Ethnicity and cultural models of recovery from breast cancer.
OBJECTIVE
Recovery narratives describe the culturally shared understandings about the ideal or desirable way to recover from an illness experience. This paper examines ethnic differences in recovery narratives among women participating in breast cancer support groups in Central Florida, USA. It compares groups serving African-American, Latina, and European American women, with the objective of better understanding the appeal of ethnic-specific illness support groups for culturally diverse populations.


METHODS
A mixed-method study design combined qualitative and quantitative measures, including in-depth interviews, participant observation at support group meetings, collection of printed documents, and a structured survey.


RESULTS
Core elements of the recovery narrative drew from the dominant societal cancer discourse of optimism and personal transformation through adversity; however, important ethnic differences were evident in the meaning assigned to these themes. Groups gave distinctive salience to themes of faith and spirituality, empowerment through the migration experience, and becoming a better person through the journey of recovery.


CONCLUSIONS
The findings suggest that ethnic cancer support groups draw upon dominant societal discourses about cancer, but they espouse distinctive recovery narratives that are consonant with the groups' cultural models of illness. Similarity between ethnic members' individual recovery narratives and that of the group may contribute to the appeal of ethnic illness support groups for culturally diverse populations.
Department of Community and Family Health, University of South Florida, Tampa, FL 33612, USA. jcoreil@health.usf.edu
Jeannine
J
Coreil
Jaime A
JA
Corvin
Rebecca
R
Nupp
Karen
K
Dyer
Charlotte
C
Noble
D001741:Black or African American; D001290:Attitude; D001943:Breast Neoplasms / Q000208:ethnology*; D003289:Convalescence / Q000523:psychology*; D003431:Cross-Cultural Comparison; D005260:Female; D005431:Florida; D006630:Hispanic or Latino; D006801:Humans; D007407:Interviews as Topic; D008875:Middle Aged; D012657:Self-Help Groups; D029181:Spirituality; D011795:Surveys and Questionnaires; D044465:White People