Ashing-Giwa Kimlin T, Padilla Geraldine V, Bohórquez Dianne E, Tejero Judith S, Garcia Manuela, Meyers Eva A
CARE, Division of Population Sciences, City of Hope Comprehensive Cancer Center, Duarte, CA, 91010-3000, USA.
J Psychosoc Oncol. 2006;24(4):53-88. doi: 10.1300/J077v24n04_04.
Latinas experience high rates of cervical cancer (CCA) in the U.S. This health-related quality of life (HRQOL) qualitative study was conducted with key informant and focus groups (N = 26). The results indicate that overall Latinas experience persistent concerns: Physical challenges including pain, and bladder, bowel, and sexual health problems; medical care barriers (e.g., difficulties accessing quality care, poor patient-physician relationship); functional issues including employment difficulties; and personal concerns including family and relationship burdens. Spiritual, familial, and cultural factors promote coping and well-being but may delay care seeking. In summary, Latinas diagnosed with CCA face a burdensome survivorship experience. Increases in medical and psychosocial services are greatly needed for Latinas to improve cancer outcomes including HRQOL.
在美国,拉丁裔女性宫颈癌(CCA)发病率很高。这项与健康相关的生活质量(HRQOL)定性研究是通过关键信息提供者和焦点小组(N = 26)进行的。结果表明,总体而言,拉丁裔女性存在持续的担忧:身体挑战,包括疼痛、膀胱、肠道和性健康问题;医疗保健障碍(例如,难以获得优质护理、医患关系不佳);功能问题,包括就业困难;以及个人担忧,包括家庭和关系负担。精神、家庭和文化因素促进了应对和幸福感,但可能会延迟寻求医疗护理。总之,被诊断患有CCA的拉丁裔女性面临着沉重的生存经历。为了改善包括HRQOL在内的癌症治疗结果,拉丁裔女性迫切需要增加医疗和心理社会服务。