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Health Care Access and Health Behavior Quality of Life among Hispanic/Latino-American Cancer Survivors

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Abstract

The aim of this study was to examine whether physical and mental healthrelated quality of life (HRQoL) of Hispanic/Latino-American cancer survivors differed based on age, sex, income, health behaviors (current exercise, current smoking, recent alcohol use, and recent binge drinking), and access to health care (health care coverage, have a doctor/primary care provider, and physical checkup in last 12 months). A secondary analysis of the 2014 Behavioral Risk Factor Surveillance System (BRFSS) survey was performed among Hispanic/Latino-American adults (N = 1642). Those reporting the highest physical and mental HRQoL were female, age 65 years or older, who practiced healthy behaviors, had access to health care, and an income of $20,000 or greater. Having health care access positively impacted physical HRQoL but did not impact mental HRQoL. The findings of this study can be used by community health professionals working with the cancer survivorship population. Oncology and primary care physicians may apply information to deliver high quality care specific to the needs of Hispanic/Latino-American cancer survivors. Researchers may use this information to develop evidence-based interventions specific to the needs of the Hispanic/Latino American cancer survivorship population.

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References

  • American Cancer Society. (2015). Cancer facts and figures for Hispanics/Latinos 2015–2017. Atlanta: American Cancer Society.

    Google Scholar 

  • American Cancer Society. (2016). Cancer treatment and survivorship: facts and figures, 2016–2018. Atlanta: American Cancer Society.

    Google Scholar 

  • Barr, D. A. (2016). The Affordable Care Act and the politics of health care reform. Introduction to US health policy: the organization, financing, and delivery of health care in America (pp. 1–12). Baltimore: Johns Hopkins University Press.

    Google Scholar 

  • Blank, T. (2008). The challenges of prostate cancer: Half man or man and half. Generations, 32, 68–72.

    Google Scholar 

  • Brown, I., & Brown, R. I. (2003). Quality of life and disability: An approach for community practitioners. London and New York: Jessica Kingsley Publishers Ltd..

    Google Scholar 

  • Burcu, M., Steinberger, E. K., & Sorken, J. D. (2016). Health care access and smoking cessation among cancer survivors: Implications for the affordable care act and survivorship care. Journal of Cancer Survivorship, 10(1), 1–10.

    Article  Google Scholar 

  • Bustmante, A., Fang, H., Garza, J., Wallace, S. P., et al. (2010). Variations in healthcare access and utilization among Mexican immigrants: The role of documentation status. Journal of Immigrant and Minority Health., 14(1), 146–155.

    Article  Google Scholar 

  • Cadmus, L. A., Salovey, P., Yu, H., Chung, G., Kasl, S., & Irwin, M. L. (2009). Exercise and quality of life during and after treatment for breast cancer: Results of two randomized controlled trials. Psychooncology, 18(4), 343–352.

    Article  Google Scholar 

  • Centers for Disease Control and Prevention. (2011). HRQOL Concepta: Health related quality of life. Retrieved from the Centers for Disease Control and Prevention website: http://www.cdc.gov/hrqol/concept.htm.

  • Centers for Disease Control and Prevention. (2016). Behavior risk factor surveillance system. Retrieved from the Centers for Disease Control and Prevention website: https://www.cdc.gov/brfss/annual_data/annual_2014.html

  • Cleeland, C. S., Fisch, M. J., & Dunn, A. J. (2011). Cancer symptom science: measurement, mechanisms, and management (4th ed) ed.). New York: Cambridge University Press.

  • Fredriksen-Goldsen, K. I., Kim, H.-J., Shiu, C. G., Goldsen, J., et al. (2015). Successful aging among LGBT older adults: Physical and mental health-related quality of life by age group. The Gerontologist, 5591, 154–168.

    Article  Google Scholar 

  • Freudenheim, J. L., Ritz, J., Smith-Wamer, S. A., Albanes, D., Bandera, E. V., et al. (2005). Nutritional epidemiology and public health. American Journal of Clinical Nutrition, 82(3), 657–667.

