title: Coping resources and self-rated health among Latina breast cancer survivors.
abstract: OBJECTIVE
  To examine relationships between coping resources and self-rated health among Latina breast cancer survivors.
  
  
  METHODS
  Cross-sectional telephone survey.
  
  
  METHODS
  Four northern California counties.
  
  
  METHODS
  330 Latina breast cancer survivors within one to five years of diagnosis.
  
  
  METHODS
  Telephone survey conducted by bilingual and bicultural interviewers.
  
  
  METHODS
  Predictors were sociodemographic and clinical factors, cancer self-efficacy, spirituality, and social support from family, friends, and oncologists. Outcomes were functional limitations and self-rated health.
  
  
  RESULTS
  Twenty-two percent of women reported functional limitations (n = 73) and 27% reported poor or fair self-rated health (n = 89). Unemployment (adjusted odds ratio [AOR] = 7.06; 95% confidence interval [CI] [2.04, 24.46]), mastectomy (AOR = 2.67; 95% CI [1.06, 6.77]), and comorbidity (AOR = 4.09; 95% CI [1.69, 9.89]) were associated with higher risk of functional limitations; cancer self-efficacy had a protective effect (AOR = 0.4, 95% CI [0.18, 0.9]). Comorbidity was associated with higher risk of poor or fair self-rated health (AOR = 4.95; 95% CI [2.13, 11.47]); cancer self-efficacy had a protective effect (AOR = 0.3; 95% CI [0.13, 0.66]).
  
  
  CONCLUSIONS
  Comorbidities place Latina breast cancer survivors at increased risk for poor health. Cancer self-efficacy deserves more attention as a potentially modifiable protective factor.
  
  
  CONCLUSIONS
  Nurses need to assess the impact of comorbidity on functioning and can reinforce patients' sense of control over cancer and clinician support.
authors.affiliation: Medical Effectiveness Research Center for Diverse Populations, Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, USA. anapoles@ucsf.edu
authors.forename: Anna M
authors.initials: AM
authors.lastname: Nápoles
authors.forename: Carmen
authors.initials: C
authors.lastname: Ortíz
authors.forename: Helen
authors.initials: H
authors.lastname: O'Brien
authors.forename: Andrea B
authors.initials: AB
authors.lastname: Sereno
authors.forename: Celia P
authors.initials: CP
authors.lastname: Kaplan
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000523:psychology*; D002140:California; D003430:Cross-Sectional Studies; D059026:Diagnostic Self Evaluation; D005260:Female; D006304:Health Status; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008875:Middle Aged; D012069:Religion and Psychology; D020377:Self Efficacy; D012944:Social Support; D017741:Survivors / Q000523:psychology*