Acculturation, Inner Peace, Cancer Self-efficacy, and Self-rated Health among Latina Breast Cancer Survivors

Abstract

Cancer self-efficacy (CSE) and spiritual well-being (SWB) have been associated with better self-rated health (SRH) among breast cancer survivors (BCS), but have not been well studied among Latina BCS (LBCS). Multivariate logistic regression analyses of secondary data from a cross-sectional population-based telephone survey of 330 LBCS explored relationships of language acculturation, CSE, and SWB subdomains of inner peace and faith with SRH. English proficiency was associated with SRH, independent of other covariates (OR=2.26, 95% CI 1.15, 4.45). Cancer self-efficacy attenuated this effect and was positively associated with SRH (OR=2.24, 95% CI 1.22, 4.10). Adding inner peace (a SWB subscale) attenuated the association of CSE and SRH (OR=1.67, 95% CI 0.88, 3.18). Inner peace remained associated with SRH (OR= 2.44, 95% CI 1.30, 4.56), controlling for covariates. Findings support the importance of a sense of inner peace and control over breast cancer to LBCS' perceived health.

The role of tumor grade, demographics and psychological factors in Cancer survivorship

“…The result of the study is inconsistent with Jenkinson and Cantrell (30) and it is in line with García-Jimenez et al (31). In this study, selfefficacy for self-management and inner strength had no significant role in predicting cancer survival.…”

Do coping strategies mediate the effects of emotional support on emotional well-being among Spanish-speaking Latina breast cancer survivors?

“…Also, we were unable to explore how acculturation might moderate the observed associations because, by design, all women had low levels of acculturation. This is an important direction for future research given that others have found an association between acculturation, self‐reported health , and QoL .The relatively small sample size may have contributed to the marginal significance of the indirect effect of acceptance. Replication with larger, more diverse samples of Latinas is needed.…”

“…In a qualitative study, quiet acceptance was identified as an overarching theme regarding the post‐treatment experiences of South Asian breast cancer survivors in Canada, but its relationship to well‐being was not examined . Acceptance has been postulated to function as a coping strategy among Latina breast cancer survivors in the USA but not explicitly tested as such . The benefit finding scale from which the acceptance subscale was drawn has shown inconsistent associations with various measures of well‐being in samples comprised primarily of White women.…”

Self-Efficacy for Coping with Breast Cancer Treatment Among Spanish-Speaking Latinas

“… 7 Spanish-speaking Latinas undergoing treatment for breast cancer have higher rates of anxiety, depression, fatigue, pain, and fear of cancer recurrence and death than non-Latina women. 8 , 9 Less than optimal quality of health care and aspects of spirituality have been implicated in these cancer-related psychosocial disparities.…”