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Psychosocial needs of young breast cancer survivors in Mexico City, Mexico

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Listed:
  • Harper G Hubbeling
  • Shoshana M Rosenberg
  • Maria Cecilia González-Robledo
  • Julia G Cohn
  • Cynthia Villarreal-Garza
  • Ann H Partridge
  • Felicia M Knaul

Abstract

Objective: Young breast cancer survivors in Mexico face distinct psychosocial challenges that have not been characterized. This study aims to describe the psychosocial needs of young breast cancer survivors in Mexico at 5 or more years of survivorship, identifying areas of focus for early interventions. Methods: Breast cancer patients diagnosed at age 40 or prior with 5 or more years since diagnosis were invited to participate in one-on-one 30–60 minute semi-structured audio-recorded interviews at the Instituto Nacional de Cancerología in Mexico City. Transcripts were coded using thematic analysis with NVivo software. Results: 25 women participated. Five major phenomena emerged from analysis: (1) minimization of fertility concerns; (2) persistence of body image disturbance over time; (3) barriers to employment during survivorship; (4) impact on family relationships and social networks; & (5) unmet psychological care and informational needs. Conclusions: Early interventions with a focus on fertility loss education, access to reconstructive surgery and body image support, guidance during return-to-work, assistance with childcare, integration of psychological care and the fulfillment of informational needs could ameliorate long-term psychological and social distress for young breast cancer survivors in Mexico.

Suggested Citation

  • Harper G Hubbeling & Shoshana M Rosenberg & Maria Cecilia González-Robledo & Julia G Cohn & Cynthia Villarreal-Garza & Ann H Partridge & Felicia M Knaul, 2018. "Psychosocial needs of young breast cancer survivors in Mexico City, Mexico," PLOS ONE, Public Library of Science, vol. 13(5), pages 1-23, May.
    • Handle: RePEc:plo:pone00:0197931
    DOI: 10.1371/journal.pone.0197931
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    References listed on IDEAS

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    1. Mackenzie, Catherine Ruth, 2014. "‘It is hard for mums to put themselves first’: How mothers diagnosed with breast cancer manage the sociological boundaries between paid work, family and caring for the self," Social Science & Medicine, Elsevier, vol. 117(C), pages 96-106.
    2. Peters-Golden, Holly, 1982. "Breast cancer: Varied perceptions of social support in the illness experience," Social Science & Medicine, Elsevier, vol. 16(4), pages 483-491, January.
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