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Kohli K, Jain B, Dee EC, Ho BL. Addressing cultural and political drivers of vaccine hesitancy: Considerations for the African and Asian contexts. Vaccine 2024; 42:1411-1413. [PMID: 38326129 DOI: 10.1016/j.vaccine.2024.02.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Revised: 01/25/2024] [Accepted: 02/02/2024] [Indexed: 02/09/2024]
Affiliation(s)
| | - Bhav Jain
- Department of Health Policy, Stanford University School of Medicine, Stanford, CA, USA
| | - Edward Christopher Dee
- Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - Beverly Lorraine Ho
- National Institutes of Health, University of the Philippines, Manila, Philippines
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Vakil K, Desse TA, Manias E, Alzubaidi H, Rasmussen B, Holton S, Mc Namara KP. Patient-Centered Care Experiences of First-Generation, South Asian Migrants with Chronic Diseases Living in High-Income, Western Countries: Systematic Review. Patient Prefer Adherence 2023; 17:281-298. [PMID: 36756536 PMCID: PMC9899934 DOI: 10.2147/ppa.s391340] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/27/2022] [Accepted: 12/07/2022] [Indexed: 02/02/2023] Open
Abstract
BACKGROUND First-generation migrants from South Asia account for a considerable proportion of the immigrant populations in high-income, western countries and are at a high risk of developing complex, chronic diseases such as cardiovascular disease and diabetes. Yet, previous systematic reviews have not synthesized information about the healthcare needs and preferences of such migrants and the best ways for health services to provide them with appropriate, culturally sensitive, patient-centered care. The aim of this study is to systematically review the international evidence about first-generation, South Asian migrants' healthcare experiences from the patients' perspectives. METHODS Five databases were searched for qualitative, quantitative, and mixed methods studies published between January 1990 and April 2020. Fourteen thousand, six hundred and forty-four papers were retrieved and screened using pre-determined eligibility criteria. Sixty-one papers were included in this narrative synthesis. Relevant qualitative findings from the included papers were thematically analyzed, and quantitative findings were summarized. RESULTS Five themes emerged from findings: 1) Healthcare services engaged; 2) the language barrier; 3) experiences and perceptions of healthcare advice; 4) the doctor-patient relationship; and 5) the role of patients' families in supporting access and delivery of healthcare. CONCLUSION The findings indicate that communication barriers reduce the cultural and linguistic appropriateness of healthcare. Potential solutions include employing healthcare staff from the same cultural background, training healthcare professionals in cultural competence, and proactively including first-generation, South Asian migrants in decision-making about their healthcare. Future research should explore South Asian migrants' experiences of multimorbidity management, continuity of care, interdisciplinary collaboration, the formation of treatment plans and goals as little to no data were available about these issues.
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Affiliation(s)
- Krishna Vakil
- Deakin Rural Health, School of Medicine, Deakin University, Warrnambool, Victoria, Australia
- Correspondence: Krishna Vakil, Deakin Rural Health, Building D Level 2, Deakin University, Princes Hwy (PO Box 423), Warrnambool, Victoria, 3280, Australia, Tel +61 422 365 879, Email
| | - Tigestu Alemu Desse
- School of Nursing and Midwifery, Centre for Quality and Patient Safety Research, Institute for Health Transformation, Faculty of Health, Deakin University, Melbourne, Victoria, Australia
| | - Elizabeth Manias
- School of Nursing and Midwifery, Centre for Quality and Patient Safety Research, Institute for Health Transformation, Faculty of Health, Deakin University, Melbourne, Victoria, Australia
- School of Nursing and Midwifery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia
| | - Hamzah Alzubaidi
- Deakin Rural Health, School of Medicine, Deakin University, Warrnambool, Victoria, Australia
- College of Pharmacy, University of Sharjah, Sharjah, United Arab Emirates
| | - Bodil Rasmussen
- School of Nursing and Midwifery, Centre for Quality and Patient Safety Research – Western Health Partnership, Institute for Health Transformation Deakin University, Geelong, Victoria, Australia
- The Centre for Quality and Patient Safety Research in the Institute of Health Transformation -Western Health Partnership, Western Health, Melbourne, Victoria, Australia
- Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
- Faculty of Health Sciences, University of Southern Denmark and Steno Diabetes Center, Odense M, Denmark
| | - Sara Holton
- School of Nursing and Midwifery, Centre for Quality and Patient Safety Research – Western Health Partnership, Institute for Health Transformation Deakin University, Geelong, Victoria, Australia
- The Centre for Quality and Patient Safety Research in the Institute of Health Transformation -Western Health Partnership, Western Health, Melbourne, Victoria, Australia
| | - Kevin P Mc Namara
- Deakin Rural Health, School of Medicine, Deakin University, Warrnambool, Victoria, Australia
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Exploring the psychosocial morbidity of women undergoing chemotherapy for breast cancer in a post-war setting: experiences of Northern Sri Lankan women. Support Care Cancer 2021; 29:7403-7409. [PMID: 34059961 DOI: 10.1007/s00520-021-06296-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2021] [Accepted: 05/14/2021] [Indexed: 10/21/2022]
