000			02962 am a22002773u 4500
042			_adc
100	1	0	_aBanerjee, Smita C. _eauthor _9916
700	1	0	_aCamacho-Rivera, Marlene _eauthor _9917
700	1	0	_aHaque, Noshin _eauthor _9918
700	1	0	_aFlynn, Lisa _eauthor _9919
700	1	0	_aThomas, John _eauthor _9920
700	1	0	_aSmith, Philip _eauthor _9921
700	1	0	_aSheffer, Christine _eauthor _9922
700	1	0	_aOstroff, Jamie S. _eauthor _9923
245	0	0	_aUnderstanding Cognitive and Emotional Illness Representations of South Asian Head and Neck Cancer Survivors: A Qualitative Study
260			_c2022-01.
500			_a/pmc/articles/PMC7524586/
500			_a/pubmed/31448959
520			_aOBJECTIVES: Head and neck cancer (HNC) constitutes a substantial portion of the cancer burden worldwide, with over 550,000 new cases and over 300,000 deaths annually, with disproportionately high mortality rates in the developing countries. The large majority of HNCs are caused by tobacco use, and synergistic effects of tobacco and alcohol use. Using the Common-Sense Model (CSM) as a framework, this qualitative study sought to understand South Asian HNC survivors' cognitive and emotional representations of their cancer; and to assess if these representations differ by smokeless tobacco (SLT) vs. smoked tobacco use. DESIGN: In-depth semi-structured interviews, conducted with South Asian HNC survivors (N = 15, 80% participants were immigrants, while 20% came to United States for treatment) to identify key themes and issues related to HNC experience and SLT vs. smoked tobacco use. RESULTS: The results of the study provide a deeper understanding of South Asian HNC survivor experiences with receiving a HNC diagnosis, delays in seeking treatment and related medical care, disagreement regarding smoked tobacco/SLT history as potential causes of cancer, strategies to cure the cancer or prevent recurrence, enduring physical and psycho-social consequences of treatment, and emotional impact of the cancer experience. Three key implications emerged: (a) the utility of narratives as a method of eliciting HNC survivor experience to understand patient experiences and concerns; (b) the potential for public health practitioners to harness patients' voices and the power of storytelling for developing campaigns about public awareness of SLT use, providing information and support to SLT users, and encouraging SLT quitting resources; and (c) the importance of providing clear, personalized and culturally sensitive education regarding the risks of SLT use. CONCLUSIONS: This study underscores the significance of offering tailored tobacco cessation services to South Asian HNC survivors, and to help inform supportive models of care for others.
540			_a
546			_aen
690			_aArticle
655	7		_aText _2local
786	0		_nEthn Health
856	4	1	_uhttp://dx.doi.org/10.1080/13557858.2019.1625872 _zConnect to this object online.
999			_c1599 _d1599