Understanding the cultural health belief model influencing health behaviors and health-related quality of life between Latina and Asian-American breast cancer survivors

Lim, Jung‐won; González, Patricia; Wang-Letzkus, Ming; Ashing-Giwa, Kimlin T.

doi:10.1007/s00520-008-0547-5

Cited by 72 publications

(77 citation statements)

References 35 publications

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“…In terms of physical QOL, one study conducted in Hawaii reported that Filipino women have worse outcomes in terms of nausea/vomiting and symptom count than do Japanese, Hawaiian, and Caucasian women [20]. However, compared with Hispanics in another study, Asian American women expressed fewer physical difficulties caused by breast cancer treatments [21]. …”

Section: Resultsmentioning

confidence: 99%

“…Among a multi-ethnic sample, Filipino women had significantly lower emotional functioning than did Caucasian, Japanese, or Hawaiian women [20]. However, compared with Hispanics, Asian American women expressed less emotional distress [21]. Similarly, another quantitative study reported that, compared to Caucasians and African Americans, Asian Americans showed the second-lowest level of emotional well-being, while Hispanic women exhibited the lowest level [26].…”

Section: Resultsmentioning

confidence: 99%

“…In terms of health promotion behaviors during survivorship, Lim et al found that both Asian and Hispanic American women reported changes in their diet patterns; further, Asian Americans were more likely to increase their physical activity levels and enhance their stress management skills [21]. Similarly, Paxton et al reported that more Asian American breast cancer survivors met the guidelines for physical activity than did Hispanic or African American survivors [31].…”

Section: Resultsmentioning

confidence: 99%

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Breast cancer experience and survivorship among Asian Americans: a systematic review

2013

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Introduction Breast cancer is the most common cancer in Asian American women, and the number of Asian American breast cancer survivors is rapidly increasing. Although Asian Americans are one of the fastest growing and most heterogeneous ethnic groups in the United States, limited data exist in regard to their breast cancer experience and survivorship. Methods A systematic review of the breast cancer experience literature was conducted and included studies of Asian Americans or their subgroups as a major category of study participants. Of the 125 studies reviewed, 10 qualitative studies, 10 quantitative studies, 5 studies that used a mixed-method approach, and 1 intervention study met the criteria for inclusion. Results Qualitatively, Asian Americans reported unmet physical and emotional needs and challenges during survivorship. Quantitative studies consistently found that socioeconomic status, cultural health beliefs, immigration stress, acculturation level, English proficiency, social support, and spirituality influence Asian American breast cancer patients’ health behaviors and health-related quality of life (HRQOL). Studies also revealed significant variation in breast cancer reaction and HRQOL within Asian American subgroups. Conclusions Although research on Asian American breast cancer experience and survivorship is sparse, we concluded that Asian Americans experience disrupted HRQOL following breast cancer diagnosis and treatment, interwoven with their cultural and socio-ecological system, and that programs focused on improving cancer survivorship outcomes among this ethnic minority group are limited. Most studies have concentrated on the West coast population, and there is significant underrepresentation of longitudinal and intervention studies. Implications for study design, measurement, and future research areas are also included. Implications for Cancer Survivors The results highlight a need to understand ethnic differences and to take into account social, cultural, and linguistic factors in breast cancer survivorship experiences among Asian American subgroups as a means to develop culturally relevant and linguistically appropriate interventions designed to improve HRQOL.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Breast cancer experience and survivorship among Asian Americans: a systematic review

2013

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“…AI/AN women from Alaska had higher screening rates than those living in the Southwest [Centers for Disease Control and Prevention (CDC) 2012 ; Schumacher et al 2008 ]. Hispanic women also report moderate screening rates, 70 %; compared to non-Hispanic women (Lim et al 2009 ;Lopez-Class et al 2011 ; Native American Cancer Research Corporation Native Americans and Cancer). The women from these other racial/ethnic groups are more likely to face cultural barriers to receiving screening, e.g.…”

Section: Screening Behaviormentioning

confidence: 92%

Breast Cancer Among Special Populations: Disparities in Care Across the Cancer Control Continuum

Paskett

2015

Improving Outcomes for Breast Cancer Survivors

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Disparities in breast cancer risk factors, access, and treatment patterns are responsible for disparities in incidence, mortality and other measures of the impact of breast cancer among different population groups. Moreover, differences in culture and role definition impact various areas of aging and quality of life. Populations most impacted by disparities include women of racial/ethnic groups, older women, and women from rural and urban areas. More research is needed to document and address disparities across the cancer control continuum among a variety of populations that suffer disparities.

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“…The desire for psychological support and quality of life exhibited the strongest correlation, particularly for "psychological well-being" (Kleeberg et al, 2005). Moreover, the doctor-patient relationship was indirectly correlated with emotional well-being (Lim et al, 2009). Self-efficacy in patient-physician communication was directly associated with Health-related Quality of life in Chinese-Americans (Lim et al, 2013).…”

mentioning

confidence: 88%

Effects of Doctor-patient Communication on Quality of Life among Breast Cancer Patients in Southern China

Zhou¹,

Shen²,

Liu³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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Understanding the cultural health belief model influencing health behaviors and health-related quality of life between Latina and Asian-American breast cancer survivors

Cited by 72 publications

References 35 publications

Breast cancer experience and survivorship among Asian Americans: a systematic review

Breast cancer experience and survivorship among Asian Americans: a systematic review

Breast Cancer Among Special Populations: Disparities in Care Across the Cancer Control Continuum

Effects of Doctor-patient Communication on Quality of Life among Breast Cancer Patients in Southern China

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