Contextual factors influencing health-related quality of life in African American and Latina breast cancer survivors

Miller, Arthur C.; Ashing, Kimlin Tam; Modeste, Naomi N.; Herring, R. Patti; Sealy, Diadrey-Anne T.

doi:10.1007/s11764-014-0420-0

Cited by 33 publications

(32 citation statements)

References 36 publications

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“…Delay in treatment appeared to be related to the fear of dealing with negative evaluation of community members. While previously documented in studies with urban BCS [11][12][13], our findings are consistent with Torres and colleagues [14] where rural AA-BCS acutely experience cancer as a secret. Regardless of urban or rural residence, future studies can acknowledge the cultural context of cancer as a secret and evaluate ways to address and overcome the barrier of secrecy.…”

Section: Imited Survivorship Support and Educationsupporting

confidence: 92%

“…Indeed, a participant commented, BIt really helpful if you have someone that can support you and give you literature, give you researches [research]and put you in touch with somebody else that have gone through.D iscussion This qualitative study of rural AA BCS highlights common themes and expands our cultural understanding. First, cancer as a secret with related subthemes of fatalism, delay in treatment, and fear of disclosure have consistently been cited in other studies of AA-BCS over the past dozen years [11][12][13][14]. Understanding the cultural relevance of keeping secrets and how it may influence treatment seeking, fear of disclosure, and survivorship are vital to bringing evidence-based interventions to underserved communities [16].…”

Section: Imited Survivorship Support and Educationmentioning

confidence: 99%

“…Disparities exist in cancer diagnosis, treatment, morbidity, and mortality among minority BCS [11][12][13][14]. Recently, investigators identified unique challenges faced by rural BCS in North Carolina [13,14].…”

Section: Introductionmentioning

confidence: 99%

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Evaluating Survivorship Experiences and Needs Among Rural African American Breast Cancer Survivors

Adams

Gisiger-Camata

Hardy³

et al. 2015

J Canc Educ

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Disparities in cancer survivorship exist among specific populations of breast cancer survivors, specifically rural African American breast cancer survivors (AA-BCS). While effective survivorship interventions are available to address and improve quality of life, interventions must be culturally tailored for relevance to survivors. Here, we report the results of our formative research using focus groups and in-depth interview to better understand unique rural AA-BCS survivorship experiences and needs in the Alabama Black Belt. Surveys were used to gather sociodemographic and cancer treatment data. Fifteen rural AA-BCS shared their experiences and concerns about keeping their cancer a secret, lack of knowledge about survivorship, lingering symptoms, religion and spirituality, cancer surveillance, and general lack of survivorship education and support. Rural AA-BCS were unwilling to share their cancer diagnosis, preferring to keep it a secret to protect family and friends. Quality-of-life issues like lymphedema body image and sexuality were not well understood. They viewed spirituality and religion as essential in coping and accepting cancer. Participants also discussed the importance of and barriers to maintaining health through regular check-ups. They needed social support from family and friends and health care providers. Overall, rural AA-BCS expressed their need for knowledge about survivorship self-management by providing a vivid picture of the realities of cancer survival based on shared concerns for survivorship support and education within the context of culture.

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Section: Imited Survivorship Support and Educationsupporting

confidence: 92%

Section: Imited Survivorship Support and Educationmentioning

confidence: 99%

See 1 more Smart Citation

Evaluating Survivorship Experiences and Needs Among Rural African American Breast Cancer Survivors

Adams

Gisiger-Camata

Hardy³

et al. 2015

J Canc Educ

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“…Our results contrast those of a study of 280 African American and Hispanic BC survivors, in which life stress was not significantly associated with HRQOL [34]. However, this study included baseline data from minority BC survivors who agreed to participate in a randomized controlled trial to reduce depressive symptoms [34]. …”

Section: Discussioncontrasting

confidence: 95%

“…Our findings that general life stress was the only systemic factor associated with HRQOL in both groups support a recent review suggesting the particularly salient role of stress for young Black BC survivors [33]. Our results contrast those of a study of 280 African American and Hispanic BC survivors, in which life stress was not significantly associated with HRQOL [34]. However, this study included baseline data from minority BC survivors who agreed to participate in a randomized controlled trial to reduce depressive symptoms [34].…”

