Experiences of Advanced Breast Cancer Among Latina Immigrants: A Qualitative Pilot Study

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Abstract
To explore the experiences of Latina immigrants with advanced breast cancer and their support networks. We conducted semi-structured interviews with low-income Latina immigrants with advanced breast cancer and their support networks (informal caregivers, physicians, and complementary medicine (CM) practitioners). Patient interviews explored patients’ illness experience and end of life (EOL) concerns. Support network member interviews focused on the relationship of the interviewee with the patient and EOL conversations. Six authors independently coded transcripts and jointly conducted qualitative thematic analysis. 72 total interviews (13 patients, 12 informal caregivers, 6 CM practitioners, and 4 physicians) revealed two themes. (1) Staying positive was a primary patient coping mechanism. (2) Patients’ language barriers and socioeconomic and immigration status posed challenges in participants’ illness experience. Appropriately addressing language barriers and social context during medical visits is crucial for effective EOL care. Clinicians should consider patients’ financial constraints and ensure support in applying for public benefits.
Funding Information
  • National Center for Complementary and Integrative Health (T32 AT003997)
  • National Institutes of Health (R21 009363)
  • Susan G. Komen for the Cure (DISP0707207)
  • California Breast Cancer Research Program (13BB-1000)

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