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

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.

journal_name

Oncol Nurs Forum

journal_title

Oncology nursing forum

authors

Nápoles AM,Ortíz C,O'Brien H,Sereno AB,Kaplan CP

doi

10.1188/11.ONF.523-531

subject

Has Abstract

pub_date

2011-09-01 00:00:00

pages

523-31

issue

5

eissn

0190-535X

issn

1538-0688

pii

0448702P8634M233

journal_volume

38

pub_type

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