Prostate cancer (CaP) is the most common cancer in Black men (BM), and the number of Black CaP survivors is rapidly increasing. Although Black immigrants are among the fastest-growing and most heterogeneous ethnic groups in the USA, limited data exist regarding their CaP experiences. Therefore, this study aimed to explore and model the experiences of ethnically diverse Black men with CaP.
In-depth interviews were conducted with 34 participants: native-born BM (NBBM) (n = 17), African-born BM (ABBM) (n = 11), and Caribbean-born BM (CBBM) (n = 6) CaP survivors recruited through QR code-embedded flyers posted in Black businesses, clinics, social media platforms, and existing research networks within the USA. Guided by Charmaz's constructivist grounded theory methodology, the interviews were analyzed using constant comparison following key stages of initial, focused, and theoretical coding using Atlas.ti v23.
Participants were thirty-four men aged 49-84 years (mean ± SD, 66 ± 8). Most were married (77%), likely to be diagnosed at stage I (35%), and treated with radiotherapy (56%). Our study findings explored the complex trajectory of Black prostate cancer (CaP) survivors, unveiling a comprehensive model termed "Journeying through Unfamiliar Terrain." Comprising three phases and 11 sub-phases, this model uniquely captures the pre-diagnosis awareness and post-treatment adaptation among survivors.
The resulting theoretical model delineates the entire CaP survivorship process among BM, providing contextual and conceptual understanding for developing interventions and enhancing patient-centered care for ethnically diverse CaP survivors, pivotal in bridging the gaps in survivorship research and healthcare practices.
Black CAP survivors experience significant burdens and challenges that impact their overall quality of life. Understsnding the factors that impact the complex survivorship journey can inform design and implementation of interventions to address the multiple challenges and thus improve quality of life.
Journal of cancer survivorship : research and practice. 2024 May 28 [Epub ahead of print]
Motolani E Ogunsanya, Ernest Kaninjing, Tanara N Ellis, Olufikayo O Bamidele, Daniel J Morton, Andrew G McIntosh, Sabrina L Dickey, Darla E Kendzor, Kathleen Dwyer, Mary Ellen Young, Folakemi T Odedina
Department of Pharmacy, Clinical & Administrative Sciences, College of Pharmacy, University of Oklahoma Health Sciences Center, 655 Research Parkway, Suite 400, Oklahoma City, OK, 73104, USA. ., School of Health and Human Performance, Georgia College & State University, Milledgeville, GA, USA., Department of Pharmacy, Clinical & Administrative Sciences, College of Pharmacy, University of Oklahoma Health Sciences Center, 655 Research Parkway, Suite 400, Oklahoma City, OK, 73104, USA., Hull York Medical School, University of Hull, Cottingham Road, Hull, HU6 7RX, UK., Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA., Department of Urology, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA., College of Nursing, Florida State University, Tallahassee, FL, USA., TSET Health Promotion Research Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA., Fran and Earl Ziegler College of Nursing, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA., Prevention, Symptom Control and Survivorship, and Care Delivery Transformation (CPSD) Program, Mayo Clinic Comprehensive Cancer Center, Mayo Clinic, Jacksonville, FL, USA.