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“I Felt Defeated. I Felt Helpless”: Social Determinants of Health Influencing the Cancer Survivorship of a Young Latina Mother

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Journal of Cancer Therapy 2022年第7期13卷 440-449页

作者： Adriena Hernandez Clara L. Reyes Isela Garcia Rebecca L. Palacios Department of Health Promotion Sciences The University of Arizona Tucson AZ USA Department of Public Health Sciences New Mexico State University Las Cruces NM USA

Social determinants of health (SDOH) contribute to cancer disparities among young Latina women (<50 years) residing in the counties along the US-Mexico border. These SDOH are particularly burdensome to young Latina mothers diagnosed with cancer while they are raising school-age children. Conexiones, a culturally adapted program designed to improve mother and child adjustment to maternal cancer, was piloted with diagnosed Latina mothers residing in border counties in New Mexico and Texas. The purpose of this case analysis was to highlight the SDOH affecting a young Latina mother’s cancer survivorship in the U.S.-Mexico border region. The participant’s Conexiones education sessions were recorded, transcribed, translated to English, back translated to Spanish to establish accuracy, and inductively coded. The participant’s baseline survey indicated she was a young (<50 years), married, Spanish-speaking Latina mother diagnosed with breast cancer while raising a teenage daughter. Seventeen SDOH themes affecting the participant’s cancer experience were identified in the cancer-related emotional triggers she reported across five Conexiones sessions. These themes were organized using Yanez’s conceptual model of determinants of cancer outcomes in Hispanics (i.e., socioeconomic, healthcare, cultural context, and psychosocial). Findings provide direction for cultural adaptations of evidence-based programs.

关键词： Cancer Survivors latinas Social Determinants of Health U.S.-Mexico Border

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Young Child-Rearing Latina Cancer Survivors Living in the US-Mexico Border Region: A Qualitative Study

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Journal of Cancer Therapy 2021年第4期12卷 174-185页

作者： Clara L. Reyes Rebecca L. Palacios Karoline Sondgeroth Ernesto A. Moralez Department of Public Health Sciences New Mexico State University Las Cruces NM USA Department of Public Health St. Lawrence University Canton NY USA

Background: Despite increasing cancer incidence among young latinas (Objective: The purpose of this study was to explore how young, child-rearing latinas described their challenges, strengths, and social support sourc... 详细信息

Background: Despite increasing cancer incidence among young Latinas (Objective: The purpose of this study was to explore how young, child-rearing Latinas described their challenges, strengths, and social support sources for coping with cancer in the US-Mexico border region. Methods: Nine Latinas that had been diagnosed with cancer, had at least one child 5 to 13 years old, and lived in one of two targeted border counties participated in audio-recorded, semi-structured focus groups (n = 6) or interviews (n = 3) in their preferred language (i.e., English or Spanish). Interview recordings were transcribed and inductively coded using methods based on grounded theory. Results: Three major themes emerged. First, in reporting their physical and emotional struggles with cancer as the most difficult time of their lives, participants described feeling alone as they navigated treatment side effects and continued fear of cancer. Second, they explained figuring out how to live day-by-day, reporting the negative impact of cancer on their families and on their ability to maintain their roles as mothers. Third, they highlighted factors that gave them the strength to fight and carry on, emphasizing their children and their inner strength. Conclusions: Even with a supportive family, young Latina mothers felt alone as they navigated cancer (i.e., treatment, fear, and impact on their families) and as they worked to garner the strength to overcome the stress of cancer. Interventions for young Latina survivors sho

关键词： Cancer Survivorship latinas Coping Family US-Mexico Border

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