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Biopsychosocial Challenges and Needs of Young African American Women with Triple-Negative Breast Cancer

机译：三重阴性乳腺癌年轻非洲裔美国妇女的生物理体挑战与需求

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Triple-negative breast cancer (TNBC) is a subtype of breast cancer known to have poorer prognoses and lower survival rates compared with other types of breast cancer. In addition, TNBC is overrepresented in premenopausal African American women. Using grounded theory as the qualitative methodological approach, the present article elucidates unique biopsychosocial challenges and needs of young African American women with TNBC. A study group of six women with TNBC and a comparison group of six women with estrogen receptor-positive breast cancer were interviewed longitudinally over three time points throughout the cancer treatment trajectory. Major themes that were unique to the study group of women with TNBC include (a) longer, more aggressive treatment trajectories; (b) more difficult struggles with feminine identity; (c) the presence of fertility and parenting issues; (d) higher burdens of care; (e) barriers to separation and individuation as a maturation milestone; and (f) feeling out of place compared with peers. These themes provide a foundation to inform how social workers care for this underserved group of women.
机译：三阴性乳腺癌（TNBC）是乳腺癌的亚型，患有较差的预后和降低的存活率与其他类型的乳腺癌相比。此外，TNBC在绝经前非洲裔美国女性中持久化。使用基础理论作为定性方法方法，本文阐述了与TNBC年轻非洲裔美国妇女的独特活检性挑战和需求。在整个癌症治疗轨迹的三个时间点上，纵向接受了六个患有TNBC和患有雌激素受体阳性乳腺癌的六个妇女的比较组的研究组。具有TNBC的女性研究组独有的主要主题包括（a）更长，更积极的治疗轨迹; （b）对女性身份的更加困难的斗争; （c）存在生育和育儿问题; （d）更高的护理负担; （e）作为成熟里程碑分离和个性化的障碍; （f）与同龄人相比，感觉不合适。这些主题为社会工作者如何关心这种欠缺妇女的基础。

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