'The greatest thing in the world is the family': the meaning of social support among black Caribbean and white British patients living with advanced cancer.
OBJECTIVE
Little is known about the perceptions and meanings of social support among black and minority ethnic groups living with advanced cancer in the UK. The aim of this study was to explore social support networks and their meaning among Black Caribbean and White British patients living with advanced cancer.


METHODS
Semi-structured interviews were conducted with 26 Black Caribbean and 19 White British cancer patients and analysed using the framework approach.


RESULTS
In all, 25 of 26 Black Caribbean and 18 of 19 White British participants volunteered views on the presence of social support in their lives. The presence of a spouse or partners was an indispensable feature within the social support networks in both ethnic groups. More Black Caribbean than White British participants referred to the presence of social networks made through their church communities as being a source of practical and emotional support.


CONCLUSIONS
We recommend that when health and social-care professionals perform an assessment interview with patients from cultural backgrounds different to their own, opportunities should be made for patients to express information about their social support networks. This will help them to better understand their place alongside statutory services. Spouses and partners should be given greater recognition of their contribution in order to continue with their important role.
King's College London, Department of Palliative Care, Policy and Rehabilitation, London, UK. jonathan.koffman@kcl.ac.uk
Jonathan
J
Koffman
Myfanwy
M
Morgan
Polly
P
Edmonds
Peter
P
Speck
Irene J
IJ
Higginson
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D044383:Black People / Q000523:psychology*; D017691:Caribbean Region / Q000208:ethnology; D003431:Cross-Cultural Comparison; D005190:Family; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000208:ethnology* / Q000523:psychology*; D036301:Qualitative Research; D012944:Social Support; D006113:United Kingdom; D044465:White People / Q000523:psychology*