title: Navigating the advanced cancer experience of underserved Latinas.
abstract: OBJECTIVE
  Previous cancer research does not adequately inform us about the experiences of managing a more serious, life-threatening cancer condition, especially for underserved Latinas. This study was designed to explore the ways in which Latinas navigate through and deal with advanced cancers.
  
  
  METHODS
  A purposive sample of 24 underserved Latina women was selected from a randomized controlled trial. Data were analyzed using a phenomenological approach to explore navigation of the advanced cancer experience.
  
  
  RESULTS
  This study outlines a conceptual framework which denotes the interconnectedness of multiple factors that influence the cancer experience for Latina women. Experiences with advanced cancer were embedded within a social, cultural, and systemic framework described as 1) intrapersonal experiences; 2) interpersonal experiences; 3) provider interactions; and 4) medical system factors.
  
  
  CONCLUSIONS
  This study indicates that underserved Latinas face complex circumstances that interfere with the diagnosis and treatment of cancer. However, women expressed positive attitudes and held beliefs about survival which helped them through their experience with cancer. The implication of these findings is that Latinas have protective attitudes and beliefs that help them to overcome "tragic" circumstances. Providers need to become aware of the complexity of these issues in order to achieve competent, effective, and efficient practice in medical settings with Latinas.
authors.affiliation: VA Associated Health Postdoctoral Fellowship Program, Office of Academic Affiliations, HSR&D Center of Excellence, Veterans Affairs Greater Los Angeles Healthcare System, 11301 Wilshire Blvd., Code 111-G, Los Angeles, CA 90073, USA. nedjatha@gmail.com
authors.forename: Frances R
authors.initials: FR
authors.lastname: Nedjat-Haiem
authors.forename: Iraida V
authors.initials: IV
authors.lastname: Carrion
authors.forename: Kathleen
authors.initials: K
authors.lastname: Ell
authors.forename: Lawrence
authors.initials: L
authors.lastname: Palinkas
mesh_terms: D000328:Adult; D000368:Aged; D017281:Cost of Illness; D005260:Female; D054625:Healthcare Disparities; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology*; D010817:Physician-Patient Relations; D016032:Randomized Controlled Trials as Topic; D012944:Social Support; D035862:Vulnerable Populations / Q000523:psychology*