Health Soc Work. 2022 Jan 31;47(1):28-35. doi: 10.1093/hsw/hlab035.
Latinx children with cancer generally have poorer health outcomes than their non-Latinx White counterparts. The purpose of this study was to examine the experience of Latinx mothers whose children have been diagnosed with cancer at the onset of symptoms, the barriers surrounding the diagnostic process, and the resources families identify are needed post-diagnosis. The researchers conducted two focus groups (one in Spanish, one in English) with Latina mothers of children who have or experienced pediatric cancer in the United States. Two researchers conducted constant comparative analysis of the transcribed focus group audio recordings to identify themes. Themes included a sense of community support at the onset of symptoms, feelings of disbelief, helplessness, overload of information, and a need for advocacy in medical settings. Needs included more palatable and simplified information, financial assistance and resources, increased parental social support, accessible Spanish-speaking providers, and culturally informed care. Latina mothers indicated a range of challenges pertaining to childhood cancer diagnosis and treatment that may impact child and family outcomes. Implications for social work practitioners to reduce disparities and develop intervention programs for Latinx families of children with cancer are discussed.
拉丁裔癌症患儿的健康状况总体上不如非拉丁裔白人患儿。本研究旨在探讨在症状出现时被诊断出患有癌症的拉丁裔母亲的经历、诊断过程中面临的障碍,以及家庭在诊断后需要的资源。研究人员在美国对患有或经历过儿科癌症的拉丁裔儿童的母亲进行了两次焦点小组(一次西班牙语,一次英语)。两名研究人员对转录的焦点小组音频记录进行了持续的比较分析,以确定主题。主题包括症状出现时社区支持感、难以置信感、无助感、信息过载,以及在医疗环境中需要倡导。需求包括更可口和简化的信息、经济援助和资源、增加父母的社会支持、可及的讲西班牙语的提供者,以及文化知情的护理。拉丁裔母亲表示,与儿童癌症诊断和治疗相关的一系列挑战可能会影响儿童和家庭的结果。讨论了为减少差异和为癌症患儿的拉丁裔家庭制定干预计划对社会工作者的影响。