Impact of acculturation on breast cancer treatment and survivorship care among Mexican American patients in Texas.
Impact of acculturation on breast cancer treatment and survivorship care among Mexican American patients in Texas.
复制标题
DOI：
10.1007/s11764-018-0703-y
复制
发表时间：
2018-10
期刊：
影响因子：
--
通讯作者：
Brewster AM
中科院分区：
文献类型：
--
作者：
Advani P;Bondy M;Thompson PA;Martínez ME;Nodora JN;Vernon SW;Diamond P;Burnett J;Brewster AM
鉴于美国癌症幸存者的数量和多样性不断增加，以及乳腺癌护理中持续存在的种族/民族差异，我们试图研究文化适应在坚持推荐手术治疗和幸存者护理建议中的作用。研究参与者包括343名墨西哥裔美国妇女，她们患有I至III期乳腺癌，参加了艾拉两国乳腺癌研究，并于2007年3月至2011年6月在德克萨斯州休斯顿的德克萨斯大学MD安德森癌症中心接受治疗。参与者完成了一份测量文化适应的问卷，并从机构数据库中获得了临床和人口统计学变量。构建多变量logistic回归模型以检验不同文化适应水平下接受外科手术和长期生存护理依从性的差异。双语（优势比[OR] = 1.85； 95%可信区间[CI] = 0.85-4.02, P = 0.11）和英语为主的女性（OR = 2.39; 95% CI = 1.02-5.61, P = 0.04）比西班牙语为主的女性更有可能接受保乳手术（与乳房切除术相比）。在所有患者中，对乳房x光检查的依从性和就诊次数随着时间的推移而下降；就诊依从性下降有统计学意义（P = 0.005）。虽然没有发现文化适应与长期生存护理依从性之间有统计学意义的关联，但接受保乳手术（相对于乳房切除术）与更高的乳房x光检查依从性显著相关。适应可能在乳腺癌手术治疗的决策中发挥作用，需要进一步的大样本研究来探索其在遵守生存护理建议方面的作用。这项研究的发现可能有助于确定需要额外支持的患者，同时做出有关癌症治疗和生存护理的决定。
Given the increasing number and diversity of cancer survivors in the USA and persistent racial/ethnic disparities in breast cancer care, we sought to examine the role of acculturation in adherence to recommended surgical treatment and survivorship care recommendations. Study participants included 343 Mexican American women with stage I to III breast cancer who participated in the Ella Binational Breast Cancer Study and were treated at The University of Texas MD Anderson Cancer Center in Houston, Texas, between March 2007 and June 2011. Participants completed a questionnaire measuring acculturation, and clinical and demographic variables were obtained from an institutional database. Multivariable logistic regression models were constructed to examine differences in surgical procedures received and adherence to long-term survivorship care by acculturation level. Bilingual (odds ratio [OR] = 1.85; 95% confidence interval [CI] = 0.85–4.02, P = .11) and English-dominant women (OR = 2.39; 95% CI = 1.02–5.61, P = .04) were more likely to receive breast-conserving surgery (versus mastectomy) than were Spanish-dominant women. Among all patients, adherence to surveillance mammography and clinic visits decreased over time; the decline in clinic visit adherence was statistically significant (P = .005). Although no statistically significant association was found between acculturation and adherence to long-term survivorship care, receipt of breast-conserving surgery (versus mastectomy) was significantly associated with higher adherence to surveillance mammograms. Acculturation may play a role in decision-making about surgical management of breast cancer, and further studies with larger samples are needed to explore its role in adherence to survivorship care recommendations. Findings from this study may help identify patients requiring additional support while making decisions pertaining to their cancer treatment and survivorship care.
登录
查看更多内容
DOI：
10.1158/1055-9965.epi-09-0238
发表时间：
2009-07
期刊：
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
影响因子：
--
作者：
Hamilton AS;Hofer TP;Hawley ST;Morrell D;Leventhal M;Deapen D;Salem B;Katz SJ
通讯作者：
Katz SJ
影响因子：
2.6
作者：
Liu, Jing-Jing;Zhang, Sheng;Zhang, Jin
通讯作者：
Zhang, Jin
影响因子：
3.5
作者：
Kaplan, Celia P.;Napoles, Anna M.;Karliner, Leah
通讯作者：
Karliner, Leah
影响因子：
10.3
作者：
Hawley, Sarah T.;Griggs, Jennifer J.;Katz, Steven J.
通讯作者：
Katz, Steven J.
影响因子：
3.7
作者：
Kotwall, CA;Maxwell, JG;Covan, EK
通讯作者：
Covan, EK