Factors that influence treatment decisions: A qualitative study of racially and ethnically diverse patients with low- and very-low risk prostate cancer

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. GomezSalma Shariff-Marco

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

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.

Original languageEnglish
Pages (from-to)6307-6317
Number of pages11
JournalCancer Medicine
Volume12
Issue number5
DOIs
StatePublished - Mar 2023

Keywords

  • prostate cancer
  • psychosocial studies
  • quality of life
  • translational research

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