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
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