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24. Transforming their lives: Post-traumatic growth experience in Chinese women with breast cancer - A grounded theory study.

Author

Zhai, Jianxia, Weller-Newton, Jennifer M., Shimoinaba, Kaori, Chen, Hong, and Copnell, Beverley

Subjects
HUMAN research subjects, GROUNDED theory, RESEARCH methodology, SELF-perception, CANCER chemotherapy, TIME, WOMEN, INTERVIEWING, EXPERIENCE, CANCER survivors, CANCER patients, INFORMED consent (Medical law), HEALTH attitudes, HEALTH behavior, RESEARCH funding, PSYCHOLOGICAL adaptation, CULTURAL prejudices, MASTECTOMY, RADIOTHERAPY, JUDGMENT sampling, STATISTICAL sampling, THEMATIC analysis, BREAST tumors, POSTTRAUMATIC growth, BEHAVIOR modification
Abstract

Our research sought to explore post-traumatic growth experience among Chinese women with breast cancer. Constructivist grounded theory methodology was utilised to understand Chinese women's post-traumatic growth experience. 24 women with breast cancer were recruited from China. Data was collected through semi-structured, interviews. Three categories were developed from the data: renewing self-perception, encountering changes in relationships, and altering philosophical values and beliefs. The unique manifestations of post-traumatic growth highlight the need for development and adaption of the post-traumatic growth inventory to reduce cultural biases within the assessment tool and incorporate new culturally appropriate items. [ABSTRACT FROM AUTHOR]

Published
2024
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43. Perinatal outcomes of socially disadvantaged women in Australia : A population-based retrospective cohort study

Author

Faulks, Fiona, Shafiei, Touran, McLachlan, Helen, Forster, Della, Mogren, Ingrid, Copnell, Beverley, Edvardsson, Kristina, Faulks, Fiona, Shafiei, Touran, McLachlan, Helen, Forster, Della, Mogren, Ingrid, Copnell, Beverley, and Edvardsson, Kristina

Abstract

Objective: To examine the perinatal outcomes of women who experience social disadvantage using population-based perinatal data collected between 1999 and 2016. Design: Population-based, retrospective cohort study. Setting: Victoria, Australia. Population or Sample: A total of 1 188 872 singleton births were included. Methods: Cohort study using routinely collected perinatal data. Multiple logistic regression was performed to determine associations between social disadvantage and adverse maternal and neonatal outcomes with confidence limits set at 99%. Time-trend analysis for perinatal outcomes was performed in relation to area-level disadvantage measures. Main Outcome Measures: Incidence of maternal admission to intensive care unit (ICU), postpartum haemorrhage (PPH) and caesarean section, perinatal mortality, preterm birth, low birthweight (LBW), and admission to special care nursery/neonatal intensive care unit (SCN/NICU). Results: Social disadvantage was associated with higher odds of adverse perinatal outcomes. Disadvantaged women were more likely to be admitted to ICU, have a PPH or experience perinatal mortality (stillbirth or neonatal death) and their neonates were more likely to be admitted to SCN/NICU, be born preterm and be LBW. A persistent social gradient existed across time for the most disadvantaged women for all outcomes except caesarean section. Conclusions: Social disadvantage has a marked negative impact on perinatal outcomes. This aligns with national and international evidence regarding the impact of disadvantage. Strategies that improve access to, and reduce fragmentation in, maternity care in addition to initiatives that address the social determinants of health may contribute to improving perinatal outcomes for socially disadvantaged women.

Published
2023
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