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COVID-19 has critically impacted cancer care services including reduced screenings, diagnoses, and surgeries; particularly among Black and Latina/x women who already suffer worse outcomes. This qualitative study explored the care experiences of a diverse sample of breast cancer survivors ( N = 21; 7 Black, 4 Hispanic, 10 White) undergoing treatment during the pandemic via online semi-structured interviews. Grounded theory analysis yielded the core category " negotiating cancer alone ," that included: (1) psychological distress, negotiating the cancer trajectory in isolation; (2) provider/healthcare system diagnostic and treatment delays; (3) heightened anxiety about treatment delays causing cancer progression; (4) supportive care limitations; and (5) disparate experiences of cancer care disruptions. Black and Latina/x women described greater delays in care, financial challenges, treatment complications, and insurance limitations than White women. The study identifies cancer patients' pandemic-related psychological, healthcare system, and health equity challenges and suggests recommendations to support their increased psychological needs during oncologic care disruptions.

Competing Interests: Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Titel:	Negotiating cancer alone: A qualitative study exploring care experiences of racially and ethnically diverse women diagnosed with breast cancer during COVID-19.
Autor/in / Beteiligte Person:	Martinez Leal, I ; Acquati, C ; Rogova, A ; Chen, TA ; Connors, SK ; Agrawal, P ; McNeill, LH ; Reitzel, LR
Zeitschrift:	Journal of health psychology, Jg. 29 (2024-04-01), Heft 5, S. 367-381
Veröffentlichung:	London ; Thousand Oaks, CA : Sage Publications, 1996-, 2024
Medientyp:	academicJournal
ISSN:	1461-7277 (electronic)
DOI:	10.1177/13591053231214517
Schlagwort:	Female Humans Hispanic or Latino psychology Qualitative Research Black or African American psychology White psychology Healthcare Disparities Breast Neoplasms psychology COVID-19 Cancer Survivors psychology
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [J Health Psychol] 2024 Apr; Vol. 29 (5), pp. 367-381. <i>Date of Electronic Publication: </i>2023 Nov 27. MeSH Terms: Breast Neoplasms* / psychology ; COVID-19* ; Cancer Survivors* / psychology ; Female ; Humans ; Hispanic or Latino / psychology ; Qualitative Research ; Black or African American / psychology ; White / psychology ; Healthcare Disparities References: Transl Behav Med. 2018 Jul 17;8(4):629-642. (PMID: 30016520) ; Support Care Cancer. 2021 Sep;29(9):4979-4985. (PMID: 33576878) ; Lancet. 2017 Apr 8;389(10077):1453-1463. (PMID: 28402827) ; Eur J Oncol Nurs. 2021 Oct;54:102045. (PMID: 34619418) ; Cancer. 2017 Oct 15;123(20):3895-3903. (PMID: 28640360) ; Br J Radiol. 2022 Feb 1;95(1130):20211033. (PMID: 34905391) ; J Psychosoc Oncol. 2021;39(3):305-308. (PMID: 33687308) ; Healthcare (Basel). 2022 Sep 29;10(10):. (PMID: 36292361) ; Support Care Cancer. 2021 Oct;29(10):5721-5727. (PMID: 33725173) ; J Cancer Surviv. 2010 Dec;4(4):372-80. (PMID: 20652435) ; Clin Cancer Res. 2022 Feb 15;28(4):609-610. (PMID: 35140125) ; J Racial Ethn Health Disparities. 2022 Apr;9(2):576-580. (PMID: 33620715) ; J Clin Imaging Sci. 2022 Jun 24;12:35. (PMID: 36128359) ; Curr Breast Cancer Rep. 2021;13(3):110-112. (PMID: 34394841) ; Support Care Cancer. 2020 Sep;28(9):4001-4004. (PMID: 32613372) ; Am J Public Health. 2019 Jan;109(S1):S16-S20. (PMID: 30699025) ; Ann Surg Oncol. 2021 Dec;28(13):8688-8696. (PMID: 34170430) ; Curr Oncol. 2022 Aug 20;29(8):5919-5932. (PMID: 36005205) ; Psychooncology. 2020 Sep;29(9):1387-1392. (PMID: 32544285) ; J Natl Cancer Inst. 2021 Nov 2;113(11):1484-1494. (PMID: 34258611) ; Am J Surg. 2022 Nov;224(5):1222-1228. (PMID: 35945067) ; J Natl Cancer Inst. 2023 Feb 8;115(2):139-145. (PMID: 36069622) ; J Relig Health. 2020 Oct;59(5):2203-2204. (PMID: 32415426) ; Am J Surg. 2022 Oct;224(4):1039-1045. (PMID: 35641320) ; J Psychosoc Oncol. 2021;39(3):485-492. (PMID: 33870877) ; JAMA Netw Open. 2022 Jul 1;5(7):e2222009. (PMID: 35834248) ; Ann Behav Med. 2020 Dec 1;54(12):978-984. (PMID: 33416842) ; JCO Glob Oncol. 2021 Feb;7:311-323. (PMID: 33617304) ; Eur J Oncol Nurs. 2022 Dec;61:102228. (PMID: 36334337) ; Am Surg. 2022 Jun;88(6):1051-1053. (PMID: 35417262) ; J Racial Ethn Health Disparities. 2022 Feb;9(1):288-295. (PMID: 33403652) ; JAMA Health Forum. 2021 Aug 13;2(8):e212007. (PMID: 35977190) ; Support Care Cancer. 2021 Nov;29(11):6481-6493. (PMID: 33905013) ; BMC Womens Health. 2022 Aug 21;22(1):354. (PMID: 35989341) ; CA Cancer J Clin. 2022 Nov;72(6):524-541. (PMID: 36190501) ; BMJ. 2020 Nov 4;371:m4087. (PMID: 33148535) ; Psychooncology. 2022 Nov;31(11):1972-1987. (PMID: 35950545) ; Clin Imaging. 2022 Feb;82:224-227. (PMID: 34896935) ; JAMA Netw Open. 2022 Apr 1;5(4):e228864. (PMID: 35467736) ; CA Cancer J Clin. 2023 Jan;73(1):17-48. (PMID: 36633525) ; PLoS Med. 2010 Jul 27;7(7):e1000316. (PMID: 20668659) ; Int J Environ Res Public Health. 2021 Dec 11;18(24):. (PMID: 34948695) ; BMC Health Serv Res. 2022 Jun 17;22(1):786. (PMID: 35715795) ; JAMA Netw Open. 2022 Mar 1;5(3):e224304. (PMID: 35344045) ; Front Psychol. 2021 Jun 14;12:662339. (PMID: 34194367) ; J Clin Oncol. 2012 Apr 10;30(11):1242-7. (PMID: 22412145) ; J Natl Med Assoc. 2022 Jun;114(3):236-250. (PMID: 35321808) ; JAMA Oncol. 2022 Jan 1;8(1):69-78. (PMID: 34709356) Grant Information: P20 CA221696 United States CA NCI NIH HHS; P20 CA221697 United States CA NCI NIH HHS; P30 CA016672 United States CA NCI NIH HHS; U54 MD015946 United States MD NIMHD NIH HHS Contributed Indexing: Keywords: COVID-19; breast cancer; cancer care disruptions; health disparities; health psychology; qualitative research Entry Date(s): Date Created: 20231127 Date Completed: 20240409 Latest Revision: 20240425 Update Code: 20240425 PubMed Central ID: PMC11005304

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Negotiating cancer alone: A qualitative study exploring care experiences of racially and ethnically diverse women diagnosed with breast cancer during COVID-19.