Abstract
In 2017, there will be more than 250,000 new diagnoses of invasive breast cancer; most cases will occur in working-age women. The goal of this qualitative study was to explore low-wage-earning breast cancer survivors’ experiences communicating with their oncology team about cancer and employment issues. Twenty-four low-wage-earning breast cancer survivors in the USA were interviewed in 2012 using a structured interview protocol. Sociodemographic data, cancer history, and patient-provider communication experiences regarding the management of cancer and work were collected. Interviews were analyzed using grounded theory strategy of constant comparative analysis. Low-wage-earning breast cancer survivors’ experiences communicating with their oncology team about employment and cancer focused on three dimensions of patient-provider communication: extent, quality, and content. Over 70% of respondents reported no communication or only routine communication with their providers regarding work; three quarters of women reported poor or standard communication quality, and content of work-related communication covered scheduling issues, work absences, continuing to work during treatment, and financial concerns. Communication between oncology care teams and low-wage-earning cancer patients is critical to the successful management of treatment and work responsibilities given the vulnerable employment situation of these women. There is a need for education of oncology team members about how cancer and its treatment can impact employment for all workers, but especially for low-wage workers, thereby allowing the care team to address these issues proactively and help patients successfully manage both cancer treatment and work responsibilities.
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Notes
According to the social-inclusion definition of low-wage [6], low-wage jobs are those that pay less than two thirds of the median wage for men. The median wage for men in KY was approximately $14.50 per hour in 2012 [19]. We rounded this number up to $15.00 per hour for the ease of recruitment and our definition of low-wage is also comparable to 135% of the US poverty line for a family of four in 2012, when this study was conducted.
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Nichols, H.M., Swanberg, J.E. & Vanderpool, R.C. Patient-Provider Communication: Experiences of Low-Wage-Earning Breast Cancer Survivors in Managing Cancer and Work. J Canc Educ 34, 542–549 (2019). https://doi.org/10.1007/s13187-018-1338-4
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DOI: https://doi.org/10.1007/s13187-018-1338-4