A contextual approach to understanding breast cancer survivorship among Latinas.
A contextual approach to understanding breast cancer survivorship among Latinas.
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DOI：
10.1002/pon.1998
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发表时间：
2012-02
期刊：
影响因子：
3.6
通讯作者：
Ashing-Giwa, Kimlin
中科院分区：
文献类型：
--
作者：
Lopez-Class, Maria;Gomez-Duarte, Jessika;Graves, Kristi;Ashing-Giwa, Kimlin
本综述的目的是通过探讨健康的社会决定因素来描述拉丁裔乳腺癌幸存者的健康相关生活质量（HRQOL）的实证文献。在制定幸存者的生活质量的生态环境模型，评估个人和社会对健康结果的贡献的关键领域，我们提供了一个全面的景观构成拉丁裔幸存者的生活经历和他们由此产生的生活质量的结果的各种因素。我们通过搜索引擎和参考文献列表检索到244篇研究，其中37篇符合纳入标准。研究结果文件的重要性，HRQOL的社会决定因素，与研究记录的生态和背景因素占HRQOL结果的显着差异。我们的审查确定了缺乏研究检查社区，机构和政策层面的因素，如医疗保健的获取，法律的和移民因素，物理和建筑环境，医疗保健的可负担性和政策影响拉丁美洲乳腺癌幸存者的HRQOL。关于拉丁裔乳腺癌生存率的总体研究很少，在纵向和干预研究中的代表性更低。结果强调，需要明确的文件的综合护理需求的服务不足的癌症幸存者和干预措施，考虑综合护理系统，以解决已知的影响乳腺癌幸存者的HRQOL的医疗和生态因素。
The purpose of this review is to describe the empirical literature on the health-related quality of life (HRQOL) in Latina breast cancer survivors by exploring the social determinants of health. In framing the key domains of survivors’ quality of life within a ecological-contextual model that evaluates individual and societal contributions to health outcomes, we provide a comprehensive landscape of the diverse factors constituting Latina survivors’ lived experiences and their resultant quality of life outcomes. We retrieved 244 studies via search engines and reference lists, of which 37 studies met the inclusion criteria. Findings document the importance of the social determinants of HRQOL, with studies documenting ecological and contextual factors accounting for significant variance in HRQOL outcomes. Our review identifies a dearth of research examining community-, institutional-, and policy-level factors, such as health care access, legal and immigration factors, physical and built environments, and health care affordability and policies affecting Latina breast cancer survivors’ HRQOL. Overall research on Latina breast cancer survivorship is sparse, with even greater underrepresentation within longitudinal and intervention studies. Results highlight a need for clear documentation of the comprehensive care needs of underserved cancer survivors and interventions considering integrated systems of care to address the medical and ecological factors known to impact the HRQOL of breast cancer survivors.
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DOI：
10.1097/ans.0b013e3181a3b47c
发表时间：
2009-04
期刊：
ANS. Advances in nursing science
影响因子：
--
作者：
Campesino M;Ruiz E;Glover JU;Koithan M
通讯作者：
Koithan M
影响因子：
3.6
作者：
Ashing-Giwa, Kimlin T.;Lim, Jung-Won;Gonzalez, Patricia
通讯作者：
Gonzalez, Patricia
影响因子：
6.3
作者：
Diez-Roux, AV;Nieto, FJ;Szklo, M
通讯作者：
Szklo, M
DOI：
10.1007/s11764-008-0058-x
发表时间：
2008-09-01
期刊：
Journal of cancer survivorship : research and practice
影响因子：
--
作者：
Bloom, Joan R;Stewart, Susan L;Banks, Priscilla J
通讯作者：
Banks, Priscilla J
DOI：
10.1037/1099-9809.14.2.163
发表时间：
2008-04-01
影响因子：
3.3
作者：
Buki, Lydia P.;Garces, D. Marcela;French, Bryana
通讯作者：
French, Bryana