4.0 Article

The Impact of Cancer on Romantic Relationships and Marriage Postdiagnosis Among Young Adult Cancer Survivors in Japan: A Qualitative Study

Journal

JOURNAL OF ADOLESCENT AND YOUNG ADULT ONCOLOGY
Volume 11, Issue 2, Pages 146-155

Publisher

MARY ANN LIEBERT, INC
DOI: 10.1089/jayao.2020.0199

Keywords

marriage; dating; romantic relationships; interview; qualitative

Categories

Funding

  1. Foundation for Promotion of Cancer Research in Japan

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This study investigated the impact of cancer on romantic relationships and marriage among adolescents and young adults in Japan postdiagnosis. The findings revealed that the most common impact on romantic partnership was fertility and parenthood concerns, followed by disclosure of cancer history, and finally by recurrence, metastasis, and poor health. The study also indicated that cultural factors in East Asia/Japan influence romantic and/or marriage choices postdiagnosis through parental influence.
Purpose: This study explored the impact of cancer on romantic relationships and marriage postdiagnosis among adolescents and young adults (AYAs) who had been diagnosed with cancer in Japan. Methods: Semistructured interviews were conducted with 24 AYA cancer survivors, regardless of cancer type, who were unmarried and aged 15-39 at the time of cancer diagnosis. For theme and category generation, the authors coded the interview transcripts independently through inductive thematic analysis. Results: The analysis yielded 11 themes. The most common impact on romantic partnership was fertility and parenthood concerns (45.8%), followed by disclosure of cancer history (37.5%), and finally by recurrence, metastasis, and poor health (25.0%). Conclusions: Although the impacts of cancer that were identified in this study were mostly consistent with earlier findings, certain impacts seem to stem from traditional family perceptions in East Asia. Because men are traditionally seen as the family successors, unlike women, they are primarily concerned about fertility and parenthood. This causes a parental influence on romantic and marital choices. The fact that there exists a parental influence in partner selection from the parents of both men and women indicates that cultural factors in East Asia/Japan influence romantic and/or marriage postdiagnosis.

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A Pilot Study for the Development and Evaluation of an Educational Program to Reduce Stigma Toward Cancer and Cancer Survivors: Focusing on Dating and Marriage After Cancer Diagnosis

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Summary: The marriage rate of cancer survivors is lower than that of the general population and their siblings, which is primarily attributed to negative images and stigma in society. Developing an educational program focusing on dating and marriage after cancer diagnosis can help improve these images and decrease stigma.

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