Latina patient perspectives about informed treatment decision making for breast cancer
Latina patient perspectives about informed treatment decision making for breast cancer
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DOI：
10.1016/j.pec.2008.07.036
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发表时间：
2008-11-01
影响因子：
3.5
通讯作者：
Katz, Steven J.
中科院分区：
文献类型：
--
作者：
Hawley, Sarah T.;Janz, Nancy K.;Katz, Steven J.
目的：为了评估拉丁美洲乳腺癌患者的观点知情决策有关的手术治疗决策乳腺cancer.Methods：2030名妇女诊断为非转移性乳腺癌从8/05至5/06，并报告给洛杉矶大都市SEER登记处邮寄调查后不久，手术治疗。拉丁裔和非洲裔美国妇女被过度抽样。我们对四个决策结果进行了回归分析，以评估种族/民族、人口统计学和临床因素以及机械变量（即，结果：我们的分析样本是877名妇女：24.5%的拉丁-西班牙语（Latina-SP），20.5%的拉丁-英语，24%的非洲裔美国人和26.6%的白人。每个种族中约有28%的女性报告了基于外科医生的手术决定，36%是共享的，36%是基于患者的手术决定。西班牙语偏好的拉丁裔女性在控制其他因素后，决策不满和后悔的几率最大（OR 5.5）。95%Cl：2.9，10.5和OR 4.1，95%Cl：2.2，8.0）。低健康素养是独立的不满和遗憾（OR 5.6，95%0：2.9，11.1和OR 3.5，95%CI 1.8，7.1，分别）和轻微衰减拉丁-SP种族和决策Outcomes. Conclusions之间的关联：尽管相似的临床结果，患者报告非常不同的经验与治疗决策。拉丁妇女，特别是那些谁喜欢西班牙语，是脆弱的穷人乳腺癌治疗决策outcomes.Practice implications：供应商需要意识到在乳腺癌治疗讨论的种族，文化适应和识字的作用。出版社：Elsevier爱尔兰Ltd.
Objective: To evaluate Latina breast cancer patient perspectives regarding informed decision making related to surgical treatment decision making for breast cancer.Methods: 2030 women with non-metastatic breast cancer diagnosed From 8/05 to 5/06 and reported to the Los Angeles metropolitan SEER registries were mailed a Survey shortly after Surgical treatment. Latina and African-American women were over-sampled. We conducted regression Of four decision Outcome to evaluate associations between race/ethnicity, demographic and clinical factors, and mechanistic variables (i.e., health literacy) and decision outcomes.Results: Our analytic sample was 877 women: 24.5% Latina-Spanish speaking (Latina-SP), 20.5% Latina-English speaking, 24% African-American and 26.6% Caucasian. Approximately 28% of women in each ethnic group reported a surgeon-based, 36% a shared, and 36% a patient-based surgery decision. Spanish-preferent Latina women had the greatest odds of high decision dissatisfaction and regret controlling for other factors (OR 5.5. 95% Cl: 2.9, 10.5 and OR 4.1, 95% Cl: 2.2, 8.0, respectively). Low health literacy was independently associated with dissatisfaction and regret (OR 5.6, 95% 0:2.9, 11.1 and OR 3.5, 95% Cl 1.8, 7.1, respectively) and slightly attenuated associations between Latina-SP ethnicity and decision Outcomes,.Conclusion: Despite similar clinical outcomes, patients report very different experiences with treatment decision making. Latina women, especially those who prefer Spanish, are vulnerable to poor breast cancer treatment decision outcomes.Practice implications: Providers need to be aware of the role of ethnicity, acculturation and literacy in breast cancer treatment discussions. Published by Elsevier Ireland Ltd.