    Article  Google Scholar 

  • Haile, R. W., John, E. M., Levine, A. J., Cortessis, V. K., Unger, J. B., Gonzales, M., Ziv, E., Thompson, P., Spruijt-Metz, D., Tucker, K. L., Bernstein, J. L., Rohan, T. E., Ho, G. Y. F., Bondy, M. L., Martinez, M. E., Cook, L., Stern, M. C., Correa, M. C., Wright, J., Schwartz, S. J., Baezconde-Garbanati, L., Blinder, V., Miranda, P., Hayes, R., Friedman-Jimenez, G., Monroe, K. R., Haiman, C. A., Henderson, B. E., Thomas, D. C., & Boffetta, P. (2012). A review of cancer in U.S. Hispanic populations. Cancer Prevention Research, 5(2), 150–163.

    Article  Google Scholar 

  • Hatzenbuehler, M. L., Prins, S. J., Flake, M., Philbin, M., Frazer, M. S., Hagen, D., & Hirsch, J. (2017). Immigration policies and mental health morbidity among Latinos: A state-level analysis. Social Science and Medicine., 174, 169–178.

    Article  Google Scholar 

  • Hewitt, M., Rowland, J. H., Yancik, R., & Cancer survivors in the United States: age, health, and disability. (2003). Journal of gerontology: Series a. Biological Sciences and Medical Science, 58(1), 82–91.

    Article  Google Scholar 

  • Howell, D., Hack, T. F., Olover, T. K., Chulak, T., Mayo, S., Aubin, M., et al. (2012). Models of care for post-treatment follow-up adult cancer survivors: A systematic review and quality appraisal of the evidence. Journal of Cancer Survivorship, 6(4), 359–371.

    Article  Google Scholar 

  • Howlader N., Noone A. M., Krapcho M., Garshell J. & Miller D., National Cancer Institute, et al (2014). National Cancer Institute SEER cancer statistics review 1975-2011. Bethesda, MD. Retrieved from the National Cancer Institute SEER program website: https://seer.cancer.gov/archive/csr/1975_2011/

  • Livingston, G. Minushkin, S., & D’Vera, C. (2008). Hispanics and health care in the United States: Access, information, and knowledge. Retrieved from the Pew Research Center Hispanic Trends website: http://www.pewhispanic.org/2008/08/13/hispanics-and-health-care-in-the-united-states-access-information-and-knowledge/.

  • Morales, L. S., Lara, M., Kington, R. S., Valdez, R. O., & Escarce, J. J. (2002). Socioeconomic, cultural, and behavioral factors affecting Hispanic health outcomes. Journal of Health Care for the Poor and Underserved, 13(4), 477–503.

    Article  Google Scholar 

  • National Institute on Alcohol Abuse and Alcoholism. (2015). Alcohol’s effects on the body. Retrieved from the National Institute on Alcohol Abuse and Alcoholism website: http://www.niaaa.nih.gov/alcohol-health/alcohols-effects-body

  • Neff, J. (2001). A confirmatory factor analysis of a measure of “machismo” among Anglo, African American, and Mexican American male drinkers. Hispanic Journal of Behavioral Sciences, 23(2), 171–188.

    Article  Google Scholar 

  • Ortega, A. N., Rodriguez, H. P., & Vargas Bustmante, A. (2015). Policy dilemmas in Latino health care and implementation of the affordable care act. Annual Review of Public Health, 36, 525–544.

    Article  Google Scholar 

  • Yanez, B., McGinty, H. L., Buitago, D., Ramirez, A. G., & Penedo, F. J. (2016). Cancer outcomes in Hispanics/Latinos in the United States: An integrative review and conceptual model of determinants of health. Journal of Latina/o Psychology, 4(2), 114–129.

    Article  Google Scholar 

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Correspondence to Endia J. Santee.

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Santee, E.J., King, K.A., Vidourek, R.A. et al. Health Care Access and Health Behavior Quality of Life among Hispanic/Latino-American Cancer Survivors. Applied Research Quality Life 15, 637–650 (2020). https://doi.org/10.1007/s11482-018-9677-1

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  • DOI: https://doi.org/10.1007/s11482-018-9677-1

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