title: The experiences, needs and concerns of younger women with breast cancer: a meta-ethnography.
abstract: OBJECTIVE
  This meta-ethnography synthesises the evidence on the experiences, needs and concerns of younger women with breast cancer.
  
  
  METHODS
  Using a method called 'reciprocal translation' we developed a conceptual model to reflect the local and social contexts, issues, processes, needs and concerns of importance in this literature.
  
  
  RESULTS
  Key findings relate to the particular point in the life-course at which young women with breast cancer stand. Issues for these women relate to feeling different as a result of cancer, fear of recurrence, feeling 'out of sync' and altered embodied subjectivity. Young women with breast cancer use three processes to integrate the changes that cancer brings, namely, balancing, normalising and changing. Our conceptual model also highlights young women's needs, primarily for support, information, childcare, counselling and spiritual support. Areas of reproduction, fertility and sexuality were also of particular concern. The included papers have methodological limitations that impact on our findings, such as opportunistic data analyses, lack of theoretical frameworks and limited reference to socio-cultural factors.
  
  
  CONCLUSIONS
  The conceptual model developed as a result of this meta-ethnography provides a basis for practitioners to address these young women's concerns more adequately and comprehensively.
authors.affiliation: School of Health and Social Care, Oxford Brookes University, Oxford, UK.
authors.forename: Eike
authors.initials: E
authors.lastname: Adams
authors.forename: Lisa
authors.initials: L
authors.lastname: McCann
authors.forename: Jo
authors.initials: J
authors.lastname: Armes
authors.forename: Alison
authors.initials: A
authors.lastname: Richardson
authors.forename: Daniel
authors.initials: D
authors.lastname: Stark
authors.forename: Eila
authors.initials: E
authors.lastname: Watson
authors.forename: Gill
authors.initials: G
authors.lastname: Hubbard
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000367:Age Factors; D001828:Body Image; D001943:Breast Neoplasms / Q000523:psychology*; D005260:Female; D006801:Humans; D008960:Models, Psychological; D012944:Social Support