Abstract
PURPOSE A breast cancer diagnosis leads to considerable internal conflict and social disruption. Coping with breast cancer may be especially challenging where psychosocial services are not integrated to cancer care. This exploratory descriptive qualitative study delves into breast cancer-associated psychosocial morbidity among women diagnosed with breast cancer at a cancer centre in post-war northern Sri Lanka. METHODS Fifteen women with non-metastatic breast cancer and treated with curative intent, who were undergoing or had completed adjuvant chemotherapy, were included in the study. Data were gathered through semi-structured interviews and thematically analysed. RESULTS Aside from the immediate effects of chemotherapy, participants grappled with concerns of body image, social stigma, and dependency while straddling anxieties about the fate of their families and expenses on cancer care. Demonstrating remarkable strength and resilience, however, they drew on their families and communities for support in the absence of a formal system of psychosocial care. These women's narratives shed light on certain universal aspects of the breast cancer experience as well as its specificity in a region devastated by war, where cancer care is delivered with minimal resources. CONCLUSION The findings underscore the need to invest in integrating psychosocial services to chronic illness care in low- and middle-income settings.
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Schulman-Green D, Feder S. Integrating Family Caregivers into Palliative Oncology Care Using the Self- and Family Management Approach. Semin Oncol Nurs 2018; 34:252-263. [PMID: 30143346 DOI: 10.1016/j.soncn.2018.06.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Dumrongpanapakorn P, Liamputtong P. Social support and coping means: the lived experiences of Northeastern Thai women with breast cancer. Health Promot Int 2018; 32:768-777. [PMID: 25876908 DOI: 10.1093/heapro/dav023] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Social support plays a critical role in how women living with breast cancer deal with their diagnosis and treatment. This article discusses the meanings of breast cancer and the experiences of social support among women living with breast cancer in Northeastern Thailand (Isan). In-depth interviews were conducted with 18 women with breast cancer. Data were analysed using the thematic analysis method. Being diagnosed with breast cancer can be a traumatic experience. However, many women with breast cancer managed to deal with their illnesses and treatments and this was based largely on social support they received. Available support from family members, friends, neighbours, religion and health care professionals was essential for them to deal with their breast cancer. Social support was an important component for the provision of good care for these women and women living with breast cancer. Although medical treatments were essential for breast cancer, social support could enhance the effectiveness of the treatments as it helped women to have positive perspectives about their health conditions and to better deal with their illnesses. Our findings are useful for sensitive health promotion for women with breast cancer in Thailand and elsewhere. Social support should be modified to meet the woman's individual needs. Health professionals are an important source of social support for women with breast cancer. Having an understanding and being sensitive to these women's experiences and challenges means that health care professionals can provide more individualised support and care to women during their vulnerable period of life.
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Affiliation(s)
- Phensiri Dumrongpanapakorn
- Research andInternational Relations, Boromarajonani College of Nursing Nakhon Phanom, Nakhon Phanom University, Nakhon Phanom, Thailand
| | - Pranee Liamputtong
- School of Psychology and Public Health, College of Science, Health and Engineering, La Trobe University, Melbourne, VIC 3086, Australia
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Zhang H, Xiao L, Ren G. Experiences of Social Support Among Chinese Women with Breast Cancer: A Qualitative Analysis Using a Framework Approach. Med Sci Monit 2018; 24:574-581. [PMID: 29376515 PMCID: PMC5800322 DOI: 10.12659/msm.908458] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023] Open
Abstract
Background Breast cancer and its treatment provoke a series of emotional changes in patients during their breast cancer journeys. Social support is critical in helping women cope with their negative emotional responses. However, few studies have described the experiences of women with breast cancer within the Chinese context. This qualitative study explored the experiences of Chinese women with breast cancer regarding social support. Material/Methods This qualitative study was based on constructivism epistemology. Chinese women with breast cancer were invited to interview between June and August 2016. Purposive sampling was used, and the women were recruited until data saturation was reached (n=25). Results We found that all participants expressed the importance of social support during their breast cancer journeys. The thematic framework of social support was identified, which included the following 4 interrelated themes: providers, types of support, outcomes of support, and challenges for care. Conclusions Social support is important in the health care of women living with breast cancer. Healthcare professionals should provide more individualized support and care to women during this vulnerable period.
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Affiliation(s)
- Hailing Zhang
- Department of Nursing, First Affiliated Hospital of Chongqing Medical University, Chongqing, China (mainland)
| | - Ling Xiao
- Department of Nursing, First Affiliated Hospital of Chongqing Medical University, Chongqing, China (mainland)
| | - Guosheng Ren
- Department of Breast Surgery, First Affiliated Hospital of Chongqing Medical University, Chongqing, China (mainland)
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Chen SQ, Liu JE, Li Z, Su YL. The process of accepting breast cancer among Chinese women: A grounded theory study. Eur J Oncol Nurs 2017; 28:77-85. [DOI: 10.1016/j.ejon.2017.03.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2015] [Revised: 02/26/2017] [Accepted: 03/18/2017] [Indexed: 11/27/2022]
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Selamat Din SH, Nik Jaafar NR, Zakaria H, Mohamed Saini S, Ahmad SNA, Midin M. Anxiety Disorders in Family Caregivers of Breast Cancer Patients Receiving Oncologic Treatment in Malaysia. Asian Pac J Cancer Prev 2017; 18:465-471. [PMID: 28345831 PMCID: PMC5454744 DOI: 10.22034/apjcp.2017.18.2.465] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
Background: Anxiety is recognized as a normal psychological reaction of those caring for cancer patients. However, anxiety disorders in caregivers may interfere with their care-giving role and require further clinical attention. Objectives: To determine the prevalence and associated factors of anxiety disorders among caregivers of breast cancer patients receiving oncologic treatment in Kuala Lumpur Hospital. Methodology: A cross-sectional study was conducted on 130 caregiver-patient dyads, recruited by non-random sampling at Kuala Lumpur Hospital. Data were collected in 2 stages: 1) the caregivers were screened for psychological distress using the Depression, Anxiety, Stress, Scale (DASS-21) while other related factors for the patients and their caregivers were obtained; 2) the identified distressed caregivers (n=64) were then administered the Mini International Neuropsychiatric Interview (MINI) to diagnose anxiety disorders. Results: A total of 11.5% (n=15) of the caregivers reported suffering from anxiety disorders. Bivariate analysis found duration of caregiving (OR=3.31; CI=2.21-11.93), shared caregiving (OR=4.07; CI=1.34-12.36), and patients’ treatment type (OR=3.42; CI=1.92-12.76) were significantly associated with anxiety disorders (p value <0.05), with shared caregiving and patient’s treatment type remaining significant using logistic regression (p value < 0.05, R2 = 0.255). Conclusions: Every one in ten of the caregivers in this study had a diagnosable anxiety disorder, associated with certain care-giving factors and patients’ treatment. This should alert clinicians to such risk and indicates psychological support needs for family caregivers.
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Affiliation(s)
- Siti Hazrah Selamat Din
- Department of Psychiatry and Mental Health, Hospital Tuanku Jaafar, Seremban, Negeri Sembilan, Malaysia.
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van Eechoud I, Grypdonck M, Leman J, Van Den Noortgate N, Deveugele M, Verhaeghe S. Balancing truth-telling: relatives acting as translators for older adult cancer patients of Turkish or northwest African origin in Belgium. Eur J Cancer Care (Engl) 2016; 26. [DOI: 10.1111/ecc.12498] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/10/2016] [Indexed: 11/27/2022]
Affiliation(s)
- I. van Eechoud
- Department of Social Work and Diversity & Intercultural Mediation of the University Hospital Ghent; Ghent Belgium
- Department of Public Health; University Centre for Nursing and Midwifery; Ghent University; Ghent Belgium
| | - M. Grypdonck
- Department of Public Health; University Centre for Nursing and Midwifery; Ghent University; Ghent Belgium
| | - J. Leman
- Department of Social Sciences; KULeuven; Leuven Belgium
| | | | - M. Deveugele
- Department of Family Practice and Primary Health Care; Ghent University; Ghent Belgium
| | - S. Verhaeghe
- Department of Public Health; University Centre for Nursing and Midwifery; Ghent University; Ghent Belgium
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Bedi M, Devins GM. Cultural considerations for South Asian women with breast cancer. J Cancer Surviv 2015; 10:31-50. [DOI: 10.1007/s11764-015-0449-8] [Citation(s) in RCA: 78] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2014] [Accepted: 03/19/2015] [Indexed: 12/21/2022]
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Mead EL, Doorenbos AZ, Javid SH, Haozous EA, Alvord LA, Flum DR, Morris AM. Shared decision-making for cancer care among racial and ethnic minorities: a systematic review. Am J Public Health 2013; 103:e15-29. [PMID: 24134353 PMCID: PMC3828995 DOI: 10.2105/ajph.2013.301631] [Citation(s) in RCA: 124] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/28/2013] [Indexed: 11/04/2022]
Abstract
To assess decision-making for cancer treatment among racial/ethnic minority patients, we systematically reviewed and synthesized evidence from studies of "shared decision-making," "cancer," and "minority groups," using PubMed, PsycInfo, CINAHL, and EMBASE. We identified significant themes that we compared across studies, refined, and organized into a conceptual model. Five major themes emerged: treatment decision-making, patient factors, family and important others, community, and provider factors. Thematic data overlapped categories, indicating that individuals' preferences for medical decision-making cannot be authentically examined outside the context of family and community. The shared decision-making model should be expanded beyond the traditional patient-physician dyad to include other important stakeholders in the cancer treatment decision process, such as family or community leaders.
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Affiliation(s)
- Erin L Mead
- Erin L. Mead is with the Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Ardith Z. Doorenbos is with the Department of Biobehavioral Nursing and Health Systems, University of Washington School of Nursing, Seattle. Sara H. Javid and David R. Flum are with the Department of Surgery, University of Washington School of Medicine, Seattle. Emily A. Haozous is with the University of New Mexico College of Nursing, Albuquerque. Lori Arviso Alvord is with the University of Arizona College of Medicine, Tucson. Arden M. Morris is with the Center for Health Outcomes and Policy, Department of Surgery, University of Michigan Medical School, Ann Arbor
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Mead EL, Doorenbos AZ, Javid SH, Haozous EA, Alvord LA, Flum DR, Morris AM. Shared decision-making for cancer care among racial and ethnic minorities: a systematic review. Am J Public Health 2013. [PMID: 24134353 DOI: 10.2105/ajph.2013.301631.] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
To assess decision-making for cancer treatment among racial/ethnic minority patients, we systematically reviewed and synthesized evidence from studies of "shared decision-making," "cancer," and "minority groups," using PubMed, PsycInfo, CINAHL, and EMBASE. We identified significant themes that we compared across studies, refined, and organized into a conceptual model. Five major themes emerged: treatment decision-making, patient factors, family and important others, community, and provider factors. Thematic data overlapped categories, indicating that individuals' preferences for medical decision-making cannot be authentically examined outside the context of family and community. The shared decision-making model should be expanded beyond the traditional patient-physician dyad to include other important stakeholders in the cancer treatment decision process, such as family or community leaders.
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Affiliation(s)
- Erin L Mead
- Erin L. Mead is with the Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Ardith Z. Doorenbos is with the Department of Biobehavioral Nursing and Health Systems, University of Washington School of Nursing, Seattle. Sara H. Javid and David R. Flum are with the Department of Surgery, University of Washington School of Medicine, Seattle. Emily A. Haozous is with the University of New Mexico College of Nursing, Albuquerque. Lori Arviso Alvord is with the University of Arizona College of Medicine, Tucson. Arden M. Morris is with the Center for Health Outcomes and Policy, Department of Surgery, University of Michigan Medical School, Ann Arbor
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Singh-Carlson S, Nguyen SKA, Wong F. Perceptions of survivorship care among South Asian female breast cancer survivors. ACTA ACUST UNITED AC 2013; 20:e80-9. [PMID: 23559889 DOI: 10.3747/co.20.1205] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND AND OBJECTIVES To explore the perceptions of South Asian (sa) breast cancer survivors concerning their follow-up care, and to determine the optimal content and format of a survivorship care plan (scp) for this population, according to various life stages. METHODS A survey was mailed to 259 sa women with a diagnosis of nonmetastatic breast cancer who were 18-85 years of age, 3-60 months post-discharge, and not on active treatment. Descriptive statistics and content analysis were applied to the responses. The data were cross-tabulated by age: group A (<44 years), group B (45-54 years), group C (55-64 years), and group D (>64 years). RESULTS We received 64 completed surveys. The compliance rate for adjuvant hormonal therapy was high (86.3%). Most of the respondents (n = 61, 95.4%) had visited their family doctor within several months (0.5-24 months) after discharge. Their main physical effects concern was fatigue, and anxiety concerning health was the main psychosocial impact. Groups A and B were more concerned about physical appearance, depression, and the impact of cancer on family members. Women in the older groups were concerned about family obligations and work issues. Several women (n = 9, 14.1%) described strain on their marriage and on their relationships with family and friends as significant issues. Slightly more than one third (n = 24, 37.5%) experienced a deepening of faith, and almost as many (n = 23, 35.9%) felt that their illness was something that was meant to happen. CONCLUSIONS Many of the impacts of breast cancer treatment are shared by women of all ethnic backgrounds. Others-such as high levels of compliance, little reported strain on spousal and family relationships, and the importance of faith-reflect specific cultural variations. These universal and culture-specific themes should all be kept in mind when developing a scp tailored to sa women. The developmental life stage of a woman affects how she views the cancer diagnosis, especially with respect to family, reproduction, and work issues.
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Affiliation(s)
- S Singh-Carlson
- School of Nursing, California State University-Long Beach, Long Beach, CA, U.S.A
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Al-Azri MH, Al-Awisi H, Al-Rasbi S, Al-Moundhri M. Coping with a diagnosis of breast cancer among Omani women. J Health Psychol 2013; 19:836-46. [PMID: 23520353 DOI: 10.1177/1359105313479813] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
The aim of this study was to identify coping strategies experienced by Omani women after breast cancer diagnosis. Individual semistructured interviews were conducted with 19 women diagnosed with breast cancer. Several coping strategies were identified including denial, optimism, withdrawal, Islamic beliefs and practices, and the support of family members and health-care providers, but Islamic beliefs and practices were the commonest. Health-care professionals should be aware of and respect women's coping strategies and encourage them to use to reduce the psychological symptoms. They should also make family members and friends aware of their role in supporting and encouraging coping strategies.
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Affiliation(s)
| | - Huda Al-Awisi
- Sultan Qaboos University Hospital, Sultanate of Oman
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AMOR II: an effort to eradicate psychosocial barriers induced by immigration phenomenon in children with cancer. J Pediatr Hematol Oncol 2013; 35:118-23. [PMID: 22858565 DOI: 10.1097/mph.0b013e3182580c0c] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Immigration in the childhood cancer population constitutes a stressor factor because of high biopsychosocial vulnerability. In recent years the incidence of immigrant children in our unit has increased. Since 2005 we have developed a psychosocial program to overcome this challenge. Our objective is to assess its impact on the immigrant pediatric population. PROCEDURE We have compared new cases (n=114) from 2005 to 2010 with historical cases (n=95) from 1995 to 2004. We administered a long-term follow-up questionnaire allowing for the assessment of symptoms associated with biopsychosocial variables. RESULTS Most of our immigrant patients came from Latin America and we observed a significant increase of cases coming from Morocco and Romania. The most common diagnosis was hematological malignancies. From 2005 to 2010 the disease status was mainly initial, whereas in the period 1995 to 2004 most of the patients arrived with advanced disease. Socioeconomic variables amongst these patients tended towards low incomes, high unemployment, and economic difficulties. The implementation of the biopsychosocial protocol AMOR II improved adaptation (P=0.012), the amount and understanding of information received (P=0.002), and family emotional support (P=0.004). CONCLUSIONS In brief, our biopsychosocial protocol had significantly increased some psychosocial variables. However, immigration in Spain is still associated with economic difficulties, "aculturism" and failure to adapt.
