Background
This study examined the use of psychosocial services (i.e. social work, psychiatric, psychological, and spiritual/pastoral services) among Latina and Non-Latina White breast cancer survivors.
Methods
Survivors who received treatment in a Comprehensive Cancer Center in New York completed a mailed questionnaire about interest in help for distress, and psychosocial service use. Descriptive and non-parametric statistics were used to explore ethnic differences in use of, and interest in, psychosocial services.
Results
Thirty three percent of breast cancer survivors reported needing mental health or psychosocial services after their cancer diagnosis (33% Latinas, 34% Whites); 34% of survivors discussed with their oncologist or cancer care provider their emotional problems or needs after the diagnosis (30% Latinas, 36% Whites). Only 40% of the survivors who reported needing services received a referral for psychosocial services (42% Latinas, 39% Whites). Sixty six percent of survivors who reported needing services had contact with a counselor or mental health professional (psychiatrist, psychologist, social worker) after their diagnosis (57% Latinas, 71% Whites), and 61% of those needing services reported receiving psychosocial services (53% Latinas, 67% Whites). Whites were significantly more likely than Latinas to have contact with a social worker (33% vs. 17%, respectively) and to receive psychotropic medication (15% vs. 0%, respectively). However, Latinas were significantly more likely to receive spiritual counseling than Whites (11% vs. 3%, respectively).
Conclusion
Our study revealed gaps for both groups; however, the gaps differed by group. It is crucial to study and address potential differences in the psychosocial services availability, acceptability and help-seeking behaviors of ethnically diverse cancer patients and survivors.