title: Information exchange and decision making in the treatment of Latina and white women with ductal carcinoma in situ.
abstract: The natural history of ductal carcinoma in situ (DCIS) is largely unknown, and its optimal treatment remains controversial. Using semi-structured interviews, this study compared 18 White and 16 Latina women's understanding of their DCIS diagnosis, treatment decision-making processes, and satisfaction with care. Ethnic differences were observed in cognitive and emotional responses to DCIS, with White women generally reporting a better understanding of their diagnosis and treatment, and Latinas reporting more distress. Regardless of ethnicity, women with DCIS preferred that physicians discuss treatment options and attend to their informational and emotional needs. Satisfaction was associated with adequate information, expediency of care, and physicians' sensitivity to patients' emotional needs.
authors.affiliation: Medical Effectiveness Research Center for Diverse Populations, Department of Medicine, UCSF Comprehensive Cancer Center, University of California San Francisco, San Francisco, CA 94143, USA. anna.napoles-springer@ucsf.edu
authors.forename: Anna M
authors.initials: AM
authors.lastname: Nápoles-Springer
authors.forename: Jennifer C
authors.initials: JC
authors.lastname: Livaudais
authors.forename: Joan
authors.initials: J
authors.lastname: Bloom
authors.forename: Shelley
authors.initials: S
authors.lastname: Hwang
authors.forename: Celia P
authors.initials: CP
authors.lastname: Kaplan
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001294:Attitude to Health; D001943:Breast Neoplasms / Q000175:diagnosis / Q000208:ethnology* / Q000523:psychology*; D002285:Carcinoma, Intraductal, Noninfiltrating / Q000175:diagnosis / Q000208:ethnology* / Q000523:psychology*; D003657:Decision Making; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology* / Q000706:statistics & numerical data*; D006801:Humans; D033181:Information Dissemination; D008875:Middle Aged; D044465:White People / Q000523:psychology* / Q000706:statistics & numerical data*