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Qualitative Health Research
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Cultural Aspects of the Puerto Rican Cancer Experience: The Mother as the Main Protagonist

Alicia Rivero-Vergne

Inter American University of Puerto Rico, San Juan, Puerto Rico, riverovalicin1{at}gmail.com

Reinaldo Berrios

Inter American University of Puerto Rico, San Juan, Puerto Rico

Ivonne Romero

Inter American University of Puerto Rico, San Juan, Puerto Rico

Pediatric cancer survivors are a growing group whose needs extend to multiple contexts and systems. Most studies dealing with the emotional sequelae of childhood cancer have neglected patients' and parents' perspectives. Few have dealt with issues faced by the treatment team. Our research constitutes the first attempt to gather a collective view of such experience in Puerto Rico. Using a phenomenological approach, in-depth interviews were conducted with acute lymphoblastic leukemia (ALL) patients, their mothers, and their oncology treatment team (18) at a children's hospital in Puerto Rico. Analysis followed the model proposed by Strauss and Corbin. In this article, findings directly associated with the cultural aspects of the Puerto Rican cancer experience are presented, including the mother's role—devotion and abandonment; the father's role—masculine vulnerability; and the family paradox. Mothers' protagonism was the central theme that emerged from these three categories.

Key Words: children • culture • cancer, psychosocial aspects • families, caregiving • fathers • grounded theory • illness and disease • mothering • phenomenology • Puerto Ricans • Puerto Rico

Qualitative Health Research, Vol. 18, No. 6, 811-820 (2008)
DOI: 10.1177/1049732308318505


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Journal of Pediatric Oncology NursingHome page
R. Berrios-Rivera, A. Rivero-Vergne, and I. Romero
The Pediatric Cancer Hospitalization Experience: Reality Co-constructed
Journal of Pediatric Oncology Nursing, November 1, 2008; 25(6): 340 - 353.
[Abstract] [PDF]