title: Treatment decision making among Chinese women with DCIS.
abstract: One result of the widespread screening mammography is a 200% increase in the rates of breast ductal carcinoma in situ (DCIS). Treatment decision making among Chinese women diagnosed with DCIS remains understudied. This study examined Chinese-Canadian women's experiences (N = 26): (1) with treatment decision making (mastectomy or breast conserving surgery) and (2) their reflections on the decision-making process. Interviews in Cantonese, Mandarin, or English were transcribed and translated, and a content analysis conducted. Women's treatment decisions reflected a lack of understanding of DCIS, the desire to rid themselves of breast cancer forever, and the influence of significant others. English as a second language and use of medical jargon impeded their ability to make informed treatment decisions. Women's reflections on the decision-making process provided insights into how to improve information and support treatment decision making in ways that are accessible to them.
authors.affiliation: University of British Columbia, School of Nursing, Vancouver, British Columbia, Canada. sabrina.wong@nursing.ubc.ca
authors.forename: Sabrina T
authors.initials: ST
authors.lastname: Wong
authors.forename: Weihong
authors.initials: W
authors.lastname: Chen
authors.forename: Joan L
authors.initials: JL
authors.lastname: Bottorff
authors.forename: T Gregory
authors.initials: TG
authors.lastname: Hislop
mesh_terms: D000368:Aged; D044466:Asian People; D001294:Attitude to Health; D001943:Breast Neoplasms / Q000628:therapy*; D044584:Carcinoma, Ductal / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D002755:Choice Behavior; D003657:Decision Making; D005260:Female; D006801:Humans; D008408:Mastectomy; D008875:Middle Aged; D011795:Surveys and Questionnaires