title: The satisfaction of Latina breast cancer survivors with their healthcare and health-related quality of life.
abstract: OBJECTIVE
  The aim of this study was to evaluate the relationship of satisfaction with the cancer care doctor and health-related quality of life (HRQOL) among Latina breast cancer survivors (BCS) by (1) assessing whether satisfaction would be positively correlated with HRQOL and (2) assessing whether satisfaction would significantly influence HRQOL while controlling for covariates.
  
  
  METHODS
  The cross-sectional study used self-report data from 117 Latina BCS. Satisfaction was measured with the Hall Satisfaction Index, and HRQOL was measured with the Functional Assessment of Cancer Therapy-General (FACT-G). Analyses included calculation of descriptive statistics, t tests, bivariate correlations, analyses of variance (ANOVAs), and multivariate analyses.
  
  
  RESULTS
  Latina BCS had high satisfaction and generally good HRQOL. The Hall Satisfaction Index total score was positively associated with FACT-G functional well-being (r=0.265, p=0.004). Multivariate analyses showed that the Hall Satisfaction Index total score was a significant predictor of FACT-G functional well-being (p=0.012). Employment status was also a significant predictor, where being employed or retired resulted in better functional well-being than being unemployed.
  
  
  CONCLUSIONS
  Latina BCS were quite satisfied with their cancer care doctors, and high levels of satisfaction with the cancer care doctor influenced functional well-being when confounding variables were controlled. Despite reportedly high satisfaction, Latina BCS did report barriers to satisfaction that could be considered cultural. Implications are discussed.
authors: Department of Epidemiology & Biostatistics, The University of Texas Health Science Center at San Antonio, San Antonio, Texas 78230, USA.
authors: Kimberly A
authors: KA
authors: Wildes
authors: Alexander R
authors: AR
authors: Miller
authors: Sandra San Miguel
authors: SS
authors: de Majors
authors: Pamela M
authors: PM
authors: Otto
authors: Amelie G
authors: AG
authors: Ramirez
mesh_terms: D000328:Adult; D001294:Attitude to Health / Q000208:ethnology; D001943:Breast Neoplasms / Q000208:ethnology* / Q000523:psychology*; D003430:Cross-Sectional Studies; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology / Q000706:statistics & numerical data*; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction / Q000208:ethnology*; D010817:Physician-Patient Relations; D011788:Quality of Life / Q000523:psychology*; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology*