A mixed method exploration of survivorship among Chinese American and non-Hispanic White breast cancer survivors: the role of socioeconomic well-being

作者：Wang Judy Huei yu^*; Adams Inez F; Tucker Seeley Reginald; Gomez Scarlett Lin; Allen Laura; Huang Ellen; Wang Yiru; Pasick Rena J

来源：Quality of Life Research, 2013, 22(10): 2709-2720.

DOI：10.1007/s11136-013-0374-0

• Socioeconomic well-being
• Mixed-method
• Cancer survivorship
• Ethnicity
• Chinese Americans
• Acculturation

Purpose Cancer-related stress is heavily influenced by culture. This study explored similarities and differences in survivorship care concerns among Chinese American and non-Hispanic White (NHW) breast cancer survivors. %26lt;br%26gt;Methods A sequential, mixed-method design (inductive/qualitative research-phase I and deductive/quantitative research-phase II) was employed. Eligible women identified from the Greater Bay Area Cancer Registry were age %26gt;= 21, diagnosed with stage 0-IIa breast cancer between 2006 and 2011, and had no recurrence or other cancers. In phase I, we conducted 4 Chinese (n = 19) and 4 NHW (n = 22) focus groups, and 31 individual telephone interviews (18 Chinese immigrants, 7 Chinese US-born, and 6 NHW). Content analysis was conducted to examine qualitative data. In phase II, another 296 survivors (148 NHW age-matched to 148 Chinese cases) completed a cross-sectional survey. Descriptive statistics and linear regression analysis were conducted to examine quantitative data. %26lt;br%26gt;Results Qualitative data revealed %26quot;socioeconomic well-being%26quot; (SWB) as a dominant survivorship concern, which was operationalized as a cancer survivor%26apos;s perceived economic and social resources available to access care. Quantitative data showed that low-acculturated Chinese immigrants reported the poorest SWB, controlling for covariates. Highly acculturated Chinese immigrants and the US-born Chinese/NHW group reported similar SWB. Women who had low-income levels or chemotherapy had poorer SWB. %26lt;br%26gt;Conclusions SWB emerged as an important aspect of breast cancer survivorship. Immigration stress, cancer care costs, and cultural values all contributed to immigrants%26apos; socioeconomic distress. Immigrant and US-born breast cancer survivors experienced different socioeconomic circumstances and well-being following treatment. Our findings warrant further investigation of socioeconomic distress and survivorship outcomes.

• 出版日期2013-12