Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2012 Jun;20(6):1193-201.
doi: 10.1007/s00520-011-1196-7. Epub 2011 May 28.

Barriers to rehabilitative care for young breast cancer survivors: a qualitative understanding

Affiliations

Barriers to rehabilitative care for young breast cancer survivors: a qualitative understanding

Baukje Miedema et al. Support Care Cancer. 2012 Jun.

Abstract

Purpose: The goal of this study was to assess the rehabilitation needs of young women breast cancer survivors under the age of 50 and to identify factors that may impact or prevent cancer rehabilitation utilization.

Methods: Utilizing a grounded theory methodology, 35 young breast cancer survivors were interviewed twice in four Atlantic Canadian provinces.

Results: A considerable number of barriers exist to receiving rehabilitative care post-treatment for young breast cancer survivors. The systemic barriers include the lack of availability of services, travel issues, cost of services, and the lack of support to address the unique needs for this age group. However, the most complicated barriers to accessing rehabilitative care were personal barriers which related more to choice and circumstances, such as the lack of time due to family responsibilities and appointment fatigue. Many of these personal barriers were rooted in the complex set of gender roles of young women as patients, mothers, workers, and caregivers.

Conclusions: The contexts of young women's lives can have a substantial impact on their decisions to seek and receive rehabilitative care after breast cancer treatment. The systemic barriers can be reduced by introducing more services or financial assistance; however, the personal barriers to rehabilitation services are difficult to ameliorate due to the complex set of roles within and outside the family for this group of young breast cancer survivors. Health care providers need to take into consideration the multiple contexts of women's lives when developing and promoting breast cancer rehabilitation services and programs.

PubMed Disclaimer

References

    1. Aust Fam Physician. 2009 Dec;38(12):1003-6 - PubMed
    1. Lancet. 1996 May 11;347(9011):1279-84 - PubMed
    1. Palliat Support Care. 2007 Mar;5(1):41-9 - PubMed
    1. Can Oncol Nurs J. 2007 Spring;17(2):66-78 - PubMed
    1. Breast J. 2002 Nov-Dec;8(6):338-48 - PubMed

Publication types

LinkOut - more resources