Meanings that build Afro-descendant women facing breast and cervical cancer, who were attended in Medellín in Colombia
DOI:
https://doi.org/10.22267/rus.182002.115Keywords:
Breast neoplasms, Uterine cervical neoplasms, Afro-descendent women, Meanings, Qualitative researchAbstract
Introduction: Research on the health of Afro-descendant women is scarce in Colombia, especially when it comes to studies that show the relationship between ethnicity and cancer. Breast cancer and cervix need to be investigated from the voice of Afro-descendant women who suffer from it. Objective: To understand the meanings facing breast or cervix cancer that are built by Afro-descendant women in the health services of Medellín, Colombia. Materials and methods: A qualitative research with an ethnographic approach was made. Semi-structured interviews were conducted for women with breast and cervix cancer and there were focal groups with Afro-descendant population without cancer with observations in medical appointments, chemotherapy and everyday places. The analysis was guided by the Constant Comparative method. Results: Three categories emerged: "Lord Cancer" which accounts for the disease conceived as fatal and dangerous, "the disease displaces", product of the migration of women to Medellin to receive treatments; and "it parts life in two" because of the changes that the disease brings. Conclusion: The disease was conceived beyond the biological part by experiencing an alteration of social, familiar and emotional life. There is a need for greater visibility of the health-disease process of the afro-descendants, or their ancestral role as caregivers and family unit builders.
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Cortés C. Cáncer de cuello uterino: una enfermedad de mujeres con perspectiva de género. Reflexiones para el trabajo en salud pública. En Florianópolis; 2013. p. 10.
Ferreira SM de A, Gozzo T de O, Panobianco MS, Santos MA dos, Almeida AM de. Barriers for the inclusion of sexuality in nursing care for women with gynecological and breast cancer: perspective of professionals. Rev Lat Am Enfermagem. 2015;23(1):82-9.
Ferlay J, Soerjomataram I, Ervik M, Dikshit R, Eser S, Mathers C, Rebelo M, Parkin DM, Forman D, Bray, F. GLOBOCAN 2012 v1.0, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 11 [Internet]. Lyon, France: International Agency for Research on Cancer; 2013. Available from: http://globocan.iarc.fr, accessed on 31/10/2017.
Rauh-Hain JA, Clemmer JT, Bradford LS, Clark RM, Growdon WB, Goodman A, et al. Racial disparities in cervical cancer survival over time: Racial Disparities in Cervical Cancer. Cancer. 2013;119(20):3644-52.
Shoemaker ML, White MC, Wu M, Weir HK, Romieu I. Differences in breast cancer incidence among young women aged 20–49 years by stage and tumor characteristics, age, race, and ethnicity, 2004–2013. Breast Cancer Res Treat [Internet]. 2018 [citado 19 de marzo de 2018]; Disponible en: http://link.springer.com/10.1007/s10549-018-4699-9
Iqbal J, Ginsburg O, Rochon PA, Sun P, Narod SA. Differences in Breast Cancer Stage at Diagnosis and Cancer-Specific Survival by Race and Ethnicity in the United States. JAMA. 2015;313(2):165.
Torres E, Dixon C, Richman AR. Understanding the Breast Cancer Experience of Survivors: a Qualitative Study of African American Women in Rural Eastern North Carolina. J Cancer Educ. 2016;31(1):198-206.
Birhanu Z, Abdissa A, Belachew T, Deribew A, Segni H, Tsu V, et al. Health seeking behavior for cervical cancer in Ethiopia: a qualitative study. Int J Equity Health. 2012;29:11–83.
Maree JE, Kaila I. Zambian Women’s Experiences and Understanding of Cervical Cancer: A Qualitative Study. Int J Gynecol Cancer. 2014;24(6):1065-71.
Menéndez E. La enfermedad y la curación?` Qué es medicina tradicional. Alteridades. 1994;4(7):71–83.
Denzin N, Lincoln Y. El campo de la investigación cualitativa. Vol. 1. Barcelona: Gedisa Editorial; 2012. 365 p.
Gúber R. La etnografía: método, campo y reflexividad. Bogotá: Grupo Editorial Norma; 2001.
Patton M. Qualitative research and evaluation methods. 3.a ed. United States: Sage Publication; 2002. 554 p.
Strauss A, Corbin J. Bases de la investigación cualitativa. Técnicas y procedimientos para desarrollar la teoría fundamentada. primera. Medellín: Universidad de Antioquia; 2002. 340 p.
Acuña C, Marina N, Mendoza A, Emmerick ICM, Luiza VL, Azeredo TB. Determinantes sociales de la exclusión a los servicios de salud ya medicamentos en tres países de América Central. Rev Panam Salud Pública. 2014;35(2):128–135.
Rodríguez A. S. Monopsony power in the market for health insurance in Colombia. Rev Econ Caribe. 2015;(15):121-52.
OPS. Salud efectiva para pueblos dispersos: Modelo de Atención en Salud. Departamento del Chocó [Internet]. Colombia; 2010 p. 36. Disponible en: http://www.paho.org/col/index.php?option=com_content&view=article&id=929:modelo-de-atencion-en-salud-departamento-del-choco&Itemid=361
Charry V-D, Constanza L, Carrasquilla G, Roca-Garavito S. Equidad en el acceso al tratamiento para el cáncer de mama en Colombia. Salud Pública México. 2009;51:246–253.
Vergara-Dagobeth E, Suárez-Causado A, Gómez-Arias RD. Plan Control del cáncer en Colombia 2012-2021. Rev Gerenc Políticas Salud. 2017;16(33):6–18.
Lafaurie MM, Castiblanco BDR, González Díaz JM, Jiménez Tamayo DM, Moreno LB, Ramírez L del P, et al. Mujeres en tratamiento de cáncer, acogidas por un Albergue de Apoyo: circunstancias y perspectivas de cuidado de Enfermería. Rev Colomb Enferm. 2009;4(4):61–72.
Vermeer WM, Bakker RM, Kenter GG, Stiggelbout AM, ter Kuile MM. Cervical cancer survivors’ and partners’ experiences with sexual dysfunction and psychosexual support. Support Care Cancer. 2016;24(4):1679-87.
Fouladi N, Pourfarzi F, Dolattorkpour N, Alimohammadi S, Mehrara E. Sexual life after mastectomy in breast cancer survivors: A qualitative study. Psychooncology. 2018;27(2):434-41.
González NM. Maternidades y paternidades afrocolombianas en Cali y El Valle. Hist Espac. 2012;(38):42–62.
Jaman-Mewes P, Rivera MS. Vivir con cáncer: una experiencia de cambios profundos provocados por la quimioterapia. Aquichan. 2014;14(1).
Lafaurie MM. Mujeres con cáncer de seno: experiencias y significados. Rev Colomb Enferm. 2016;7(7):12–21.
Hellebrandová K. Escapando a los estereotipos (sexuales) racializados: el caso de las personas afrodescendientes de clase media en Bogotá. Rev Estud Soc No35. 2014;49:87-100.