title: A qualitative exploration of the experiences of lesbian and heterosexual patients with breast cancer.
abstract: OBJECTIVE
  To explore similarities and differences between lesbian and heterosexual survivors of breast cancer regarding cancer experiences, medical interactions related to cancer treatment, and quality of life (QOL).
  
  
  METHODS
  Qualitative study using focus groups.
  
  
  METHODS
  Urban, community-based health center.
  
  
  METHODS
  A convenience sample of lesbians (n = 13) and heterosexual women (n = 28) with a diagnosis of breast cancer within the past five years. Participants were recruited via posted advertisements.
  
  
  METHODS
  Focus groups were conducted as part of a larger study exploring coping and adjustment in lesbian survivors of breast cancer. Transcribed focus group data were analyzed through thematic and representative case study methods.
  
  
  METHODS
  Broad aspects of medical interactions and the patient-provider relationship that may be associated with improved QOL of lesbian and heterosexual patients with cancer.
  
  
  RESULTS
  Data suggested similarities between lesbians and heterosexual women in their overall QOL. However, differences did emerge between the groups. Lesbians reported higher stress associated with diagnosis, lower satisfaction with care received from physicians, and a trend toward lower satisfaction with the availability of emotional support.
  
  
  CONCLUSIONS
  Study findings have important implications for future research on adjustment and coping among lesbian patients with breast cancer and for the improvement of their mental and physical healthcare services.
  
  
  CONCLUSIONS
  Study findings may help improve healthcare services for lesbians with cancer.
authors.affiliation: Department of Psychiatry, University of Chicago, IL, USA. amatthew@yoda.bsd.uchicago.edu
authors.forename: Alicia K
authors.initials: AK
authors.lastname: Matthews
authors.forename: Amy H
authors.initials: AH
authors.lastname: Peterman
authors.forename: Patty
authors.initials: P
authors.lastname: Delaney
authors.forename: Lyssa
authors.initials: L
authors.lastname: Menard
authors.forename: Dana
authors.initials: D
authors.lastname: Brandenburg
mesh_terms: D000223:Adaptation, Psychological; D001943:Breast Neoplasms / Q000451:nursing* / Q000523:psychology / Q000628:therapy; D003151:Community Health Centers; D000529:Complementary Therapies / Q000379:methods / Q000706:statistics & numerical data; D005260:Female; D017144:Focus Groups / Q000379:methods; D019538:Health Care Surveys / Q000379:methods; D020010:Heterosexuality / Q000523:psychology; D018452:Homosexuality, Female / Q000523:psychology; D006801:Humans; D009723:Nurse-Patient Relations; D010347:Patient Care Planning / Q000592:standards; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D010817:Physician-Patient Relations; D011788:Quality of Life / Q000523:psychology; D012650:Self Disclosure; D012725:Sexual Behavior; D012944:Social Support; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology