Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, USA.
Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, USA.
J Cancer Surviv. 2024 Jun;18(3):739-749. doi: 10.1007/s11764-022-01300-1. Epub 2022 Dec 2.
We aimed to identify subgroups of Hispanic/Latino (H/L) cancer survivors with distinct health behavior patterns and their associated sociodemographic, medical, and psychosocial characteristics.
Baseline data were used from a randomized clinical trial evaluating the efficacy of an enhanced patient navigation intervention in H/L cancer survivors. Participants (n = 278) completed the Lifestyle Behavior Scale and validated questionnaires on health-related quality of life (HRQOL), supportive care needs, distress, and satisfaction with cancer care. Latent class analysis was used to determine the latent classes and associated characteristics.
Three latent classes emerged: class 1 (survivors who increased health behaviors [e.g., exercising and eating healthy] since diagnosis); class 2 (no changes in health behaviors since diagnosis); and class 3 (a "mixed class," with a higher or lower engagement across various health behaviors since diagnosis). Participants in class 1 were significantly more educated and less likely to be foreign born. Participants in class 2 were significantly older and more likely to have prostate cancer. H/L cancer survivors in class 3 had a significantly lower income, were less educated, and reported greater unmet supportive care needs, more distress, and poorer HRQOL.
Survivors who report engaging in health behaviors less frequently since diagnosis may be experiencing psychosocial challenges and health disparities.
Hispanic/Latino cancer survivors may benefit from screening for social determinants of health and mental health needs, prompt referral to supportive care services, community resources, and public services, and participating in culturally informed psychosocial interventions to address their unique needs.
我们旨在确定具有不同健康行为模式的西班牙裔/拉丁裔（H/L）癌症幸存者亚组及其相关的社会人口学、医学和心理社会特征。
使用评估增强型患者导航干预对 H/L 癌症幸存者疗效的随机临床试验的基线数据。参与者（n=278）完成了生活方式行为量表和关于健康相关生活质量（HRQOL）、支持性护理需求、困扰和对癌症护理满意度的有效问卷。使用潜在类别分析来确定潜在类别和相关特征。
出现了三个潜在类别：第 1 类（自诊断以来增加健康行为的幸存者[例如，锻炼和健康饮食]）；第 2 类（自诊断以来健康行为没有变化）；第 3 类（“混合类”，自诊断以来各种健康行为的参与度较高或较低）。第 1 类参与者受教育程度显著更高，并且不太可能是外国出生。第 2 类参与者年龄显著更大，并且更有可能患有前列腺癌。第 3 类 H/L 癌症幸存者的收入明显较低，受教育程度较低，报告有更多未满足的支持性护理需求、更多的困扰和更差的 HRQOL。
报告自诊断以来较少参与健康行为的幸存者可能正在经历心理社会挑战和健康差距。
西班牙裔/拉丁裔癌症幸存者可能受益于对健康决定因素和心理健康需求进行筛查，及时转介到支持性护理服务、社区资源和公共服务，并参与文化知情的心理社会干预措施，以满足他们的独特需求。
