Racial Differences in the Influence of Health Care System Factors on Informal Support for Cancer Care among Black and White Breast and Lung Cancer Survivors

Katrina R. Ellis, Kristin Z. Black, Stephanie Baker, Carol Cothern, Kia Davis, Kay Doost, Christina Goestch, Ida Griesemer, Fatima Guerrab, Alexandra F. Lightfoot, Neda Padilla, Cleo A. Samuel, Jennifer C. Schaal, Christina Yongue, Eugenia Eng

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

This retrospective, secondary qualitative analysis investigates whether health system factors influence social support among Black and white breast and lung cancer survivors and racial differences in support. These data come from race- A nd cancer-stratified focus groups (n = 6) and interviews (n = 2) to inform a randomized controlled trial utilizing antiracism and community-based participatory research approaches. Findings indicate social support was helpful for overcoming treatment-related challenges, including symptom management and patient-provider communication; racial differences in support needs and provision were noted. Resources within individual support networks reflect broader sociostructural factors. Reliance on family/friends to fill gaps in cancer care may exacerbate racial disparities.

Original languageEnglish
Pages (from-to)200-212
Number of pages13
JournalFamily & community health
Volume43
Issue number3
DOIs
StatePublished - Jul 1 2020

Keywords

  • cancer care
  • community-based participatory research
  • institutional racism
  • racial health disparities
  • social support

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