Mexican-American breast cancer survivors' challenges with health care disparities: A mixed method study
Mary M. Lopez, RN
- Sigma Affiliation
- Phi Alpha
- Contributor Affiliation(s)
- Western University of Health Sciences, Pomona, California, USA
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Lopez, Mary M. by View
Popular Works for Lopez, Mary M. by Download
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.
Theme: Leading Global Research: Advancing Practice, Advocacy, and Policy
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.
|Review Type||Abstract Review Only: Reviewed by Event Host|
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Showing items related by title, author, creator and subjects.
Lopez, Mary M.Coping is a challenge for breast cancer survivors and may result in a poor quality of life (QOL). The primary purpose of this mixed method study was to examine the effects of acculturation, optimism, and breast cancer ...
Using e-health technology to establish a tailored survivorship care plan for breast cancer survivors Wang, Yu-Lin; Fang, Su-Ying (2017-07-26)It’s a better way using e-health technology such as web than using traditional education booklet in breast cancer survivorship care, not only that can meet their increasing needs but also can give more tailored ...
Exploring multilevel factors influencing quality of life in young adult cancer survivors: A mixed methods study Ghazal, Lauren VictoriaBackground: Nearly 84,000 young adults (YAs; ages 20-39 years) are diagnosed with cancer each year in the US, and some of the most commonly occurring types of cancer seen in this population are hematologic cancers (leukemias, ...
Speaking locally, influencing globally: Promotoras evaluate a culturally sensitive intervention to promote Mexican-American cancer caregiver coping and health Wells, Jo Nell; Cagle, Carolyn Spence (2016-03-17)Session presented on Saturday, July 25, 2015: Problem: Mexican Americans (MAs) carry an unequal burden of cancer in the United States and often receive care from a family member at home. MA family cancer caregivers (MAFCGs) ...
Choi, EunjuPurpose: The purpose of this study is to identify and compare the unmet needs of adolescents and young adults (AYAs) with cancer by age and gender. Methods: This is a mixed-methods study to analyze textual data from blog ...