Young cancer survivors (“young survivors”) may need to disclose their cancer experiences to reintegrate into society. In such cases, the recognition of social support through the disclosure of cancer experiences may prevent potential social disadvantages． Using the integrated review methodology, we systematically searched six databases in English and Japanese as well as searched the reference lists of the selected studies. The themes identified via thematic analysis were categorized within the SEM levels. This review analyzed 14 studies and identified four themes, including “Motivation for Cancer Disclosure,” “Barriers to Cancer Disclosure,” “Consequences of Cancer Disclosure: Benefits,” and “Consequences of Cancer Disclosure: Disadvantages.” Motivations for young survivors to disclose their cancer involved post-cancer differences, perceptions, relationships, and social context. In navigating barriers, including self-stigma, peer exclusion, and discrimination, they employed strategies such as reassurance and information limitation. Tailored disclosure strategies at each SEM level offered social and psychological benefits, however, disadvantages, including stress, vulnerability, employment issues, and limited insurance coverage, were experienced by young survivors due to cancer disclosure. To optimize the benefits of cancer disclosure for young survivors, addressing psychological burdens, enhancing disclosure skills, offering familial psychological support, and fostering public awareness of cancer are essential.

中文翻译：

---

与青少年和年轻成年癌症幸存者癌症披露相关的因素：从社会生态模型角度进行综合审查

年轻的癌症幸存者（“年轻幸存者”）可能需要披露他们的癌症经历才能重新融入社会。在这种情况下，通过披露癌症经历来承认社会支持可能会防止潜在的社会不利因素。使用综合审查方法，我们系统地检索了英语和日语的六个数据库，并检索了所选研究的参考文献列表。通过主题分析确定的主题在 SEM 级别内进行分类。该综述分析了 14 项研究并确定了四个主题，包括“癌症披露的动机”、“癌症披露的障碍”、“癌症披露的后果：好处”和“癌症披露的后果：缺点”。年轻幸存者披露自己癌症的动机涉及癌症后的差异、看法、人际关系和社会背景。在克服自我耻辱、同伴排斥和歧视等障碍时，他们采用了安抚和信息限制等策略。每个 SEM 级别的定制披露策略都提供了社会和心理益处，然而，由于癌症披露，年轻幸存者也经历了一些不利因素，包括压力、脆弱性、就业问题和有限的保险覆盖范围。为了最大限度地提高年轻幸存者癌症披露的好处，解决心理负担、提高披露技巧、提供家庭心理支持以及培养公众对癌症的认识至关重要。