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Exploring Coping Strategies Among Young Asian American Women Breast Cancer Survivors

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Abstract

In recent years, breast cancer rates among young Asian American women have been increasing. Despite increases in breast cancer among young Asian American women, little is known about how this population copes throughout diagnosis, treatment, and survivorship. This study was a qualitative exploration of how young Asian American women cope with breast cancer diagnosis, treatment, and survivorship. In-depth interviews with 22 young (under the age of 50) Asian American women diagnosed with early stage breast cancer were conducted. Through qualitative data analysis, three major themes emerged including moving from managing the emotions of others to expressing emotional vulnerability, moving from work and productivity to work-life balance, and moving beyond the family and reaching out to breast cancer survivors. At diagnosis, participants worked to maintain normalcy including caring for others and working during treatment. Once treatment was over, women worked to find ways to use their experience as a transformative one and also to develop more positive coping skills including expressing emotional vulnerability and reaching out to others. Further studies are needed to create and test culturally tailored supportive interventions that enhance positive coping tools among young Asian American women diagnosed by breast cancer.

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References

  1. American Cancer Society (2014) Breast cancer facts & figures 2013–2014. American Cancer Society, Inc., Atlanta

    Google Scholar 

  2. Yi M, Liu P, Li X, Mittendorf EA, He J, Ren Y, Nayeemuddin K, Hunt KK (2012) Comparative analysis of clinicopathologic features, treatment, and survival of Asian women with a breast cancer diagnosis residing in the United States. Cancer 118(17):4117–4125

    Article  PubMed  Google Scholar 

  3. Knobf MT (2007) Psychosocial responses in breast cancer survivors. Semin Oncol Nurs 23:71–83. doi:10.1016/j.soncn.2006.11.009

    Article  PubMed  Google Scholar 

  4. Burgess C, Conrnelius V, Love S, Graham J, Richards M, Ramirez A (2005) Depression and anxiety in women with early breast cancer: five-year observational cohort study. BMJ, 330, 702. doi: 0.1136/bmj.38343.670868.D3

  5. Howard-Anderson J, Ganz PA, Bower JE, Stanton AL (2012) Quality of life, fertility concerns, and behavioral health outcomes in younger breast cancer survivors: a systematic review. J Natl Cancer Inst 104(5):386–405. doi:10.1093/jnci/djr541

    Article  PubMed  Google Scholar 

  6. Morrow PK, Broxson AC, Munsell MF, Basen-Enquist K, Rosenblum CK, Schover LR, Hortobagyi GN (2014) Effect of age and race on quality of life in young breast cancer survivors. Clin Breast Cancer 14(2):e21–e31

    Article  PubMed  Google Scholar 

  7. Lazarus RS, Folkman S (1984) Stress, appraisal, and coping. Springer, New York

    Google Scholar 

  8. Daher M (2012). Cultural beliefs and values in cancer patients. Ann Oncol, 23, iii66-iii69. doi: 0.1093/annonc/mds091

  9. Culver JL, Arena PL, Antoni MH, Carver CS (2002) Coping and distress among women under treatment for early stage breast cancer: comparing African Americans, Hispanics and non-Hispanic whites. Psychooncology 11:495–504. doi:10.1002/pon.615

    Article  PubMed  Google Scholar 

  10. Yoo GJ, Levine EG, Pasick R (2014). Breast cancer and coping among women of color: a systematic review of the literature. Support Care Cancer, 22: 811–824. doi: 10.1007/s00520-013-2057-3 http://dx.doi.org/10.1016/j.soncn.2006.11.009

  11. Reynolds P, Hurley S, Torres M, Jackson J, Boyd P, Chen VW (2000) Use of coping strategies and breast cancer survival: results from the Black/White cancer survival study. Am J Epidemiol 152:940–949

    Article  CAS  PubMed  Google Scholar 

  12. Iwamoto D, Liu WM, McCoy TE (2011) An exploratory model of substance use among Asian American women: the role of depression, coping, peer use and Asian values. J Ethn Subst Abus 10(4):295–315. doi:10.1080/15332640.2011.623494

    Article  Google Scholar 

  13. Ashing KT, Padilla G, Tejero J, Kagawa-Singer M (2003) Understanding the breast cancer experience of Asian American women. Psycho-Oncology 12:38–58. doi:10.1002/pon.632

    Article  Google Scholar 

  14. Ashing-Giwa KT, Padilla G, Tejero J, Kraemer J, Wright K, Coscarelli A, Clayton S, Williams I, Hills D (2004) Understanding the breast cancer experience of women: a qualitative study of African American, Asian American, Latina and Caucasian cancer survivors. Psycho-Oncology 13:408–28. doi:10.1002/pon.750

