Brandon Knettel1,2, Kelsey Corrigan3, Emily Cherenack2,4, Noelani Ho5, Stuart Carr6, Joan Cahill7, Junzo Chino3,7, Peter Ubel5, Melissa Watt8, Gita Suneja9. 1. Duke University School of Nursing, Durham, NC, USA. 2. Duke Global Health Institute, Durham, NC, USA. 3. Duke University School of Medicine, Durham, NC, USA. 4. Department of Psychology and Neuroscience, Duke University, Durham, NC, USA. 5. Margolis Center for Health Policy, Duke University, Durham, NC, USA. 6. Department of Pediatrics Infectious Disease, Duke University Medical Center, Durham, NC, USA. 7. Department of Radiation Oncology, Duke Cancer Institute, Durham, NC, USA. 8. Department of Population Health Sciences, University of Utah School of Medicine, Salt Lake City, UT, USA. 9. Department of Radiation Oncology, University of Utah School of Medicine, Salt Lake City, UT, USA.
Abstract
OBJECTIVES: People living with HIV (PLWH) have increased risk for cancer and worse cancer-specific survival. We explored the emotional burden of cancer and HIV as a potential driver of cancer mortality. RESEARCH APPROACH: Semi-structured qualitative interviews with PLWH and cancer. PARTICIPANTS: 27 PLWH who had either completed cancer treatment, were currently undergoing treatment, or experienced challenges in completing treatment. METHODOLOGICAL APPROACH: An inductive qualitative approach using the constant comparative method. FINDINGS: Participants drew strong parallels between being diagnosed with HIV and cancer. Many described HIV-related stigma that hindered social support. Cancer treatment side effects were a major challenge, impacting treatment adherence for both cancer and HIV. IMPLICATIONS FOR PSYCHOSOCIAL PROVIDERS: There is a need for convenient, affordable, and visible services to support PLHIV as they navigate cancer care. Services should be tailored to the unique needs of this population by addressing HIV-related stigma, building social support, and fostering resilience.
OBJECTIVES: People living with HIV (PLWH) have increased risk for cancer and worse cancer-specific survival. We explored the emotional burden of cancer and HIV as a potential driver of cancer mortality. RESEARCH APPROACH: Semi-structured qualitative interviews with PLWH and cancer. PARTICIPANTS: 27 PLWH who had either completed cancer treatment, were currently undergoing treatment, or experienced challenges in completing treatment. METHODOLOGICAL APPROACH: An inductive qualitative approach using the constant comparative method. FINDINGS: Participants drew strong parallels between being diagnosed with HIV and cancer. Many described HIV-related stigma that hindered social support. Cancer treatment side effects were a major challenge, impacting treatment adherence for both cancer and HIV. IMPLICATIONS FOR PSYCHOSOCIAL PROVIDERS: There is a need for convenient, affordable, and visible services to support PLHIV as they navigate cancer care. Services should be tailored to the unique needs of this population by addressing HIV-related stigma, building social support, and fostering resilience.
Entities:
Keywords:
Dual burden of HIV and cancer; HIV stigma; HIV-associated comorbidities; health disparities; malignancies; mental health; qualitative research
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