Acculturation, Mental Health, and Quality of Life am ong Hispanic Childhood Cancer Survivors: A Latent Class Analysis

Tobin, Jessica; Miller, Kimberly A.; Baezconde‐Garbanati, Lourdes; Unger, Jennifer B.; Hamilton, Ann S.; Milam, Joel

doi:10.18865/ed.28.1.55

Cited by 8 publications

(7 citation statements)

References 19 publications

(23 reference statements)

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“…For example, research suggests that biculturalism tends to be associated with mental health well-being among US minority individuals, such as a positive correlation with self-esteem 84 and negative correlation with depression symptoms. 85 Given these methodological challenges, it is unsurprising that research on thin-ideal internalization, eating pathology, and acculturation is so mixed and inconclusive.…”

Section: Discussionmentioning

confidence: 99%

<p>Emphasizing the “Cultural” in Sociocultural: A Systematic Review of Research on Thin-Ideal Internalization, Acculturation, and Eating Pathology in US Ethnic Minorities</p>

Warren¹,

Akoury²

2020

PRBM

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A large body of research suggests that thin-ideal internalization is a robust predictor of eating pathology in women and, to some degree, in men. Recent research is exploring the relationships between thin-ideal internalization and culture-specific factors that may be salient to women and men who live in the US but are marginalized based on racial or ethnic background, such as acculturation. This systematic review summarizes published articles examining the relationships among thin-ideal internalization, acculturation-related constructs (including assimilation, marginalization, biculturalism, and acculturative stress), and eating pathology in US adults. Following the PRISMA method, 15 empirical studies met inclusion criteria. Although existing literature was sparse and conflicting in large part due to heterogeneity in acculturation measures, results yielded some support for positive correlational relationships between acculturative stress, thin-ideal internalization, and eating pathology for both men and women (in 4 out of 5 relevant studies). Research on other aspects of acculturation (eg, integration, assimilation) is mixed, with some existing research suggesting a positive relationship and other research finding no statistically significant relationship. Future research would particularly benefit from a gold-standard, multidimensional transcultural measure of acculturation to examine how the acculturation process relates to thin-ideal internalization and eating pathology in ethnic and racial minorities in the US.

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Section: Discussionmentioning

confidence: 99%

<p>Emphasizing the “Cultural” in Sociocultural: A Systematic Review of Research on Thin-Ideal Internalization, Acculturation, and Eating Pathology in US Ethnic Minorities</p>

Warren¹,

Akoury²

2020

PRBM

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“…However, a study among cervical cancer survivors reported no differences in overall HRQOL between Hispanics/Latinas and non-Hispanics/Latinas [73]. In terms of correlates of HRQOL, greater acculturation, shame, and stigma were negatively associated with overall HRQOL, while more physical activity, inner peace, and better physical, social, psychological and functional well-being were positively associated with overall HRQOL among Hispanic/Latino cancer survivors [6,57,75,110,144,163,[166][167][168].…”

Section: Combined "Overall" Hrqolmentioning

confidence: 97%

“…In contrast, a study examining HRQOL among cervical cancer survivors found no differences in rates of depression between Hispanics/Latinas and non-Hispanic/Latina survivors [73]. Several factors were associated with increased risk for depression among Hispanic/Latino cancer survivors, including lower education, poor physical/social functioning, less social (e.g., family, peer) and emotional support, higher stress, poor body image, poor coping, self-blame, and Spanish language preference [57,70,74,75].…”

Section: Psychological Well-beingmentioning

confidence: 99%

“…Thirty-seven studies reported on overall HRQOL domains among Hispanic/Latino cancers survivors, highlighting racial/ethnic differences between Hispanics/Latinos and other groups [8,14,15,22,39,57,65,73,75,110,162,[164][165][166][167][168][169][170]. In a multiethnic cohort of women with breast cancer, Hispanic/Latino ethnicity was associated with worse overall HRQOL compared to Black survivors [164].…”

