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Published in: International Journal of Behavioral Medicine 6/2017

01-12-2017

Exploring the Social Needs and Challenges of Chinese American Immigrant Breast Cancer Survivors: a Qualitative Study Using an Expressive Writing Approach

Authors: Krystal Warmoth, Bernice Cheung, Jin You, Nelson C. Y. Yeung, Qian Lu

Published in: International Journal of Behavioral Medicine | Issue 6/2017

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Abstract

Purpose

Little is known about the psychological well-being and social barriers among immigrant Chinese American breast cancer survivors. The aim of the present study was to explore the social needs and challenges of Chinese American immigrant breast cancer survivors.

Method

This study used the expressive writing approach to explore the experiences among 27 Chinese American breast cancer survivors. The participants were recruited through community-based organizations in Southern California, most of whom were diagnosed at stages I and II (33 and 48%, respectively). Participants, on average, had been living in the USA for 19 years. Participants were asked to write three 20-min essays related to their experience with breast cancer (in 3 weeks). Participants’ writings were coded with line-by-line analysis, and categories and themes were generated.

Results

Emotion suppression, self-stigma, and perceived stigma about being a breast cancer survivor were reflected in the writings. Interpersonally, participants indicated their reluctance to disclose cancer diagnosis to family and friends and concerns about fulfilling multiple roles. Some of them also mentioned barriers of communicating with their husbands. Related to life in the USA, participants felt unfamiliar with the healthcare system and encountered language barriers.

Conclusion

Counseling services addressing concerns about stigma and communication among family members may benefit patients’ adjustments. Tailor-made information in Chinese about diagnosis and treatment for breast cancer and health insurance in the USA may also help patients go through the course of recovery.
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Metadata
Title
Exploring the Social Needs and Challenges of Chinese American Immigrant Breast Cancer Survivors: a Qualitative Study Using an Expressive Writing Approach
Authors
Krystal Warmoth
Bernice Cheung
Jin You
Nelson C. Y. Yeung
Qian Lu
Publication date
01-12-2017
Publisher
Springer US
Published in
International Journal of Behavioral Medicine / Issue 6/2017
Print ISSN: 1070-5503
Electronic ISSN: 1532-7558
DOI
https://doi.org/10.1007/s12529-017-9661-4

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