Beyond the Cure: Unveiling the Silent Struggles of Breast Cancer Survivors in Hong Kong

Abstract

Background/Objectives: Internationally, breast cancer incidence and survivorship are increasing. As the number of breast cancer survivors continues to rise, so does the demand for supportive care. This study aimed to explore how treatment experiences of breast cancer survivors in Hong Kong (HK) affect their unmet care needs, with a focus on how Chinese culture influences their journey. Methods: This phenomenological qualitative study engaged a purposive sample of 28 breast cancer survivors in HK through semi-structured interviews. Data were analyzed using Colaizzi's seven-step method to interpret their lived experiences. Results: Four key themes emerged: (i) carrying the burden in silence: the isolation of self-preservation; (ii) beyond the clinic: making medical advice fit into everyday routine; (iii) bridging two worlds: resilience through the integration of Traditional Chinese Medicine and Western Care; and (iv) reclaiming femininity: women helping women heal. Conclusions: This study provides an understanding of breast cancer survivors' experiences and offers insights into delivering more realistic services. Basically, it extends survivorship knowledge by demonstrating how integrating cultural values into clinical care bridges the gap between medical treatment and holistic well-being.

Keywords: breast cancer; breast cancer survivors; emotional distress; resilience; traditional Chinese medicine; unmet care needs.