Mexican-American Breast Cancer Survivors' Challenges with Health Care Disparities: A Mixed Method Study

2.50
Hdl Handle:
http://hdl.handle.net/10755/616118
Category:
Full-text
Type:
Presentation
Title:
Mexican-American Breast Cancer Survivors' Challenges with Health Care Disparities: A Mixed Method Study
Other Titles:
Educating Female Cancer Patients to Promote Health
Author(s):
Lopez, Mary
Lead Author STTI Affiliation:
Phi Alpha
Author Details:
Mary Lopez, RN, mlopez@westernu.edu
Abstract:
Session presented on Saturday, July 23, 2016: Purpose: Coping is a challenge for breast cancer survivors and may result in a poor quality of life (QOL) even more than five years after completion of treatment. The primary purpose of this mixed method study was to examine culturally specific health disparities, and the effects of acculturation, optimism, and breast cancer challenges on coping styles and to determine the effect coping styles have on the QOL of Mexican American breast cancer survivors. The secondary purpose was to identify effective strategies to decrease healthcare disparities experienced by Mexican American breast cancer survivors. Methods: A one group ex post facto design with path analysis was used to determine the direct, indirect and total effects of the causal antecedents on coping and QOL. Ninety two subjects participated through a nonprobability, convenience sampling method. Qualitative non-structured interviews were used to gather additional data on Mexican American women?s experiences living with breast cancer and identification of culturally sensitive strategies to overcome barriers. Participant?s responses were recorded verbatim and subjected to content analysis and thematic coding. Results: Path analysis revealed that women who had lower acculturation, were less optimistic about the future, experienced increased disparities and barriers to care, and had ongoing physical and psychological concerns about breast cancer. Although less optimism was associated with diminished QOL, neither active nor passive coping styles were associated with QOL for survivors. Familismo or the importance of family participation was a major theme in addressing on-going physical and psychological needs of Mexican American breast cancer survivors nine years after treatment.' Qualitative narrative analysis revealed the major domain of Surviving the Fight, with subthemes of Adapting my Lifestyle, Maintaining Hope, and Remaining Vigilant.'' Conclusion: Qualitative data confirmed the quantitative model variables as personal characteristics of acculturation and optimism strongly influencing QOL. Nurses in a variety of healthcare settings can use these findings to identify Mexican American breast cancer survivor?s at risk for reduced QOL and design culturally appropriate interprofessional care plans to coordinate their healthcare needs, increase post diagnostic care, and support efforts towards empowerment and autonomy.
Keywords:
Ethnicity; Breast cancer; Survivorship
Repository Posting Date:
13-Jul-2016
Date of Publication:
13-Jul-2016 ; 13-Jul-2016
Other Identifiers:
INRC16H03; INRC16H03
Conference Date:
2016
Conference Name:
27th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Cape Town, South Africa
Description:
Theme: Leading Global Research: Advancing Practice, Advocacy, and Policy

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleMexican-American Breast Cancer Survivors' Challenges with Health Care Disparities: A Mixed Method Studyen
dc.title.alternativeEducating Female Cancer Patients to Promote Healthen
dc.contributor.authorLopez, Maryen
dc.contributor.departmentPhi Alphaen
dc.author.detailsMary Lopez, RN, mlopez@westernu.eduen
dc.identifier.urihttp://hdl.handle.net/10755/616118-
dc.description.abstractSession presented on Saturday, July 23, 2016: Purpose: Coping is a challenge for breast cancer survivors and may result in a poor quality of life (QOL) even more than five years after completion of treatment. The primary purpose of this mixed method study was to examine culturally specific health disparities, and the effects of acculturation, optimism, and breast cancer challenges on coping styles and to determine the effect coping styles have on the QOL of Mexican American breast cancer survivors. The secondary purpose was to identify effective strategies to decrease healthcare disparities experienced by Mexican American breast cancer survivors. Methods: A one group ex post facto design with path analysis was used to determine the direct, indirect and total effects of the causal antecedents on coping and QOL. Ninety two subjects participated through a nonprobability, convenience sampling method. Qualitative non-structured interviews were used to gather additional data on Mexican American women?s experiences living with breast cancer and identification of culturally sensitive strategies to overcome barriers. Participant?s responses were recorded verbatim and subjected to content analysis and thematic coding. Results: Path analysis revealed that women who had lower acculturation, were less optimistic about the future, experienced increased disparities and barriers to care, and had ongoing physical and psychological concerns about breast cancer. Although less optimism was associated with diminished QOL, neither active nor passive coping styles were associated with QOL for survivors. Familismo or the importance of family participation was a major theme in addressing on-going physical and psychological needs of Mexican American breast cancer survivors nine years after treatment.' Qualitative narrative analysis revealed the major domain of Surviving the Fight, with subthemes of Adapting my Lifestyle, Maintaining Hope, and Remaining Vigilant.'' Conclusion: Qualitative data confirmed the quantitative model variables as personal characteristics of acculturation and optimism strongly influencing QOL. Nurses in a variety of healthcare settings can use these findings to identify Mexican American breast cancer survivor?s at risk for reduced QOL and design culturally appropriate interprofessional care plans to coordinate their healthcare needs, increase post diagnostic care, and support efforts towards empowerment and autonomy.en
dc.subjectEthnicityen
dc.subjectBreast canceren
dc.subjectSurvivorshipen
dc.date.available2016-07-13T11:04:51Z-
dc.date.issued2016-07-13-
dc.date.issued2016-07-13en
dc.date.accessioned2016-07-13T11:04:51Z-
dc.conference.date2016en
dc.conference.name27th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationCape Town, South Africaen
dc.descriptionTheme: Leading Global Research: Advancing Practice, Advocacy, and Policyen
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