African American Women: Surviving Breast Cancer Mortality against the Highest Odds.
African American Women: Surviving Breast Cancer Mortality against the Highest Odds.
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DOI：
10.3390/ijerph13010006
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发表时间：
2015-12-22
影响因子：
--
通讯作者：
Martin J
中科院分区：
文献类型：
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作者：
White-Means S;Rice M;Dapremont J;Davis B;Martin J
在美国25个最大的城市中，田纳西州的孟菲斯的乳腺癌死亡率差距最大，那里的非洲裔美国妇女死于乳腺癌的可能性是白色妇女的两倍。这项对非裔美国乳腺癌幸存者的定性研究探讨了治疗期间和治疗后的经历，这些经历有助于他们击败高死亡率。使用半结构化访谈指南，2012年与10名乳腺癌幸存者举行了焦点小组会议。数据分析采用了主题分析法和演绎编码先验模板法。确定了五个主要主题：家族史，乳房/身体意识和准备管理乳腺癌事件，诊断经验和诊断反应，家庭反应和对生活的影响。祈祷和家庭支持是应对的核心，幸存者表达了对健康结果种族差异的文化接受。他们报告缺乏供应商的敏感性，疼痛，经济困难，家人/朋友的负面反应，以及应对身体和精神限制的弹性策略。我们的研究表明，以患者为中心的乳腺癌去神秘化方法（无论是在患者与提供者的沟通中还是在社区环境中）都会影响女性如何科普乳腺癌以及对其诊断信息的反应。
Among the country’s 25 largest cities, the breast cancer mortality disparity is highest in Memphis, Tennessee, where African American women are twice as likely to die from breast cancer as White women. This qualitative study of African-American breast cancer survivors explores experiences during and post treatment that contributed to their beating the high odds of mortality. Using a semi-structured interview guide, a focus group session was held in 2012 with 10 breast cancer survivors. Thematic analysis and a deductive a priori template of codes were used to analyze the data. Five main themes were identified: family history, breast/body awareness and preparedness to manage a breast cancer event, diagnosis experience and reaction to the diagnosis, family reactions, and impact on life. Prayer and family support were central to coping, and survivors voiced a cultural acceptance of racial disparities in health outcomes. They reported lack of provider sensitivity regarding pain, financial difficulties, negative responses from family/friends, and resiliency strategies for coping with physical and mental limitations. Our research suggested that a patient-centered approach of demystifying breast cancer (both in patient-provider communication and in community settings) would impact how women cope with breast cancer and respond to information about its diagnosis.