PURPOSE/ OBJECTIVES: To examine relationships between coping resources and self-rated health among Latina breast cancer survivors. DESIGN: Cross-sectional telephone survey. SETTING: Four northern California counties. SAMPLE: 330 Latina breast cancer survivors within one to five years of diagnosis. METHODS: Telephone survey conducted by bilingual and bicultural interviewers. MAIN RESEARCH VARIABLES: Predictors were sociodemographic and clinical factors, cancer self-efficacy, spirituality, and social support from family, friends, and oncologists. Outcomes were functional limitations and self-rated health. FINDINGS: Twenty-two percent of women reported functional limitations (n = 73) and 27% reported poor or fair self-rated health (n = 89). Unemployment (adjusted odds ratio [AOR] = 7.06; 95% confidence interval [CI] [2.04, 24.46]), mastectomy (AOR = 2.67; 95% CI [1.06, 6.77]), and comorbidity (AOR = 4.09; 95% CI [1.69, 9.89]) were associated with higher risk of functional limitations; cancer self-efficacy had a protective effect (AOR = 0.4, 95% CI [0.18, 0.9]). Comorbidity was associated with higher risk of poor or fair self-rated health (AOR = 4.95; 95% CI [2.13, 11.47]); cancer self-efficacy had a protective effect (AOR = 0.3; 95% CI [0.13, 0.66]). CONCLUSIONS: Comorbidities place Latina breast cancer survivors at increased risk for poor health. Cancer self-efficacy deserves more attention as a potentially modifiable protective factor. IMPLICATIONS FOR NURSING: Nurses need to assess the impact of comorbidity on functioning and can reinforce patients' sense of control over cancer and clinician support.
PURPOSE/ OBJECTIVES: To examine relationships between coping resources and self-rated health among Latina breast cancer survivors. DESIGN: Cross-sectional telephone survey. SETTING: Four northern California counties. SAMPLE: 330 Latina breast cancer survivors within one to five years of diagnosis. METHODS: Telephone survey conducted by bilingual and bicultural interviewers. MAIN RESEARCH VARIABLES: Predictors were sociodemographic and clinical factors, cancer self-efficacy, spirituality, and social support from family, friends, and oncologists. Outcomes were functional limitations and self-rated health. FINDINGS: Twenty-two percent of women reported functional limitations (n = 73) and 27% reported poor or fair self-rated health (n = 89). Unemployment (adjusted odds ratio [AOR] = 7.06; 95% confidence interval [CI] [2.04, 24.46]), mastectomy (AOR = 2.67; 95% CI [1.06, 6.77]), and comorbidity (AOR = 4.09; 95% CI [1.69, 9.89]) were associated with higher risk of functional limitations; cancer self-efficacy had a protective effect (AOR = 0.4, 95% CI [0.18, 0.9]). Comorbidity was associated with higher risk of poor or fair self-rated health (AOR = 4.95; 95% CI [2.13, 11.47]); cancer self-efficacy had a protective effect (AOR = 0.3; 95% CI [0.13, 0.66]). CONCLUSIONS: Comorbidities place Latina breast cancer survivors at increased risk for poor health. Cancer self-efficacy deserves more attention as a potentially modifiable protective factor. IMPLICATIONS FOR NURSING: Nurses need to assess the impact of comorbidity on functioning and can reinforce patients' sense of control over cancer and clinician support.
Authors: S M Spencer; J M Lehman; C Wynings; P Arena; C S Carver; M H Antoni; R P Derhagopian; G Ironson; N Love Journal: Health Psychol Date: 1999-03 Impact factor: 4.267
Authors: Christina L Rush; Margaret Darling; Maria Gloria Elliott; Ivis Febus-Sampayo; Charlene Kuo; Juliana Muñoz; Ysabel Duron; Migdalia Torres; Claudia Campos Galván; Florencia Gonzalez; Larisa Caicedo; Anna Nápoles; Roxanne E Jensen; Emily Anderson; Kristi D Graves Journal: Qual Life Res Date: 2014-11-08 Impact factor: 4.147
Authors: María García-Jimenez; Jasmine Santoyo-Olsson; Carmen Ortiz; Maureen Lahiff; Karen Sokal-Gutierrez; Anna Mar Nápoles Journal: J Health Care Poor Underserved Date: 2014-11