Department of Behavioral Sciences, Rush University Medical Center, Chicago, IL 60612, USA.
J Behav Med. 2013 Oct;36(5):441-53. doi: 10.1007/s10865-012-9439-8. Epub 2012 Jul 3.
This study examined racial/ethnic differences in spiritual well-being (SWB) among survivors of cancer. We hypothesized higher levels of Peace and Faith, but not Meaning, among Black and Hispanic survivors compared to White survivors, differences that would be reduced but remain significant after controlling for sociodemographic and medical factors. Hypotheses were tested with data from the American Cancer Society's Study of Cancer Survivors-II. The FACIT-Sp subscale scores, Meaning, Peace, and Faith assessed SWB, and the SF-36 Physical Component Summary measured functional status. In general, bivariate models supported our initial hypotheses. After adjustment for sociodemographic and medical factors, however, Blacks had higher scores on both Meaning and Peace compared to Hispanics and Whites, and Hispanics' scores on Peace were higher than Whites' scores. In contrast, sociodemographic and medical factors had weak associations with Faith scores. The pattern with Faith in bivariate models persisted in the fully adjusted models. Racial/ethnic differences in Meaning and in Peace, important dimensions of SWB, were even stronger after controlling for sociodemographic and medical factors. However, racial/ethnic differences in Faith appeared to remain stable. Further research is needed to determine if racial/ethnic differences in SWB are related to variations in quality of life in survivors of cancer.
本研究考察了癌症幸存者中精神幸福感（SWB）的种族/民族差异。我们假设黑人及西班牙裔幸存者的平静和信仰维度水平高于白人幸存者，但意义维度水平没有差异，这些差异在控制社会人口统计学和医疗因素后仍然显著。本研究采用美国癌症协会癌症幸存者研究 II 的数据进行假设检验。FACIT-Sp 子量表评分、意义、平静和信仰评估 SWB，SF-36 生理成分综合评分评估功能状态。总体而言，双变量模型支持我们的初始假设。然而，在调整社会人口统计学和医疗因素后，与西班牙裔和白人幸存者相比，黑人在意义和平静维度上的得分更高，而西班牙裔在平静维度上的得分高于白人。相比之下，社会人口统计学和医疗因素与信仰得分的相关性较弱。信仰在双变量模型中的模式在完全调整的模型中仍然存在。在控制社会人口统计学和医疗因素后，SWB 中意义和平静这两个重要维度的种族/民族差异更为显著。然而，信仰的种族/民族差异似乎保持稳定。需要进一步研究以确定 SWB 的种族/民族差异是否与癌症幸存者生活质量的变化有关。
