioners). Patient interviews explored patients' illness experience and end of life (EOL) concerns. Support network member interviews focused on the relationship of the interviewee with the patient and EOL conversations. Six authors independently coded transcripts and jointly conducted qualitative thematic analysis. 72 total interviews (13 patients, 12 informal caregivers, 6 CM practitioners, and 4 physicians) revealed two themes. (1) Staying positive was a primary patient coping mechanism. (2) Patients' language barriers and socioeconomic and immigration status posed challenges in participants' illness experience. Appropriately addressing language barriers and social context during medical visits is crucial for effective EOL care. Clinicians should consider patients' financial constraints and ensure supportin applying for public benefits. |
Databáze: | OpenAIRE |
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