Health-related quality of life and care satisfaction outcomes: Informing psychosocial oncology care among Latina and African-American young breast cancer survivors
Health-related quality of life and care satisfaction outcomes: Informing psychosocial oncology care among Latina and African-American young breast cancer survivors
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DOI：
10.1002/pon.4650
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发表时间：
2018-04-01
期刊：
影响因子：
3.6
通讯作者：
Jones, Veronica
中科院分区：
文献类型：
--
作者：
Ashing, Kimlin Tam;George, Marshalee;Jones, Veronica
目的：当年轻女性发生乳腺癌时，医疗、身体、社会心理和整体影响可能更加严重，需要有针对性的医疗和社会心理肿瘤治疗。然而，尽管他们存在生存和生存结果较差的风险，但很少有研究关注这一群体，在医疗上特别脆弱的少数族裔方面存在重大差距。因此，这项初步研究考察了人口特征和以患者为中心的结果，即与健康相关的生活质量 (HRQOL)、质量护理满意度，以便为非裔美国人和拉丁裔年轻乳腺癌幸存者 (YBCS) 提供有针对性的社会心理肿瘤护理。方法：从癌症登记处和社区机构招募了 116 名年龄 >= 21 至 50 岁的非裔美国人和拉丁裔 YBCS。根据之前的研究和文献，拉丁裔根据他们选择的语言进行研究（包括完成测量）被分为英语熟练（ELP）和西班牙语熟练（SLP）。 结果：SLP 拉丁裔报告的教育程度和收入较低（P < 0.001），并且更有可能报告进行乳房切除术（P < 0.01），但不太可能报告乳房重建（P < 0.05）。对护理的满意度与患者与提供者的沟通和整体 HRQOL (P < 0.01) 以及身体、社会/家庭、情感和功能健康 (P < 0.01) 相关。 SLP 拉丁裔的情绪幸福感低于非裔美国人 YBCS（P < 0.01），功能幸福感低于 ELP 拉丁裔 YBCS（P < 0.05）。与非裔美国人和 ELP 拉丁裔 YBCS 相比，SLP 拉丁裔 YBCS 对自己的护理满意度较低（P < 0.01）。经济毒性似乎直接影响获得护理和优质护理以及生存结果。结论：需要调查少数民族 YBCS 的人口特征和医疗结果，包括 HRQOL 结果和对护理的满意度，以推进科学发展并协助卫生专业人员提供精准护理。更大的转化和以患者为中心的研究必须关注 YBCS 等高危人群，以提供精准的社会心理肿瘤护理并减少健康差距。
Objective: When breast cancer occurs in young women, the medical, physical, psychosocial, and overall impacts can be more severe warranting targeted medical and psychosocial oncology care. Yet, despite their risk for poorer survival and survivorship outcomes, little research has focused on this group with critical gaps concerning ethnic minorities who are particularly medically vulnerable. Therefore, this preliminary study examined demographic characteristics and patient centered outcomes, ie, health-related quality of life (HRQOL), quality care satisfaction to inform targeted psychosocial oncology care among African-American and Latinas young breast cancer survivors (YBCS).Methods: A total of 116 African-American and Latina YBCS aged >= 21 to 50 years were recruited from cancer registries and community agencies. Based on prior research and the literature, Latinas were categorized into English language proficient (ELP) and Spanish language proficient (SLP) based on their choice of language to conduct the study including completion of the measures.Results: SLP Latinas reported lower educational attainment and income (P < 0.001) and were more likely to report having a mastectomy (P < 0.01) but less likely to report breast reconstruction (P < 0.05). Satisfaction with care was correlated with patient-provider communication and overall HRQOL (P < 0.01) and physical, social/family, emotional and functional wellbeing (P < 0.01). SLP Latinas had lower emotional wellbeing than African-American YBCS (P < 0.01) and lower functional wellbeing than ELP Latina YBCS (P < 0.05). SLP Latina YBCS were less satisfied with their care compared with African-American and ELP Latina YBCS (P < 0.01). Financial toxicity seems to directly influence both access to care and quality care and survivorship outcomes.Conclusions: Investigating demographic characteristics and medical outcomes including HRQOL outcomes and satisfaction with care among ethnic minority YBCS is needed to advance the science as well as assist health professionals with precision care delivery. Greater translational and patient-centered research must focus on at-risk population such as YBCS to inform precision psychosocial oncology care and reduce health disparities.