Exploring perceptions of cancer care delivery among older Mexican American adults.
OBJECTIVE
To investigate older Mexican Americans' perceptions of cancer care delivery, specifically regarding perceived discrimination.


METHODS
Qualitative.


METHODS
Senior centers and participants' homes.


METHODS
5 older Mexican American cancer survivors.


METHODS
The sample included five Spanish-speaking Mexican Americans with low incomes who were previously diagnosed with cancer. Ages ranged from 68-86 years (X = 76.4). Participants were recruited through several community-based agencies and resources. Interviews were conducted and recorded on audiotape in participants' homes or at a senior center. A demographic questionnaire and the Mini Mental State Exam were administered in English or Spanish.


METHODS
Perceptions of healthcare delivery.


RESULTS
Three themes emerged from the interview data: (a) emotional responses to cancer diagnosis, (b) relationship with healthcare providers, and (c) use of spiritual resources in coping with cancer. Participants denied experiencing any discrimination in health care related to race, ethnicity, income, or language spoken. Perceptions of good and poor-quality health care are described.


CONCLUSIONS
Participants were satisfied with the cancer care they received, with a few exceptions. The role of age and education level in perceived discrimination needs further exploration.


CONCLUSIONS
Replication of this study with larger, culturally diverse samples is needed to increase understanding of the role of perceived discrimination in cancer care and to develop culturally responsive, evidence-based healthcare interventions for patients and families coping with cancer.
Campesino
Maureen
M
College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, USA. maureen.campesino@asu.edu
D000223:Adaptation, Psychological; D000368:Aged; D000369:Aged, 80 and over; D003469:Culture; D005260:Female; D006801:Humans; D008297:Male; D017058:Mexican Americans / Q000523:psychology*; D009369:Neoplasms / Q000208:ethnology / Q000451:nursing / Q000523:psychology; D015404:Nursing Methodology Research; D009859:Oncology Nursing; D017060:Patient Satisfaction; D011787:Quality of Health Care; D029181:Spirituality