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1.
Fam Community Health ; 43(3): 200-212, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32427667

RESUMO

This retrospective, secondary qualitative analysis investigates whether health system factors influence social support among Black and white breast and lung cancer survivors and racial differences in support. These data come from race- and cancer-stratified focus groups (n = 6) and interviews (n = 2) to inform a randomized controlled trial utilizing antiracism and community-based participatory research approaches. Findings indicate social support was helpful for overcoming treatment-related challenges, including symptom management and patient-provider communication; racial differences in support needs and provision were noted. Resources within individual support networks reflect broader sociostructural factors. Reliance on family/friends to fill gaps in cancer care may exacerbate racial disparities.


Assuntos
Neoplasias da Mama/epidemiologia , Atenção à Saúde/etnologia , Neoplasias Pulmonares/epidemiologia , Fatores Raciais , Apoio Social , Neoplasias da Mama/mortalidade , Sobreviventes de Câncer , Feminino , Humanos , Neoplasias Pulmonares/mortalidade , Masculino , Estudos Retrospectivos , População Branca
2.
Prog Community Health Partnersh ; 10(1): 159-67, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27018365

RESUMO

BACKGROUND: Accountability for Cancer Care through Undoing Racism™ and Equity (ACCURE) is a systems-change intervention addressing disparities in treatment initiation and completion and outcomes for early stage Black and White breast and lung cancer patients. Using a community-based participatory research (CBPR) approach, ACCURE is guided by a diverse partnership involving academic researchers, a nonprofit community-based organization, its affiliated broader based community coalition, and providers and staff from two cancer centers. OBJECTIVES: This paper describes the collaborative process our partnership used to conduct focus groups and to code and analyze the data to inform two components of the ACCURE intervention: 1) a "power analysis" of the cancer care system and 2) the development of the intervention's training component, Healthcare Equity Education and Training (HEET), for cancer center providers and staff. METHODS: Using active involvement of community and academic partners at every stage in the process, we engaged Black and White breast and lung cancer survivors at two partner cancer centers in eight focus group discussions organized by race and cancer type. Participants were asked to describe "pressure point encounters" or critical incidents during their journey through the cancer system that facilitated or hindered their willingness to continue treatment. Community and academic members collaborated to plan and develop materials, conduct focus groups, and code and analyze data. CONCLUSIONS: A collaborative qualitative data analysis process strengthened the capacity of our community-medical-academic partnership, enriched our research moving forward, and enhanced the transparency and accountability of our research approach.


Assuntos
Negro ou Afro-Americano/estatística & dados numéricos , Neoplasias da Mama/epidemiologia , Pesquisa Participativa Baseada na Comunidade/métodos , Disparidades em Assistência à Saúde/estatística & dados numéricos , Neoplasias Pulmonares/epidemiologia , População Branca/estatística & dados numéricos , Relações Comunidade-Instituição , Feminino , Grupos Focais , Disparidades nos Níveis de Saúde , Humanos , Masculino
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