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Ahmad F, Jandu B, Albagli A, Angus JE, Ginsburg O. Exploring ways to overcome barriers to mammography uptake and retention among South Asian immigrant women. HEALTH & SOCIAL CARE IN THE COMMUNITY 2013; 21:88-97. [PMID: 23057604 DOI: 10.1111/j.1365-2524.2012.01090.x] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
South Asians comprise one of the fastest growing immigrant groups in North America. Evidence indicates that South Asian (SA) immigrant women are vulnerable to low rates of breast cancer screening. Yet, there is a dearth of knowledge pertaining to socioculturally tailored strategies to guide the uptake of screening mammography in the SA community. In 2010, the authors conducted semi-structured focus groups (FG) to elicit perspectives of health and social service professionals on possible solutions to barriers identified by SA immigrant women in a recent study conducted in the Greater Toronto Area. Thirty-five health and social services staff members participated in five FG. The discussions were audio taped and detailed field notes were taken. All collected data were transcribed verbatim and thematic analysis was conducted using techniques of constant comparison within and across the group discussions. Three dominant themes were identified: (i) 'Target and Tailor' focused on awareness raising through multiple direct and indirect modes or approaches with underlying shared processes of involving men and the whole family, use of first language and learning from peers; (ii) 'Enhancing Access to Services' included a focus on 'adding ancillary services' and 'reinforcement of existing services' including expansion to a one-stop model; and (iii) 'Meta-Characteristics' centred on providing 'multi-pronged' approaches to reach the community, and 'sustainability' of initiatives by addressing structural barriers of adequate funding, healthcare provider mix, inter-sectoral collaboration and community voice. The findings simultaneously shed light on the grassroot practical strategies and the system level changes to develop efficient programmes for the uptake of mammography among SA immigrant women. The parallel focus on the 'Target and Tailor' and 'Enhancing Access to Services' calls for co-ordination at the policy level so that multiple sectors work jointly to streamline resources, or meta-characteristics.
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Affiliation(s)
- Farah Ahmad
- Faculty of Health, School of Health Policy and Management, York University, Toronto, ON, Canada.
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Mayberry JF, Farrukh A. Gastroenterology and the provision of care to Panjabi patients in the UK. Frontline Gastroenterol 2012; 3:191-198. [PMID: 28839663 PMCID: PMC5517281 DOI: 10.1136/flgastro-2012-100119] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/24/2012] [Indexed: 02/04/2023] Open
Abstract
Panjabi is spoken by 1.3 million people in the UK. It is the second most common language used in the country and is the first choice of 75% of Panjabis. It is becoming more common. For many patients it forms part of the barrier which limits access to gastrointestinal services. The provision of appropriate support services is woeful and yet seldom leads to formal complaints. This review considers the impact of gastrointestinal disorders on the Panjabi community and assesses some of the interventions that could be developed to ensure equity of care.
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Affiliation(s)
- John Francis Mayberry
- Department of Digestive Diseases, University Hospitals of Leicester NHS Trust, Leicester, UK
| | - Affifa Farrukh
- Department of Digestive Diseases, University Hospitals of Leicester NHS Trust, Leicester, UK
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Rodrigues JSM, Ferreira NMLA. Estrutura e funcionalidade da rede de apoio social do adulto com câncer. ACTA PAUL ENFERM 2012. [DOI: 10.1590/s0103-21002012000500021] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
OBJETIVO: Caracterizar a rede de apoio social de adultos com câncer. MÉTODOS: Pesquisa quantitativa, exploratório, descritiva, de corte transversal realizada com adultos com câncer, entre agosto-novembro de 2010, em seus domicílios, utilizando o Diagrama de Escolta e a análise dos dados com o Microsoft Excel 2003. RESULTADOS: 69 doentes foram consultados e citaram 506 integrantes em suas redes de apoio, com idade entre 1 e 89 anos, sendo a maioria do gênero feminino, residindo a menos de 30 minutos do domicílio do doente que se encontrava diariamente. Do apoio contemplado no diagrama, os doentes perceberam que dão mais apoio do que recebem, exceto "Cuidar em situação de doença". O tipo de apoio mais recebido e fornecido foi "Respeitar" e o menos foi "Cuidar em situação de doença". CONCLUSÃO: Esta pesquisa evidenciou relevância do vínculo afetivo para doentes e apontou a limitação das famílias como únicos vínculos apoiadores.
