Older women, breast cancer, and social support
Identifieur interne : 006206 ( Main/Merge ); précédent : 006205; suivant : 006207Older women, breast cancer, and social support
Auteurs : Grace J. Yoo [États-Unis] ; Ellen G. Levine [États-Unis] ; Caryn Aviv [États-Unis] ; Cheryl Ewing [États-Unis] ; Alfred Au [États-Unis]Source :
- Supportive Care in Cancer [ 0941-4355 ] ; 2009.
Abstract
One in ten women over the age of 65 will develop breast cancer. Despite this high incidence of breast cancer among older women, social support for them is often inadequate. This paper describes a qualitative study of the impact of a breast cancer diagnosis on older women from racially/ethnically diverse populations and their subsequent need for social support.
Forty-seven older African American, Asian American, Caucasian and Latina women between the ages of 65 to 83 participated in a larger study examining the impact of breast cancer on women from racially/ethnically diverse populations and the meaning and nature of social support. The women completed an in-depth qualitative interview on the psychosocial impact of breast cancer and the meaning and nature of social support.
The results indicate that there are variations in reactions to a breast cancer diagnosis among older women, and that these reactions impact their experiences with seeking social support at diagnosis and during treatment. Respondents were concerned about their aging bodies, potential dependency on others, and loss of autonomy. At the same time, the severity of cancer treatment and existing co-morbidities often meant they needed to learn to receive support, and to reach out if they had no support. The implications of these findings underscore the older cancer patient’s need to strengthen her supportive networks at the time of diagnosis, during treatment, and post-treatment.
Url:
DOI: 10.1007/s00520-009-0774-4
PubMed: 20967554
PubMed Central: 2959163
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Older women, breast cancer, and social support</title><author><name sortKey="Yoo, Grace J" sort="Yoo, Grace J" uniqKey="Yoo G" first="Grace J." last="Yoo">Grace J. Yoo</name><affiliation wicri:level="2"><nlm:aff id="Aff1">San Francisco State University, San Francisco, CA USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>San Francisco State University, San Francisco</wicri:cityArea></affiliation></author><author><name sortKey="Levine, Ellen G" sort="Levine, Ellen G" uniqKey="Levine E" first="Ellen G." last="Levine">Ellen G. Levine</name><affiliation wicri:level="2"><nlm:aff id="Aff1">San Francisco State University, San Francisco, CA USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>San Francisco State University, San Francisco</wicri:cityArea></affiliation></author><author><name sortKey="Aviv, Caryn" sort="Aviv, Caryn" uniqKey="Aviv C" first="Caryn" last="Aviv">Caryn Aviv</name><affiliation wicri:level="2"><nlm:aff id="Aff2">University of Denver, Denver, CO USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Colorado</region></placeName><wicri:cityArea>University of Denver, Denver</wicri:cityArea></affiliation></author><author><name sortKey="Ewing, Cheryl" sort="Ewing, Cheryl" uniqKey="Ewing C" first="Cheryl" last="Ewing">Cheryl Ewing</name><affiliation wicri:level="2"><nlm:aff id="Aff3">UCSF Comprehensive Cancer Center, San Francisco, CA USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>UCSF Comprehensive Cancer Center, San Francisco</wicri:cityArea></affiliation></author><author><name sortKey="Au, Alfred" sort="Au, Alfred" uniqKey="Au A" first="Alfred" last="Au">Alfred Au</name><affiliation wicri:level="2"><nlm:aff id="Aff3">UCSF Comprehensive Cancer Center, San Francisco, CA USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>UCSF Comprehensive Cancer Center, San Francisco</wicri:cityArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">20967554</idno><idno type="pmc">2959163</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2959163</idno><idno type="RBID">PMC:2959163</idno><idno type="doi">10.1007/s00520-009-0774-4</idno><date when="2009">2009</date><idno type="wicri:Area/Pmc/Corpus">000E77</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000E77</idno><idno type="wicri:Area/Pmc/Curation">000E76</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000E76</idno><idno type="wicri:Area/Pmc/Checkpoint">003647</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">003647</idno><idno type="wicri:Area/Ncbi/Merge">003F04</idno><idno type="wicri:Area/Ncbi/Curation">003F04</idno><idno type="wicri:Area/Ncbi/Checkpoint">003F04</idno><idno type="wicri:doubleKey">0941-4355:2009:Yoo G:older:women:breast</idno><idno type="wicri:Area/Main/Merge">006206</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Older women, breast cancer, and social support</title><author><name sortKey="Yoo, Grace J" sort="Yoo, Grace J" uniqKey="Yoo G" first="Grace J." last="Yoo">Grace J. Yoo</name><affiliation wicri:level="2"><nlm:aff id="Aff1">San Francisco State University, San Francisco, CA USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>San Francisco State University, San Francisco</wicri:cityArea></affiliation></author><author><name sortKey="Levine, Ellen G" sort="Levine, Ellen G" uniqKey="Levine E" first="Ellen G." last="Levine">Ellen G. Levine</name><affiliation wicri:level="2"><nlm:aff id="Aff1">San Francisco State University, San Francisco, CA USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>San Francisco State University, San Francisco</wicri:cityArea></affiliation></author><author><name sortKey="Aviv, Caryn" sort="Aviv, Caryn" uniqKey="Aviv C" first="Caryn" last="Aviv">Caryn Aviv</name><affiliation wicri:level="2"><nlm:aff id="Aff2">University of Denver, Denver, CO USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Colorado</region></placeName><wicri:cityArea>University of Denver, Denver</wicri:cityArea></affiliation></author><author><name sortKey="Ewing, Cheryl" sort="Ewing, Cheryl" uniqKey="Ewing C" first="Cheryl" last="Ewing">Cheryl Ewing</name><affiliation wicri:level="2"><nlm:aff id="Aff3">UCSF Comprehensive Cancer Center, San Francisco, CA USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>UCSF Comprehensive Cancer Center, San Francisco</wicri:cityArea></affiliation></author><author><name sortKey="Au, Alfred" sort="Au, Alfred" uniqKey="Au A" first="Alfred" last="Au">Alfred Au</name><affiliation wicri:level="2"><nlm:aff id="Aff3">UCSF Comprehensive Cancer Center, San Francisco, CA USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>UCSF Comprehensive Cancer Center, San Francisco</wicri:cityArea></affiliation></author></analytic><series><title level="j">Supportive Care in Cancer</title><idno type="ISSN">0941-4355</idno><idno type="eISSN">1433-7339</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Introduction</title><p>One in ten women over the age of 65 will develop breast cancer. Despite this high incidence of breast cancer among older women, social support for them is often inadequate. This paper describes a qualitative study of the impact of a breast cancer diagnosis on older women from racially/ethnically diverse populations and their subsequent need for social support.</p></sec><sec><title>Methods</title><p>Forty-seven older African American, Asian American, Caucasian and Latina women between the ages of 65 to 83 participated in a larger study examining the impact of breast cancer on women from racially/ethnically diverse populations and the meaning and nature of social support. The women completed an in-depth qualitative interview on the psychosocial impact of breast cancer and the meaning and nature of social support.</p></sec><sec><title>Results and Conclusion</title><p>The results indicate that there are variations in reactions to a breast cancer diagnosis among older women, and that these reactions impact their experiences with seeking social support at diagnosis and during treatment. Respondents were concerned about their aging bodies, potential dependency on others, and loss of autonomy. At the same time, the severity of cancer treatment and existing co-morbidities often meant they needed to learn to receive support, and to reach out if they had no support. The implications of these findings underscore the older cancer patient’s need to strengthen her supportive networks at the time of diagnosis, during treatment, and post-treatment.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Arean, Pa" uniqKey="Arean P">PA Areán</name></author><author><name sortKey="Alvidrez, J" uniqKey="Alvidrez J">J Alvidrez</name></author><author><name sortKey="Barrera, A" uniqKey="Barrera A">A Barrera</name></author><author><name sortKey="Robinson, Gs" uniqKey="Robinson G">GS Robinson</name></author><author><name sortKey="Hicks, S" uniqKey="Hicks S">S Hicks</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ashing Giwa, Kt" uniqKey="Ashing Giwa K">KT Ashing-Giwa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ashida, S" uniqKey="Ashida S">S Ashida</name></author><author><name sortKey="Palmquist, Ael" 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Corbin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tallarico, M" uniqKey="Tallarico M">M Tallarico</name></author><author><name sortKey="Figueiredo, M" uniqKey="Figueiredo M">M Figueiredo</name></author><author><name sortKey="Goodman, M" uniqKey="Goodman M">M Goodman</name></author><author><name sortKey="Kreling, B" uniqKey="Kreling B">B Kreling</name></author><author><name sortKey="Mandelblatt, J" uniqKey="Mandelblatt J">J Mandelblatt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Thewes, B" uniqKey="Thewes B">B Thewes</name></author><author><name sortKey="Butow, P" uniqKey="Butow P">P Butow</name></author><author><name sortKey="Girgis, A" uniqKey="Girgis A">A Girgis</name></author><author><name sortKey="Pendlebury, S" uniqKey="Pendlebury S">S Pendlebury</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wyatt, Gk" uniqKey="Wyatt G">GK Wyatt</name></author><author><name 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