title: Young adults' experiences with cancer: comments from patients and survivors.
abstract: OBJECTIVE
  To examine the experiences with cancer of adults diagnosed when between 20 and 35 years old.
  
  
  METHODS
  Qualitative study using semistructured interviews.
  
  
  METHODS
  Largest health care region in the province of New Brunswick.
  
  
  METHODS
  Six men and 9 women cancer patients and survivors.
  
  
  METHODS
  Fifteen adults interviewed when between the ages of 20 and 43 representing a variety of cancers and stages of disease were recruited for this study. Interviews were guided by a set of open-ended questions and explored participants' experiences with cancer from initial presentation of symptoms through to survivorship issues.
  
  
  RESULTS
  The most important clinical issue that emerged from the analysis was that participants' youth appeared to contribute to delays in diagnosis of cancer. These delays were attributed to either patients' or physicians' inaction. Some patients attributed their initial cancer symptoms to the adverse effects of alcohol or excessive partying; others feared a bad diagnosis and delayed seeking help. Family physicians frequently interpreted nonspecific symptoms as resulting from patients' lifestyle choices and were reluctant to consider a diagnosis of cancer. Several family physicians reportedly believed that persistent symptoms could not be the result of cancer because patients were too young.
  
  
  CONCLUSIONS
  Although cancer is relatively rare in young adults, family physicians need to include it in differential diagnoses. Both patients and physicians tend to minimize cancer symptoms in young adults. Delays in diagnosis might not affect health outcomes, but can cause distress to young adults with cancer.
authors.affiliation: Dalhousie University Family Medicine Teaching Unit, Dr Everett Chalmers Regional Hospital, Fredericton, NB, Canada. bo.miedema@rvh.nb.ca
authors.forename: Baukje Bo
authors.initials: BB
authors.lastname: Miedema
authors.forename: Julie
authors.initials: J
authors.lastname: Easley
authors.forename: Ryan
authors.initials: R
authors.lastname: Hamilton
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D002170:Canada; D003951:Diagnostic Errors; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D009369:Neoplasms / Q000523:psychology*; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D010821:Physicians, Family; D010818:Practice Patterns, Physicians'; D017741:Survivors; D013997:Time Factors