Después del Cáncer: a qualitative exploration of navigating survivorship as a Latino couple following a breast cancer diagnosis.

IF 3.1 2区 医学 Q2 ONCOLOGY
Melody N Chavez, Gabriella Sanabria, Rolando F Trejos, Erik L Ruiz, Laura Perdiguero Muńoz, Janna Bastardo, Audry M Belén, Isabela Solis Graham, Marangelie Velez, Laura B Oswald, Sejal Barden, Brian Doss, Dinorah Martinez Tyson
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Abstract

Purpose: Although Latino cancer inequities persist and result in poorer quality of life, limited research examines the psychological and relationship functioning impacts following a breast cancer diagnosis among Latino couples. Therefore, this study aimed to explore how breast cancer shapes Latino couples' relationships throughout the cancer care continuum.

Methods: Focus groups and semi-structured interviews were conducted in 2022 with a purposive sample of Latina breast cancer survivors and their intimate partners. Interviews were audio recorded, transcribed, and coded using the Community-Engaged Rapid Analysis and Visualization Adaption methodological framework.

Results: Most of the Latina breast cancer survivors were within 5 years of survivorship (58%) and over half of all participants reported being in a relationship for over 21 years. Results revealed that following a breast cancer diagnosis, Latina breast cancer survivors and intimate partners of a Latina breast cancer survivor have different primary fears, use different coping mechanisms, navigate unfamiliar challenges following the cancer-related treatment phases due to limited understanding and knowledge of cancer treatments, and can reinvent intimacy through supportive actions through the cancer care continuum.

Conclusion: This study illustrates Latino couple's individual and dyadic navigation processes following a breast cancer diagnosis and the unique cultural and contextual challenges that arise throughout survivorship.

Implications for cancer survivors: Within Latino dyads, each individual may navigate through the cancer care continuum differently and may be influenced by different cultural norms. Culturally tailored interventions can improve emotional and functional adjustments for Latino couples, bettering their quality of life.

despusamas del Cáncer:对拉丁裔夫妇乳腺癌诊断后生存的定性研究。
目的:尽管拉丁美洲人在癌症方面的不平等持续存在并导致生活质量下降,但有限的研究调查了拉丁美洲夫妇在乳腺癌诊断后的心理和关系功能影响。因此,本研究旨在探讨乳腺癌如何影响拉丁裔夫妇在整个癌症治疗过程中的关系。方法:于2022年对拉丁裔乳腺癌幸存者及其亲密伴侣进行焦点小组和半结构化访谈。使用社区参与快速分析和可视化适应方法框架对访谈进行录音、转录和编码。结果:大多数拉丁裔乳腺癌幸存者在5年内存活(58%),超过一半的参与者报告恋爱超过21年。结果显示,在乳腺癌诊断后,拉丁裔乳腺癌幸存者和拉丁裔乳腺癌幸存者的亲密伴侣有不同的主要恐惧,使用不同的应对机制,由于对癌症治疗的理解和知识有限,在癌症相关治疗阶段应对不熟悉的挑战,并可以通过癌症护理连续体的支持行动重塑亲密关系。结论:本研究说明了拉丁裔夫妇在乳腺癌诊断后的个体和二元导航过程,以及在整个生存过程中出现的独特的文化和背景挑战。对癌症幸存者的启示:在拉丁裔二人组中,每个个体都可能以不同的方式经历癌症治疗连续体,并可能受到不同文化规范的影响。量身定制的文化干预可以改善拉丁裔夫妇的情绪和功能调整,改善他们的生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.00
自引率
10.80%
发文量
149
审稿时长
>12 weeks
期刊介绍: Cancer survivorship is a worldwide concern. The aim of this multidisciplinary journal is to provide a global forum for new knowledge related to cancer survivorship. The journal publishes peer-reviewed papers relevant to improving the understanding, prevention, and management of the multiple areas related to cancer survivorship that can affect quality of care, access to care, longevity, and quality of life. It is a forum for research on humans (both laboratory and clinical), clinical studies, systematic and meta-analytic literature reviews, policy studies, and in rare situations case studies as long as they provide a new observation that should be followed up on to improve outcomes related to cancer survivors. Published articles represent a broad range of fields including oncology, primary care, physical medicine and rehabilitation, many other medical and nursing specialties, nursing, health services research, physical and occupational therapy, public health, behavioral medicine, psychology, social work, evidence-based policy, health economics, biobehavioral mechanisms, and qualitative analyses. The journal focuses exclusively on adult cancer survivors, young adult cancer survivors, and childhood cancer survivors who are young adults. Submissions must target those diagnosed with and treated for cancer.
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