Section: Discussionsupporting

confidence: 73%

Health-related quality of life in Black breast cancer survivors with and without triple-negative breast cancer (TNBC)

Vadaparampil

Christie

Donovan

et al. 2017

Breast Cancer Res Treat

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Purpose Black women are more likely to develop early onset (≤50 years) breast cancer (BC) and have the lowest five-year, cause-specific survival rate of any United States (U.S.) racial or ethnic group. These disparities can be attributed partially to the higher rate of triple negative BC (TNBC) in Blacks. Yet, little is known about health-related quality of life (HRQOL) among Black women with TNBC. Methods Black women with invasive BC ≤50 years were recruited via the Florida State Cancer Registry as part of a population-based case-only study of etiology and outcomes of early-onset invasive BC. Of 460 consented participants, a subset of 355 self-reported sociodemographic, clinical, and psychosocial variables were collected. Descriptive analyses included participants with known TNBC (n=85) or non-TNBC (n=245) disease. Univariable and multivariable analyses were conducted to examine differences in factors associated with HRQOL. Results In unadjusted analyses, TNBC participants had significantly lower FACT-B total scores (90.1 ± 27.9) compared to non-TNBC (98.5 ± 27.6) participants (p<0.05). For the TNBC group, multivariable analyses indicated five individual-level and three systemic-level factors explain 80% of the response variation in HRQOL. For the non-TNBC group, seven individual-level factors and three systemic-level factors account for 76% of the variation in HRQOL scores. Conclusions Compared to Black women with non-TNBC, TNBC women have worse HRQOL. There are key individual and systemic-level factors that are unique to both groups. Findings can inform future HRQOL interventions to support young Black BC survivors.

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Spiritual well‐being, distress and quality of life in Hispanic women diagnosed with cancer undergoing treatment with chemotherapy

et al. 2022

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Objective Previous studies have examined whether spiritual well‐being is associated with cancer outcomes, but minority populations are under‐represented. This study examines associations of baseline spiritual well‐being and change in spiritual well‐being with change in distress and quality of life, and explores potential factors associated with changes in spiritual well‐being among Hispanic women undergoing chemotherapy. Methods Participants completed measures examining spiritual well‐being, distress, and quality of life prior to beginning chemotherapy and at weeks 7 and 13. Participants' acculturation and sociodemographic data were collected prior to treatment. Mixed models were used to examine the association of baseline spiritual well‐being and change in spiritual well‐being during treatment with change in distress and quality of life, and to explore whether sociodemographic factors, acculturation and clinical variables were associated with change in spiritual well‐being. Results A total of 242 participants provided data. Greater baseline spiritual well‐being was associated with less concurrent distress and better quality of life (p < 0.001), as well as with greater emotional and functional well‐being over time (p values < 0.01). Increases in spiritual well‐being were associated with improved social well‐being during treatment, whereas decreases in spiritual well‐being were associated with worsened social well‐being (p < 0.01). Married participants reported greater spiritual well‐being at baseline relative to non‐married participants (p < 0.001). Conclusions Greater spiritual well‐being is associated with less concurrent distress and better quality of life, as well as with greater emotional, functional, and social well‐being over time among Hispanic women undergoing chemotherapy. Future work could include developing culturally targeted spiritual interventions to improve survivors' well‐being.

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Contextual factors influencing health-related quality of life in African American and Latina breast cancer survivors

Cited by 33 publications

References 36 publications

Evaluating Survivorship Experiences and Needs Among Rural African American Breast Cancer Survivors

Evaluating Survivorship Experiences and Needs Among Rural African American Breast Cancer Survivors

Health-related quality of life in Black breast cancer survivors with and without triple-negative breast cancer (TNBC)

Spiritual well‐being, distress and quality of life in Hispanic women diagnosed with cancer undergoing treatment with chemotherapy

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