Empowered Choices: African-American Women's Breast Reconstruction Decisions.
Objectives: Breast reconstruction (BR) potentially can improve quality of life in postmastectomy breast cancer survivors (BCS); however, African-American women are less likely to undergo BR than Caucasian women. This qualitative study was undertaken to explore individual, sociocultural, and contextu...
| Publicado en: | American Journal of Health Behavior Vol. 45; no. 2; pp. 352 - 371 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
PNG Publications
Mar/Apr2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=148737675&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 148737675 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10873244 8GA jtl: American Journal of Health Behavior issn: 10873244 maglogo: N pubinfo: dt: Mar/Apr2021 vid: 45 iid: 2 pid: 8968 pub: PNG Publications place: Oak Ridge, North Carolina artinfo: ui: 148737675 148737675 148737675 10.5993/AJHB.45.2.14 148737675 ppf: 352 ppct: 19 formats: fmt: @attributes: type: P tig: atl: Empowered Choices: African-American Women's Breast Reconstruction Decisions. aug: au: Connors, Shahnjayla K. Martinez Leal, Isabel Chisom N. Iwundu, Vijay Nitturi Maza, Valentina Chiara Acquati, Stacey Reyes Reitzel, Lorraine R. affil: Assistant Professor, Department of Social Sciences, University of Houston-Downtown, Houston, TX, United States sug: subj: Breast Reconstruction Decision Making, Patient African Americans Empowerment Women's Health Human Funding Source Female Qualitative Studies Patient Attitudes Audiorecording Semi-Structured Interview Grounded Theory Self-Advocacy Patient Preference Multimethod Studies Purposive Sample Theoretical Sample Conceptual Framework Adult Middle Age Chi Square Test Descriptive Statistics Motivation Insurance Coverage Body Image Communication Decision Making, Shared Support, Psychosocial Adult: 19-44 years Middle Aged: 45-64 years Female ab: Objectives: Breast reconstruction (BR) potentially can improve quality of life in postmastectomy breast cancer survivors (BCS); however, African-American women are less likely to undergo BR than Caucasian women. This qualitative study was undertaken to explore individual, sociocultural, and contextual factors influencing African-American women's BR decision-making processes and preferences. Methods: Postmastectomy African-American BCS with and without BR participated in semi-structured interviews. We adopted a grounded theory approach using the constant comparison method to understand the contexts and processes informing participants' BR decision-making. Results: Twenty-three women participated, of whom 17 elected BR and 6 did not. Whereas women's primary reasons for deciding for or against BR differed, our core category, "empowered choices," describes both groups' decision-making as a process focused on empowering themselves physically and/or psychologically, through self-advocacy, informed and shared decision-making, and giving back/receiving communal and spiritual support from church and African-American survivor groups. Socioeconomic factors influenced women's access to BR. Women preferred autologous BR and expressed the need for greater culturally-matched resources and support to inform treatment and shared BR decision-making. Conclusions: Understanding and supporting African-American women's BR preferences and empowerment is essential to ensuring equal access, and culturally-relevant, high-quality, and informed patient-centered care. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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