Section: Combined "Overall" Hrqolmentioning

confidence: 99%

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Calidad de Vida: a systematic review of quality of life in Latino cancer survivors in the USA

et al. 2020

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Background-Cancer is the leading cause of death among Hispanics/Latinos. Thus, understanding health-related quality of life (HRQOL) needs among this diverse racial/ethnic group is critical. Using Ferrell's multidimensional framework for measuring QOL, we synthesized evidence on HRQOL needs among Hispanic/Latino cancer survivors.Methods-We searched MEDLINE/PubMed, EMBASE, CINAHL, and PsycINFO, for English language articles published between 1995 and January 2020, reporting HRQOL among Hispanic/ Latino cancer survivors in the USA.Results-Of the 648 articles reviewed, 176 met inclusion criteria, with 100 of these studies focusing exclusively on breast cancer patients and no studies examining end-of-life HRQOL issues. Compared with other racial/ethnic groups, Hispanics/Latinos reported lower HRQOL and a higher symptom burden across multiple HRQOL domains. Over 80% of studies examining racial/ ethnic differences in psychological well-being (n = 45) reported worse outcomes among Hispanics/Latinos compared with other racial/ethnic groups. Hispanic/Latino cancer survivors were also more likely to report suboptimal physical well-being in 60% of studies assessing racial/ ethnic differences (n = 27), and Hispanics/Latinos also reported lower social well-being relative to non-Hispanics/Latinos in 78% of studies reporting these outcomes (n = 32). In contrast, reports of ✉

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“…Cultural beliefs (i.e. fatalism) and gender beliefs seem relevant to health disparities in non-Hispanic Black survivors (26), while family dynamics, such as foreign-born parents experiencing greater amounts of post-traumatic stress, may impact Hispanic survivors (34,59). In addition, minority childhood cancer survivors who had better social skills (27) and post-traumatic growth (31) were associated with better health outcomes.…”

Section: Racial/ethnic Disparity-specific Interventionsmentioning

confidence: 99%

Racial and Ethnic Disparities in Health Outcomes Among Long-Term Survivors of Childhood Cancer: A Scoping Review

Reeves

Mathis

Bauer

et al. 2021

Front. Public Health

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The five-year survival rate of childhood cancer has increased substantially over the past 50 yr; however, racial/ethnic disparities in health outcomes of survival have not been systematically reviewed. This scoping review summarized health disparities between racial/ethnic minorities (specifically non-Hispanic Black and Hispanic) and non-Hispanic White childhood cancer survivors, and elucidated factors that may explain disparities in health outcomes. We used the terms “race”, “ethnicity”, “childhood cancer”, “pediatric cancer”, and “survivor” to search the title and abstract for the articles published in PubMed and Scopus from inception to February 2021. After removing duplicates, 189 articles were screened, and 23 empirical articles were included in this review study. All study populations were from North America, and the mean distribution of race/ethnicity was 6.9% for non-Hispanic Black and 4.5% for Hispanic. Health outcomes were categorized as healthcare utilization, patient-reported outcomes, chronic health conditions, and survival status. We found robust evidence of racial/ethnic disparities over four domains of health outcomes. However, health disparities were explained by clinical factors (e.g., diagnosis, treatment), demographic (e.g., age, sex), individual-level socioeconomic status (SES; e.g., educational attainment, personal income, health insurance coverage), family-level SES (e.g., family income, parent educational attainment), neighborhood-level SES (e.g., geographic location), and lifestyle health risk (e.g., cardiovascular risk) in some but not all articles. We discuss the importance of collecting comprehensive social determinants of racial/ethnic disparities inclusive of individual-level, family-level, and neighborhood-level SES. We suggest integrating these variables into healthcare systems (e.g., electronic health records), and utilizing information technology and analytics to better understand the disparity gap for racial/ethnic minorities of childhood cancer survivors. Furthermore, we suggest national and local efforts to close the gap through improving health insurance access, education and transportation aid, racial-culture-specific social learning interventions, and diversity informed training.

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Acculturation, Mental Health, and Quality of Life am ong Hispanic Childhood Cancer Survivors: A Latent Class Analysis

Abstract: The assimilated group had significantly more depressive symptoms and lower quality of life than the other two groups. This may indicate that loss of the Hispanic culture may be associated with poorer psychosocial health among CCS.

Cited by 8 publications

References 19 publications

<p>Emphasizing the “Cultural” in Sociocultural: A Systematic Review of Research on Thin-Ideal Internalization, Acculturation, and Eating Pathology in US Ethnic Minorities</p>

<p>Emphasizing the “Cultural” in Sociocultural: A Systematic Review of Research on Thin-Ideal Internalization, Acculturation, and Eating Pathology in US Ethnic Minorities</p>

Calidad de Vida: a systematic review of quality of life in Latino cancer survivors in the USA

Racial and Ethnic Disparities in Health Outcomes Among Long-Term Survivors of Childhood Cancer: A Scoping Review

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