title: An online forum exploring needs for help of patients with cancer: gender and ethnic differences.
abstract: OBJECTIVE
  To explore gender and ethnic differences in needs for help among patients with cancer.
  
  
  METHODS
  Qualitative.
  
  
  METHODS
  Internet and community settings.
  
  
  METHODS
  16 self-identified patients with cancer aged at least 18 years who could read and write English.
  
  
  METHODS
  Using six discussion topics on needs for help, an online forum was administered for one month. Data were analyzed with thematic analysis.
  
  
  METHODS
  Need for help.
  
  
  RESULTS
  Four major themes emerged: (a) from side effects to racism, (b) same or double stress, (c) cultural hesitance and God, and (d) a family disease with mistrust. Depending on gender and ethnicity, the participants' concerns were various and ranged from a simple physical need to a social need for elimination of racism in United States society. Women tended to report double burden and stress as patients with cancer resulting from their gender. Ethnic minorities tended to be hesitant to talk about cancer or seek help because of the stigmatized nature of cancer. Ethnic minority patients perceived cancer as a family disease that they needed to go through as a family, and they tended to mistrust healthcare providers.
  
  
  CONCLUSIONS
  The overriding theme was a marginalized experience for ethnic minority patients with cancer.
  
  
  CONCLUSIONS
  Researchers should include cultural needs as a separate category of needs and consider contextual factors influencing the needs of patients with cancer in their daily lives.
authors.affiliation: School of Nursing, University of Texas, Austin, TX, USA. eim@mail.utexas.edu
authors.forename: Eun-Ok
authors.initials: EO
authors.lastname: Im
authors.forename: Wonshik
authors.initials: W
authors.lastname: Chee
authors.forename: Hyun-Ju
authors.initials: HJ
authors.lastname: Lim
authors.forename: Wen-Miao
authors.initials: WM
authors.lastname: Liu
mesh_terms: D000223:Adaptation, Psychological; D001294:Attitude to Health / Q000208:ethnology*; D017281:Cost of Illness; D018864:Cultural Diversity; D005190:Family / Q000208:ethnology; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006379:Helping Behavior; D006801:Humans; D020407:Internet; D008297:Male; D008571:Men / Q000193:education / Q000523:psychology*; D008875:Middle Aged; D020380:Needs Assessment / Q000458:organization & administration*; D009369:Neoplasms / Q000150:complications / Q000208:ethnology* / Q000517:prevention & control; D009518:New York; D015404:Nursing Methodology Research; D010353:Patient Education as Topic; D011287:Prejudice; D011369:Professional-Patient Relations; D036301:Qualitative Research; D012069:Religion and Psychology; D012737:Sex Factors; D012944:Social Support; D013315:Stress, Psychological / Q000208:ethnology; D013781:Texas; D035502:Trust; D014930:Women / Q000193:education / Q000523:psychology*