scholarly journals Racial/ethnic differences in patient experiences with health care in association with earlier stage at breast cancer diagnosis: findings from the SEER-CAHPS data

2019 ◽  
Vol 31 (1) ◽  
pp. 13-23
Author(s):  
Albert J. Farias ◽  
Carol Y. Ochoa ◽  
Gabriela Toledo ◽  
Soo-In Bang ◽  
Ann S. Hamilton ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Ethnic Differences ◽  
Cancer Diagnosis ◽  
Breast Cancer Diagnosis ◽  
Patient Experiences ◽  
Racial Ethnic

scholarly journals What mediates the racial/ethnic disparity in psychosocial stress among breast cancer patients?

2021 ◽  
Author(s):  
C. T. Sánchez-Díaz ◽  
S. Strayhorn ◽  
S. Tejeda ◽  
G. Vijayasiri ◽  
G. H. Rauscher ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Social Support ◽  
Cancer Patients ◽  
Cancer Diagnosis ◽  
Psychosocial Stress ◽  
Breast Cancer Diagnosis ◽  
Support Needs ◽  
Breast Cancer Patients ◽  
Hispanic Patients ◽  
Racial Ethnic

Abstract Background Prior studies have observed greater levels of psychosocial stress (PSS) among non-Hispanic (nH) African American and Hispanic women when compared to nH White patients after a breast cancer diagnosis. We aimed to determine the independent and interdependent roles of socioeconomic position (SEP) and unmet support in the racial disparity in PSS among breast cancer patients. Methods Participants were recruited from the Breast Cancer Care in Chicago study (n = 989). For all recently diagnosed breast cancer patients, aged 25–79, income, education, and tract-level disadvantage and affluence were summed to create a standardized socioeconomic position (SEP) score. Three measures of PSS related to loneliness, perceived stress, and psychological consequences of a breast cancer diagnosis were defined based on previously validated scales. Five domains of unmet social support needs (emotional, spiritual, informational, financial, and practical) were defined from interviews. We conducted path models in MPlus to estimate the extent to which PSS disparities were mediated by SEP and unmet social support needs. Results Black and Hispanic patients reported greater PSS compared to white patients and greater unmet social support needs (p = 0.001 for all domains). Virtually all of the disparity in PSS could be explained by SEP. A substantial portion of the mediating influence of SEP was further transmitted by unmet financial and practical needs among Black patients and by unmet emotional needs for Hispanic patients. Conclusions SEP appeared to be a root cause of the racial/ethnic disparities in PSS within our sample. Our findings further suggest that different interventions may be necessary to alleviate the burden of SEP for nH AA (i.e., more financial support) and Hispanic patients (i.e., more emotional support).

Exploring breast cancer diagnosis and treatment experience among a sample of South African women who access primary health care

2019 ◽  
Vol 50 (2) ◽  
pp. 195-206
Author(s):  
Bronwynè Coetzee ◽  
Rizwana Roomaney ◽  
Paula Smith ◽  
Jo Daniels
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Primary Health Care ◽  
South African ◽  
Cancer Diagnosis ◽  
Breast Cancer Diagnosis ◽  
Diagnosis And Treatment ◽  
African Women ◽  
Primary Health ◽  
South African Women

Despite the known impact of a cancer diagnosis and related treatments on quality of life, and the complexity of patient journeys in low-resource settings, there has been little published research into the relevant issues faced by South African women living with breast cancer. In this study, we aimed to understand the experiences of breast cancer diagnosis and treatment among a sample of South African women who access primary health care. A convenience sample of 12 women between the ages of 48 and 66 years attending a primary health care facility took part in our study. Women undergoing breast cancer treatment were invited to take part in face-to-face interviews. The interviews were semi-structured and guided by an interview schedule. Interviews were analysed thematically using ATLAS.ti v 8 computer software. We identified three important themes that explained how women experience diagnosis and treatment, namely, (1) reactions to the diagnosis experience, (2) the importance of faith, and (3) the value in having a sense of agency. Women’s initial reaction to their cancer diagnosis was one of shock and disbelief. Despite these reactions, faith and agency played an important role in how women in this study made sense of their illness experience and how they coped. Our findings demonstrate that women’s experiences of breast cancer diagnosis and treatment were accompanied by some psychological distress for which they need support. Furthermore, supporting women to make positive choices about coping and valuing the role of religion when appropriate should form part of any therapeutic engagement, medical or otherwise.

Racial and Ethnic Differences in Breast Cancer Diagnosis and Survival—Reply

JAMA ◽  
2015 ◽  
Vol 313 (14) ◽  
pp. 1475
Author(s):  
Javaid Iqbal ◽  
Paula Rochon ◽  
Ophira Ginsburg
Keyword(s):  
Breast Cancer ◽  
Ethnic Differences ◽  
Cancer Diagnosis ◽  
Breast Cancer Diagnosis ◽  
Racial And Ethnic Differences

Racial and Ethnic Differences in Breast Cancer Diagnosis and Survival

JAMA ◽  
2015 ◽  
Vol 313 (14) ◽  
pp. 1475
Author(s):  
Lundy Braun ◽  
Jennifer Tsai ◽  
Laura Ucik
Keyword(s):  
Breast Cancer ◽  
Ethnic Differences ◽  
Cancer Diagnosis ◽  
Breast Cancer Diagnosis ◽  
Racial And Ethnic Differences

scholarly journals British Menopause Society consensus statement: The risks and benefits of HRT before and after a breast cancer diagnosis

2019 ◽  
Vol 25 (1) ◽  
pp. 33-37 ◽  
Author(s):  
Jo Marsden ◽  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Hormone Replacement Therapy ◽  
Replacement Therapy ◽  
Cancer Diagnosis ◽  
Hormone Replacement ◽  
Breast Cancer Diagnosis ◽  
Lifestyle Changes ◽  
Short Term Exposure ◽  
Increased Risk

In women at population risk of breast cancer (i.e. most), short-term exposure to hormone replacement therapy (i.e. up to five years’ use) for symptom relief exceeds its potential harms, including the associated, increased risk of breast cancer diagnosis. Many women and health care professionals, however, consider this to be unacceptably high, although the degree of risk conferred appears equivalent to, or less than that of, other lifestyle risk factors for this condition. In contrast, it is recommended that symptomatic women at high baseline risk due to a family history or a biopsy-confirmed high-risk benign breast condition and those with previous breast cancer should be managed initially with lifestyle changes and non-hormonal alternatives. In a minority, whose symptoms are refractory, hormone replacement therapy and or topical estrogen can be considered but prescription should only take place after a discussion between the patient, her primary health care and breast specialist teams.

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