DESCRIPTION: The objective of the proposed qualitative anthropological
study is to describe and examine the reasons for the use of
unconventional and/or biomedical cancer treatments among 80 women with
clinically-diagnosed breast cancer in San Francisco, California. The
study population will consist of two age cohorts of women (35-49 and
60-74) representing three ethnic groups: European American, African
American, and Chinese American. This study will investigate social and
behavioral factors that play a role in cancer treatment choices, with
a focus on life-stage comparisons and an exploratory approach to the
influence of ethnicity. The study has three specific aims: (1) to
determine the factors that distinguish unconventional cancer treatment
users from non-users in the study population; (2) to explore and analyze
the reasons for the selection of specific treatments (either biomedical
or unconventional) or combinations of treatments (both biomedical and
unconventional); and (3) to determine the different configurations of
treatment combinations and the manner in which conflicting methods are
reconciled.
Data will be collected through a series of four in depth semistructured
interviews with women recently diagnosed with breast cancer. The
potential informants will be identified through a rapid case-finding
service of the Northern California Cancer Center. Informants will be
interviewed initially within approximately two months of diagnosis and
three more times at 6 months, 18 months, and 30 months. The data
analysis will be undertaken using techniques of qualitative content
analysis. The Ethnograph, a social science computer software program,
will be used to facilitate the management, sorting, coding, analysis of
the text-based qualitative data.
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