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Cultural factors facilitating cardiac rehabilitation participation among Canadian South Asians: A qualitative study. Heart Lung 2010; 39:494-503. [DOI: 10.1016/j.hrtlng.2009.10.021] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2008] [Revised: 10/23/2009] [Accepted: 10/30/2009] [Indexed: 11/20/2022]
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Exploring Common Meanings of Social Support as Experienced by Jordanian Women With Breast Cancer. Cancer Nurs 2010; 33:353-61. [DOI: 10.1097/ncc.0b013e3181d55d33] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Sanchez KDOL, Ferreira NMLA, Dupas G, Costa DB. Apoio social à família do paciente com câncer: identificando caminhos e direções. Rev Bras Enferm 2010; 63:290-9. [DOI: 10.1590/s0034-71672010000200019] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2009] [Accepted: 03/10/2010] [Indexed: 11/21/2022] Open
Abstract
Rede e apoio social são recursos que enfermeiros podem oferecer às famílias. Esta revisão identifica que aspectos estão sendo pesquisados sobre apoio social à família do doente com câncer. Localizaram-se 51 artigos, sendo 70% de metodologia quantitativa e 26% publicados nos dois últimos anos. Os temas abordados foram: Cuidador familiar como provedor de apoio social; Fatores que interferem no apoio social; Religiosidade como apoio social e o apoio social proveniente de programas educativos, atividades grupais e recursos tecnológicos. Dos artigos, 49% foram escritos por enfermeiros, sendo a ênfase internacional para avaliação das necessidades, experiências das famílias e apoios oferecidos, enquanto que os artigos nacionais enfatizavam a definição de conceitos e identificação das necessidades das famílias visando ao planejamento de intervenções.
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Al-Azri M, Al-Awisi H, Al-Moundhri M. Coping with a diagnosis of breast cancer-literature review and implications for developing countries. Breast J 2009; 15:615-22. [PMID: 19686231 DOI: 10.1111/j.1524-4741.2009.00812.x] [Citation(s) in RCA: 77] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Breast cancer is the most common cancer affecting women worldwide. Women are at an increased risk of developing both physical and psychological morbidity after diagnosis; however, many use different strategies to cope with the disease. The aim of this article is to review the available literature on the impact of breast cancer diagnoses and the strategies used by women to cope with this disease. The implications of these emerging findings are extrapolated within the context of health services provided in developing countries. Electronic databases were used to search the relevant literature. The findings showed that women who were diagnosed with breast cancer are at risk of developing several psychological morbidities such as depression, anxiety, fatigue, negative thoughts, suicidal thoughts, fear of dying, sense of aloneness, sexual and body images problems, as well as an overall decrease in the quality of life. Several strategies are used by women with breast cancer to cope with the disease, including positive cognitive restructuring, wishful thinking, emotional expression, disease acceptance, increased religious practice, family and social support, and yoga and exercise. Breast cancer diagnoses have been associated with several devastating psychological consequences; however, many women have used different coping strategies to adjust their lives accordingly. Healthcare professionals in developing countries, who work with women with breast cancer, should be aware of the different coping mechanisms that women use when diagnosed with cancer. Integrating a coping strategy into the treatment regimen would constitute an important milestone in the palliative care of patients with breast cancer.
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Affiliation(s)
- Mohammed Al-Azri
- Department of Family Medicine and Public Health, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Sultanate of Oman.
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Lin YY, Huang XY, Chen CY, Shao WC. The lived experiences of brokered brides who have attempted suicide in Taiwan. J Clin Nurs 2009; 18:3409-20. [PMID: 19686320 DOI: 10.1111/j.1365-2702.2009.02839.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
AIMS AND OBJECTIVES The purpose of this study was to explore the lived experiences of brokered brides who have attempted suicide in Taiwan. BACKGROUND There has been a significant rise in number of brokered brides since the 1970s in Western world and since the 1990s in several Asian countries. However, there is a great lack of research on brokered brides' suicide around the world. DESIGN A descriptive phenomenological study was used to explore the lived experiences of brokered brides who have attempted suicide. METHODS Purposive sampling, one-on-one, in-depth with semi-structural interviews were conducted to collect data. Narratives were analysed by Colaizzi's (1978) seven-step method. RESULTS Data saturation was achieved after interviewing 12 brokered brides. The study group was comprised of females whose average age was 33. Three themes and the sub-themes were: being a chrysalis (loss of support, loneliness, suffering abused experience, loss of self-esteem), death of a chrysalis (loss of hope and seeking salvation) and birth of a chrysalis (regaining hope and sense of self-worth). CONCLUSIONS These brokered brides suffered from numerous pressures and difficulties in life. Their hopelessness led to suicidal behaviours as a way to get out of trouble. Hence, the need to provide brokered brides with substantial assistance and support in their lives is an issue that cannot be neglected. The results of this study could be used as a reference to provide professionals and the public with a deeper understanding of suicide in this vulnerable group, and provide more appropriate help and care. Relevance to clinical practice. The suffering may be alleviated by giving brokered brides a reliable support system that they so obviously need. Several recommendations have been made, including amendments in terms of policy, society and the services offered by healthcare professionals.
