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Oncol Nurs Forum. 2011 Sep;38(5):523-31. doi: 10.1188/11.ONF.523-531.

Coping resources and self-rated health among Latina breast cancer survivors.

Author information

  • 1Medical Effectiveness Research Center for Diverse Populations, Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, USA. anapoles@ucsf.edu

Abstract

PURPOSE/OBJECTIVES:

To examine relationships between coping resources and self-rated health among Latina breast cancer survivors.

DESIGN:

Cross-sectional telephone survey.

SETTING:

Four northern California counties.

SAMPLE:

330 Latina breast cancer survivors within one to five years of diagnosis.

METHODS:

Telephone survey conducted by bilingual and bicultural interviewers.

MAIN RESEARCH VARIABLES:

Predictors were sociodemographic and clinical factors, cancer self-efficacy, spirituality, and social support from family, friends, and oncologists. Outcomes were functional limitations and self-rated health.

FINDINGS:

Twenty-two percent of women reported functional limitations (n = 73) and 27% reported poor or fair self-rated health (n = 89). Unemployment (adjusted odds ratio [AOR] = 7.06; 95% confidence interval [CI] [2.04, 24.46]), mastectomy (AOR = 2.67; 95% CI [1.06, 6.77]), and comorbidity (AOR = 4.09; 95% CI [1.69, 9.89]) were associated with higher risk of functional limitations; cancer self-efficacy had a protective effect (AOR = 0.4, 95% CI [0.18, 0.9]). Comorbidity was associated with higher risk of poor or fair self-rated health (AOR = 4.95; 95% CI [2.13, 11.47]); cancer self-efficacy had a protective effect (AOR = 0.3; 95% CI [0.13, 0.66]).

CONCLUSIONS:

Comorbidities place Latina breast cancer survivors at increased risk for poor health. Cancer self-efficacy deserves more attention as a potentially modifiable protective factor.

IMPLICATIONS FOR NURSING:

Nurses need to assess the impact of comorbidity on functioning and can reinforce patients' sense of control over cancer and clinician support.

PMID:
21875840
[PubMed - indexed for MEDLINE]
PMCID:
PMC3556482
Free PMC Article
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