Employment After a Breast Cancer Diagnosis: A Qualitative Study of Ethnically Diverse Urban Women
Employment After a Breast Cancer Diagnosis: A Qualitative Study of Ethnically Diverse Urban Women
复制标题
DOI：
10.1007/s10900-011-9509-9
复制
发表时间：
2012-08-01
影响因子：
5.9
通讯作者：
Mazumdar, M.
中科院分区：
文献类型：
--
作者：
Blinder, V. S.;Murphy, M. M.;Mazumdar, M.
就业状况与乳腺癌幸存者的治疗恢复和生活质量有关，但对移民和少数民族幸存者重返工作岗位知之甚少。我们进行了一项探索性的定性研究，使用种族凝聚力的焦点小组的城市乳腺癌幸存者谁是非洲裔美国人，非洲-加勒比，中国，菲律宾，拉丁美洲，或非拉丁白色。我们的音频和视频记录，转录，并按主题编码的焦点小组讨论，我们分析了编码的成绩单内和跨种族群体。七个主要主题与诊断后参与者的工作经历有关：正常，接受，身份，外表，隐私，工作缺乏灵活性和雇主支持。每个小组的幸存者都认为保持正常感是工作的好处。接受癌症诊断在中国组和有乳腺癌家族史的参与者中最常见;那些描述这种态度的人可能会在整个治疗期间继续工作。除了中国人之外，所有人都很看重外表，而且外表与隐私有关，许多人认为这是获得正常工作的必要条件。雇主支持包括日程灵活性、医疗保密性以及帮助维持正常的工作环境，这对我们的研究样本尤其重要。总的来说，我们在研究中发现不同种族之间几乎没有差异。这些结果对于为患有乳腺癌的就业女性提供支持服务和临床管理，以及进一步对差异和就业结果进行大规模研究具有重要意义。
Employment status is related to treatment recovery and quality of life in breast cancer survivors, yet little is known about return to work in immigrant and minority survivors. We conducted an exploratory qualitative study using ethnically cohesive focus groups of urban breast cancer survivors who were African-American, African-Caribbean, Chinese, Filipina, Latina, or non-Latina white. We audio- and video-recorded, transcribed, and thematically coded the focus group discussions and we analyzed the coded transcripts within and across ethnic groups. Seven major themes emerged related to the participants' work experiences after diagnosis: normalcy, acceptance, identity, appearance, privacy, lack of flexibility at work, and employer support. Maintaining a sense of normalcy was cited as a benefit of working by survivors in each group. Acceptance of the cancer diagnosis was most common in the Chinese group and in participants who had a family history of breast cancer; those who described this attitude were likely to continue working throughout the treatment period. Appearance was important among all but the Chinese group and was related to privacy, which many thought was necessary to derive the benefit of normalcy at work. Employer support included schedule flexibility, medical confidentiality, and help maintaining a normal work environment, which was particularly important to our study sample. Overall, we found few differences between the different ethnic groups in our study. These results have important implications for the provision of support services to and clinical management of employed women with breast cancer, as well as for further large-scale research in disparities and employment outcomes.