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Affiliation(s)
- Yao-Yu Lin
- Department of Health, Tsaotun Psychiatric Center, Tsaotun, Taiwan, Republic of China
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Abstract
PURPOSE OF REVIEW To highlight recent publications in the area of stress and coping, with specific reference to women's physical health status. RECENT FINDINGS The transactional model of stress and coping continues to be the mainstay of research in this area. Several longitudinal studies have demonstrated that stress appraisal and resultant coping responses affect health outcome and health-related quality of life in women. In addition to problem-focused coping, women often use distraction methods, seeking social support and faith or religious coping. Psychological interventions in chronic medical conditions need to move beyond education and incorporate more cognitive behavioral components, at the same time addressing women's specific needs. SUMMARY Coping behaviors in response to the negative threat appraisal of a chronic or severe medical illness serve to reduce psychological distress. However, it is still not clear how they impact at the physiological level. In addition, coping responses, which enhance positive effects and promote health-related quality of life, merit greater attention from researchers. There is a need for more gender comparative research to improve health outcomes in men and women.
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Howard AF, Bottorff JL, Balneaves LG, Grewal SK. Punjabi immigrant women's breast cancer stories. J Immigr Minor Health 2007; 9:269-79. [PMID: 17345153 DOI: 10.1007/s10903-007-9044-z] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
The breast cancer experiences of Punjabi immigrant women, who represent the most populace group of South Asians in Canada, need to be understood in order to inform culturally appropriate cancer services. The purpose of this qualitative study was to explore women's stories of breast cancer in order to uncover how they made sense of their experiences. Interviews with twelve Punjabi immigrant women who had breast cancer within the last 8 years were available for this study. The four storylines that emerged from the ethnographic narrative analysis were: getting through a family crisis, dealing with just another health problem, living with never-ending fear and suffering, and learning a "lesson from God." A minor theme, "being part of a close-knit family," highlighted the family context as the most pronounced influence on the women's experiences. These findings provide valuable insights into how women's experiences of breast cancer were shaped by the intersections of culture, family, community, cancer treatments, and interactions with health care professionals.
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Affiliation(s)
- A Fuchsia Howard
- School of Nursing, University of British Columbia, Vancouver, BC, Canada.
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Bottorff JL, Grewal SK, Balneaves LG, Naidu P, Johnson JL, Sawhney R. Punjabi women's stories of breast cancer symptoms: Gulti (lumps), bumps, and Darad (pain). Cancer Nurs 2007; 30:E36-45. [PMID: 17666972 DOI: 10.1097/01.ncc.0000281738.15307.d8] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
The purpose of this study was to examine experiences related to self-discovered breast cancer symptoms from the perspective of Punjabi immigrant women residing in Canada. Interviews were conducted with 25 women, 19 of whom had received a diagnosis of breast cancer. Using narrative analysis, 4 types of stories were identified. In the stories that were based on constructions of breast symptoms as "nothing serious," women emphasized that they had not even considered the possibility of breast cancer and were encouraged to dismiss concerns about their health. Stories focusing on suspicions about the presence of a health problem included descriptions of mounting concern and tension as the women began to realize that the breast symptoms they experienced might not be of the regular or normal variety. In stories dominated by worry, vivid descriptions of fears of breast cancer were juxtaposed with explanations about how women protected family members by downplaying their symptoms. Finally, in stories that focused on gaining strength in readiness to deal with whatever may lie ahead, women drew on the support of their extended families, their religious beliefs, and their need to care for their families. These findings provide a basis for guiding the development of culturally appropriate health education for Punjabi women.
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Affiliation(s)
- Joan L Bottorff
- Faculty of Health and Social Development, The University of British Columbia Okanagan, Kelowna, Canada.
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