    Article  PubMed  PubMed Central  Google Scholar 

  15. Wen K-Y, Fang CV, Ma GX (2014) Breast cancer experience and survivorship among Asian Americans: a systematic review. J Cancer Survivorship 8:94–107. doi:10.1007/s11764-013-0320-8

    Article  Google Scholar 

  16. Sun A, Wong-Kim E, Stearman S, Chow EA (2005) Quality of life in Chinese patients with breast cancer. Cancer 104:2952–2954. doi:10.1002/cncr.21516

    Article  PubMed  PubMed Central  Google Scholar 

  17. Yoo GJ, Aviv C, Levine EG, Ewing C, Au A (2010) Emotion work: disclosing cancer. Support Care Cancer 18:205–215. doi:10.1007/s00520-009-0646-y

    Article  PubMed  Google Scholar 

  18. Kagawa-Singer M, Wellisch DK (2003) Breast cancer patients’ perceptions of their husbands’ support in a cross-cultural context. Psycho-Oncology 12(1):24–37

    Article  PubMed  Google Scholar 

  19. Lu Q, Man J, You J., LeRoy AS (2015). The link between ambivalence over emotional expression and depressive symptoms among Chinese breast cancer survivors. J Psychosom Res79(2):153–158. ​doi:10.1016/j.jpsychores.2015.01.007

  20. Lim JW (2014) Communication, coping, and quality of life of breast cancer survivors and family/friend dyads: a pilot study of Chinese-Americans and Korean-Americans. Psycho-Oncology 23(11):1243–1251

    Article  PubMed  PubMed Central  Google Scholar 

  21. Corbin JM, Strauss A (1990) Grounded theory research: procedures, canons, and evaluative criteria. Qual Sociol 13(1):3–21

    Article  Google Scholar 

  22. Rassmusen DM, Elverdam B (2008) The meaning of work and working life after cancer: an interview study. Psycho-Oncology 17(12):1232–1238. doi:10.1002/pon.1354

    Article  Google Scholar 

  23. Lu Q, You J, Man J, Loh A, Young L (2014, November). Evaluating a culturally tailored peer-mentoring and education pilot intervention among Chinese breast cancer survivors using a mixed-methods approach. In Oncology nursing forum (Vol. 41, No. 6, p. 629). NIH Public Access

  24. Burke NJ, Villero O, Guerra C (2012) Passing through meanings of survivorship and support among Filipinas with breast cancer. Qual Health Res 22(2):189–198

    Article  PubMed  Google Scholar 

  25. Lewis PE, Sheng M, Rhodes MM, Jackson KE, Schover LR (2012) Psychosocial concerns of young African American breast cancer survivors. J Psychosoc Oncol 30(2):168–184

    Article  PubMed  PubMed Central  Google Scholar 

  26. Lu Q, Zheng D, Young L, Kagawa-Singer M, Loh A (2012) A pilot study of expressive writing intervention among Chinese-speaking breast cancer survivors. Health Psychol 31(5):548

    Article  PubMed  PubMed Central  Google Scholar 

  27. Lim JW, Yi J, Zebrack B (2008) Acculturation, social support, and quality of life for Korean immigrant breast and gynecological cancer survivors. Ethn Health 13(3):243–260

    Article  PubMed  Google Scholar 

  28. Lim JW, Baik OM, Ashing-Giwa KT (2012) Cultural health beliefs and health behaviors in Asian American breast cancer survivors: a mixed-methods approach. Oncol Nurs Forum 39(4):388–397

    Article  PubMed  Google Scholar 

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Acknowledgments

This manuscript is dedicated to the memory of Mai Anh Dam. The project described was supported by Award Number P20MD000544 from the National Center On Minority Health And Health Disparities. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Center On Minority Health And Health Disparities or the National Institutes of Health. The collection of cancer incidence data used in this study was supported by the California Department of Public Health as part of the statewide cancer reporting program mandated by California Health and Safety Code Section 103885; the National Cancer Institute’s Surveillance, Epidemiology and End Results Program under contract HHSN261201000140C awarded to the Cancer Prevention Institute of California, contract HHSN261201000035C awarded to the University of Southern California, and contract HHSN261201000034C awarded to the Public Health Institute; and the Centers for Disease Control and Prevention’s National Program of Cancer Registries, under agreement U58DP003862-01 awarded to the California Department of Public Health. The ideas and opinions expressed herein are those of the author(s) and endorsement by the State of California, Department of Public Health the National Cancer Institute, and the Centers for Disease Control and Prevention or their Contractors and Subcontractors is not intended nor should be inferred.

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Correspondence to Grace J. Yoo.

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Yoo, G.J., Sudhakar, A., Le, M.N. et al. Exploring Coping Strategies Among Young Asian American Women Breast Cancer Survivors. J Canc Educ 32, 43–50 (2017). https://doi.org/10.1007/s13187-015-0917-x

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