African-American survivors of prostate cancer: a meta-synthesis of qualitative studies

Florence Osita Okoro, Lixin Song, Beth Auten, Charlene Whitaker-Brown, Judy Cornelius

Research output: Contribution to journalReview articlepeer-review

Abstract

Purpose: The purpose of this study is to systematically review the current literature on the post-treatment survivorship experiences of African-American men with prostate cancer by exploring qualitative studies to gain a deep understanding of their survivorship experiences. Method: We searched five databases for studies published from 2008 to 2018. We identified ten relevant qualitative studies, conducted a meta-synthesis using Noblit and Hare’s meta-ethnography approach, and evaluated their quality appraisal using the validated Critical Appraisal Skills Program. Results: This review generated a total of four main themes and nine subthemes. The Four main themes included coping strategy, psychophysical impact, health system influence, and socioeconomic impact. Spirituality, healthy behaviors, supportive care of spouse/family/friends and non-communicating/reticent were subthemes identified in the coping strategy theme; physical well-being and sexuality and masculinity were subthemes in the psychophysical impact theme; healthcare provider interaction and treatment decision-making were subthemes identified in the health system influence theme, and health insurance status was the subtheme in the socioeconomic impact theme. Conclusion: Our findings reveal that the experiences of African-American prostate cancer survivors are complex and multidimensional. Implications for cancer survivors: This review highlights the need for further studies with African-American prostate cancer survivors, precisely identify their needs and plan a culturally appropriate intervention to meet those needs.

Original languageEnglish (US)
Pages (from-to)40-53
Number of pages14
JournalJournal of Cancer Survivorship
Volume15
Issue number1
DOIs
StatePublished - Feb 2021
Externally publishedYes

Keywords

  • African American
  • Cancer survivorship
  • Coping
  • Meta-synthesis
  • Prostate cancer
  • Qualitative research
  • Socioeconomic
  • Supportive care

ASJC Scopus subject areas

  • Oncology
  • Oncology(nursing)

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