Psychosocial Concerns of Young African American Breast Cancer Survivors

Psychosocial Concerns of Young African American Breast Cancer Survivors
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DOI:
10.1080/07347332.2011.651259
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发表时间:
2012-01-01
影响因子:
2.1
通讯作者:
Schover, Leslie R.
Schover, Leslie R.
中科院分区:
医学4区
文献类型:
--
作者:
Lewis, Pamela E.;Sheng, Melissa;Schover, Leslie R.

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33 名 45 岁或以下的非裔美国乳腺癌幸存者参加了有关社会心理问题的半结构化电话访谈。百分之二十六的人认为治疗会干扰就业。三分之一的人希望在诊断时和诊断后获得额外的情感支持。一半的人认为癌症对恋爱关系产生了负面影响。百分之四十五的女性在诊断时想要孩子,但其中一半的女性从未收到过生育信息。三分之一的人报告了性问题,但 73% 的人从未与提供者讨论过性问题。百分之五十二的人缺乏有关癌症相关性功能障碍的信息。非裔美国女性的力量和灵性可能有助于癌症调整,但围绕女性健康问题的文化禁忌可能会妨碍成功应对。
Thirty-three African American breast cancer survivors age 45 or younger participated in semistructured phone interviews about psychosocial concerns. Twenty-six percent believed treatment interfered with employment. One third wanted additional emotional support at and after diagnosis. One half felt cancer negatively influenced romantic relationships. Forty-five percent wanted children at diagnosis, but one half these women never received fertility information. One third reported sexual problems, but 73% never discussed sexuality with providers. Fifty-two percent lacked information about cancer-related sexual dysfunction. The strength and spirituality of African American women may facilitate cancer adjustment, but cultural taboos surrounding women's health issues may interfere with successful coping.