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Ethnicity and the prostate cancer experience: a qualitative metasynthesis

Ethnicity and the prostate cancer experience: a qualitative metasynthesis
Ethnicity and the prostate cancer experience: a qualitative metasynthesis
Objectives - To summarise black and minority ethnic (BME) patients' and partners experiences of prostate cancer (PCa) by examining the findings of existing qualitative studies

Methods - We undertook a systematic metasynthesis of qualitative studies using a modified version of Noblit and Hare's 'meta-ethnography' approach, with a 2000-2015 search of seven databases.

Results - Thirteen studies of men from US and UK BME groups were included. We explored constructs with BME-specific features. Healthcare provider relationships, formation of a spiritual alliance with God (which enhanced the participants’ feeling of empowerment and ability to cope with the cancer) and living on for others (generally to increase cancer awareness), often connected to spiritual regrowth, were the three constructs most commonly reported. A magnified effect from erectile dysfunction was also common. Initially this affected men's disclosure to others about their cancer and their sexual problems, but eventually men responded by shifting their conceptualisations of masculinity to sustain self and social identities. There was also evidence of inequality resulting from financial constraints and adversity that necessitated resilience in coping.

Conclusions - The prostate cancer experience of BME men and their partners is affected by a complex intersection of ethnicity with other factors. Healthcare services should acknowledge this. If providers recognise the men's felt masculinities, social identities and spiritual beliefs and their shifting nature, services could be improved, with community as well as individual benefits. More studies are needed in diverse ethnic groups.
1-10
Rivas, Carol
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Matheson, Lauren
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Nayoan, Johana
458079ad-4bf0-4053-97e9-77e34a3fe077
Glaser, Adam
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Gavin, Anna
e887a323-7787-4455-82f7-531198db885d
Wright, Penny
be58e744-69be-48f8-a416-8e543af1ad7b
Wagland, Richard
16a44dcc-29cd-4797-9af2-41ef87f64d08
Watson, Eila
d295228d-d534-4c35-844f-ca8471c169c0
Rivas, Carol
040bfbc1-0aef-4826-ab58-e85743fea9d4
Matheson, Lauren
4e548e54-983a-4c9e-ae99-22423ffeb69c
Nayoan, Johana
458079ad-4bf0-4053-97e9-77e34a3fe077
Glaser, Adam
47f40b4c-2ff7-4c0e-a137-67564d0c29bc
Gavin, Anna
e887a323-7787-4455-82f7-531198db885d
Wright, Penny
be58e744-69be-48f8-a416-8e543af1ad7b
Wagland, Richard
16a44dcc-29cd-4797-9af2-41ef87f64d08
Watson, Eila
d295228d-d534-4c35-844f-ca8471c169c0

Rivas, Carol, Matheson, Lauren, Nayoan, Johana, Glaser, Adam, Gavin, Anna, Wright, Penny, Wagland, Richard and Watson, Eila (2016) Ethnicity and the prostate cancer experience: a qualitative metasynthesis. Psycho-Oncology, 1-10. (doi:10.1002/pon.4222). (PMID:27416079)

Record type: Article

Abstract

Objectives - To summarise black and minority ethnic (BME) patients' and partners experiences of prostate cancer (PCa) by examining the findings of existing qualitative studies

Methods - We undertook a systematic metasynthesis of qualitative studies using a modified version of Noblit and Hare's 'meta-ethnography' approach, with a 2000-2015 search of seven databases.

Results - Thirteen studies of men from US and UK BME groups were included. We explored constructs with BME-specific features. Healthcare provider relationships, formation of a spiritual alliance with God (which enhanced the participants’ feeling of empowerment and ability to cope with the cancer) and living on for others (generally to increase cancer awareness), often connected to spiritual regrowth, were the three constructs most commonly reported. A magnified effect from erectile dysfunction was also common. Initially this affected men's disclosure to others about their cancer and their sexual problems, but eventually men responded by shifting their conceptualisations of masculinity to sustain self and social identities. There was also evidence of inequality resulting from financial constraints and adversity that necessitated resilience in coping.

Conclusions - The prostate cancer experience of BME men and their partners is affected by a complex intersection of ethnicity with other factors. Healthcare services should acknowledge this. If providers recognise the men's felt masculinities, social identities and spiritual beliefs and their shifting nature, services could be improved, with community as well as individual benefits. More studies are needed in diverse ethnic groups.

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More information

Accepted/In Press date: 11 July 2016
e-pub ahead of print date: 14 July 2016
Published date: 23 August 2016
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 398107
URI: http://eprints.soton.ac.uk/id/eprint/398107
PURE UUID: d6502a7a-4c9a-49f7-9f68-2d04186da16b
ORCID for Richard Wagland: ORCID iD orcid.org/0000-0003-1825-7587

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Date deposited: 19 Jul 2016 09:08
Last modified: 15 Mar 2024 05:45

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Contributors

Author: Carol Rivas
Author: Lauren Matheson
Author: Johana Nayoan
Author: Adam Glaser
Author: Anna Gavin
Author: Penny Wright
Author: Richard Wagland ORCID iD
Author: Eila Watson

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