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

作者：Garcia Jimenez Maria; Santoyo Olsson Jasmine; Ortiz Carmen; Lahiff Maureen; Sokal Gutierrez Karen; Napoles Anna Maria^*

来源：Journal of Health Care for the Poor and Underserved, 2014, 25(4): 1586-1602.

DOI：10.1353/hpu.2014.0158

• Latinas/Hispanics
• breast cancer
• acculturation
• cancer self-efficacy
• spiritual well-being
• self-rated health

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.

• 出版日期2014-11