Factors that influence treatment decisions: A qualitative study of racially and ethnically diverse patients with low‐ and very‐low risk prostate cancer
Abstract Background Factors that influence prostate cancer treatment decisions are complex, multifaceted, and personal, and may vary by race/ethnicity. Although research has been published to quantify factors involved in decision‐making, these studies have been limited to primarily white, and to a l...
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-03-01
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| Series: | Cancer Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/cam4.5405 |
| _version_ | 1827986457403326464 |
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| author | Alice Guan Janet K. Shim Laura Allen Mei‐Chin Kuo Kathie Lau Zinnia Loya James D. Brooks Peter R. Carroll Iona Cheng Benjamin I. Chung Mindy C. DeRouen Dominic L. Frosch Todd Golden John T. Leppert Daphne Y. Lichtensztajn Qian Lu Debora L. Oh Weiva Sieh Michelle Wadhwa Scarlett L. Gomez Salma Shariff‐Marco |
| author_facet | Alice Guan Janet K. Shim Laura Allen Mei‐Chin Kuo Kathie Lau Zinnia Loya James D. Brooks Peter R. Carroll Iona Cheng Benjamin I. Chung Mindy C. DeRouen Dominic L. Frosch Todd Golden John T. Leppert Daphne Y. Lichtensztajn Qian Lu Debora L. Oh Weiva Sieh Michelle Wadhwa Scarlett L. Gomez Salma Shariff‐Marco |
| author_sort | Alice Guan |
| collection | DOAJ |
| description | Abstract Background Factors that influence prostate cancer treatment decisions are complex, multifaceted, and personal, and may vary by race/ethnicity. Although research has been published to quantify factors involved in decision‐making, these studies have been limited to primarily white, and to a lesser extent, Black patients, and quantitative studies are limited for discerning the cultural and contextual processes that shape decision‐making. Methods We conducted 43 semi‐structured interviews with a racially and ethnically diverse sample of patients diagnosed with low‐ and very‐low risk prostate cancer who had undergone treatment for their prostate cancer. Interviews were transcribed, independently coded, and analyzed to identify themes salient for decision‐making, with attention to sociocultural differences. Results We found racial and ethnic differences in three areas. First, we found differences in how socialized masculinity influenced patient's feelings about different treatment options. Second, we found that for some men, religion and spirituality alleviated anxiety associated with the active surveillance protocol. Finally, for racially and ethnically minoritized patients, we found descriptions of how historic and social experiences within the healthcare system influenced decision‐making. Conclusions Our study adds to the current literature by expounding on racial and ethnic differences in the multidimensional, nuanced factors related to decision‐making. Our findings suggest that factors associated with prostate cancer decision‐making can manifest differently across racial and ethnic groups, and provide some guidance for future research. |
| first_indexed | 2024-04-09T23:30:35Z |
| format | Article |
| id | doaj.art-448ee299723f420fba154596a26a5042 |
| institution | Directory Open Access Journal |
| issn | 2045-7634 |
| language | English |
| last_indexed | 2024-04-09T23:30:35Z |
| publishDate | 2023-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cancer Medicine |
| spelling | doaj.art-448ee299723f420fba154596a26a50422023-03-21T05:20:41ZengWileyCancer Medicine2045-76342023-03-011256307631710.1002/cam4.5405Factors that influence treatment decisions: A qualitative study of racially and ethnically diverse patients with low‐ and very‐low risk prostate cancerAlice Guan0Janet K. Shim1Laura Allen2Mei‐Chin Kuo3Kathie Lau4Zinnia Loya5James D. Brooks6Peter R. Carroll7Iona Cheng8Benjamin I. Chung9Mindy C. DeRouen10Dominic L. Frosch11Todd Golden12John T. Leppert13Daphne Y. Lichtensztajn14Qian Lu15Debora L. Oh16Weiva Sieh17Michelle Wadhwa18Scarlett L. Gomez19Salma Shariff‐Marco20Department of Epidemiology & Biostatistics University of California San Francisco California USADepartment of Social & Behavioral Sciences University of California San Francisco California USADepartment of Epidemiology & Biostatistics University of California San Francisco California USADepartment of Epidemiology & Biostatistics University of California San Francisco California USADepartment of Epidemiology & Biostatistics University of California San Francisco California USADepartment of Epidemiology & Biostatistics University of California San Francisco California USADepartment of Urology Stanford University Stanford California USADepartment of Urology University of California San Francisco California USADepartment of Epidemiology & Biostatistics University of California San Francisco California USADepartment of Urology Stanford University Stanford California USADepartment of Epidemiology & Biostatistics University of California San Francisco California USACenter for Health Systems Research Sutter Health/Palo Alto Medical Foundation Research Institute Palo Alto California USADepartment of Epidemiology & Biostatistics University of California San Francisco California USADepartment of Urology Stanford University Stanford California USADepartment of Epidemiology & Biostatistics University of California San Francisco California USADepartment of Health Disparities Research University of Texas MD‐Anderson Cancer Center Houston Texas USADepartment of Epidemiology & Biostatistics University of California San Francisco California USADepartment of Population Health Science and Policy Icahn School of Medicine at Mount Sinai New York New York USADepartment of Epidemiology & Biostatistics University of California San Francisco California USADepartment of Epidemiology & Biostatistics University of California San Francisco California USADepartment of Epidemiology & Biostatistics University of California San Francisco California USAAbstract Background Factors that influence prostate cancer treatment decisions are complex, multifaceted, and personal, and may vary by race/ethnicity. Although research has been published to quantify factors involved in decision‐making, these studies have been limited to primarily white, and to a lesser extent, Black patients, and quantitative studies are limited for discerning the cultural and contextual processes that shape decision‐making. Methods We conducted 43 semi‐structured interviews with a racially and ethnically diverse sample of patients diagnosed with low‐ and very‐low risk prostate cancer who had undergone treatment for their prostate cancer. Interviews were transcribed, independently coded, and analyzed to identify themes salient for decision‐making, with attention to sociocultural differences. Results We found racial and ethnic differences in three areas. First, we found differences in how socialized masculinity influenced patient's feelings about different treatment options. Second, we found that for some men, religion and spirituality alleviated anxiety associated with the active surveillance protocol. Finally, for racially and ethnically minoritized patients, we found descriptions of how historic and social experiences within the healthcare system influenced decision‐making. Conclusions Our study adds to the current literature by expounding on racial and ethnic differences in the multidimensional, nuanced factors related to decision‐making. Our findings suggest that factors associated with prostate cancer decision‐making can manifest differently across racial and ethnic groups, and provide some guidance for future research.https://doi.org/10.1002/cam4.5405prostate cancerpsychosocial studiesquality of lifetranslational research |
| spellingShingle | Alice Guan Janet K. Shim Laura Allen Mei‐Chin Kuo Kathie Lau Zinnia Loya James D. Brooks Peter R. Carroll Iona Cheng Benjamin I. Chung Mindy C. DeRouen Dominic L. Frosch Todd Golden John T. Leppert Daphne Y. Lichtensztajn Qian Lu Debora L. Oh Weiva Sieh Michelle Wadhwa Scarlett L. Gomez Salma Shariff‐Marco Factors that influence treatment decisions: A qualitative study of racially and ethnically diverse patients with low‐ and very‐low risk prostate cancer Cancer Medicine prostate cancer psychosocial studies quality of life translational research |
| title | Factors that influence treatment decisions: A qualitative study of racially and ethnically diverse patients with low‐ and very‐low risk prostate cancer |
| title_full | Factors that influence treatment decisions: A qualitative study of racially and ethnically diverse patients with low‐ and very‐low risk prostate cancer |
| title_fullStr | Factors that influence treatment decisions: A qualitative study of racially and ethnically diverse patients with low‐ and very‐low risk prostate cancer |
| title_full_unstemmed | Factors that influence treatment decisions: A qualitative study of racially and ethnically diverse patients with low‐ and very‐low risk prostate cancer |
| title_short | Factors that influence treatment decisions: A qualitative study of racially and ethnically diverse patients with low‐ and very‐low risk prostate cancer |
| title_sort | factors that influence treatment decisions a qualitative study of racially and ethnically diverse patients with low and very low risk prostate cancer |
| topic | prostate cancer psychosocial studies quality of life translational research |
| url | https://doi.org/10.1002/cam4.5405 |
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