title: Acculturation, inner peace, cancer self-efficacy, and self-rated health among Latina breast cancer survivors.
abstract: Cancer self-efficacy (CSE) and spiritual well-being (SWB) have been associated with better self-rated health (SRH) among breast cancer survivors (BCS), but have not been well studied among Latina BCS (LBCS). Multivariate logistic regression analyses of secondary data from a cross-sectional population-based telephone survey of 330 LBCS explored relationships of language acculturation, CSE, and SWB subdomains of inner peace and faith with SRH. English proficiency was associated with SRH, independent of other covariates (OR=2.26, 95% CI 1.15, 4.45). Cancer self-efficacy attenuated this effect and was positively associated with SRH (OR=2.24, 95% CI 1.22, 4.10). Adding inner peace (a SWB subscale) attenuated the association of CSE and SRH (OR=1.67, 95% CI 0.88, 3.18). Inner peace remained associated with SRH (OR= 2.44, 95% CI 1.30, 4.56), controlling for covariates. Findings support the importance of a sense of inner peace and control over breast cancer to LBCS’ perceived health.
authors.forename: María
authors.initials: M
authors.lastname: García-Jimenez
authors.forename: Jasmine
authors.initials: J
authors.lastname: Santoyo-Olsson
authors.forename: Carmen
authors.initials: C
authors.lastname: Ortiz
authors.forename: Maureen
authors.initials: M
authors.lastname: Lahiff
authors.forename: Karen
authors.initials: K
authors.lastname: Sokal-Gutierrez
authors.forename: Anna Mar
authors.initials: AM
authors.lastname: Nápoles
mesh_terms: D000069:Acculturation; D001943:Breast Neoplasms / Q000523:psychology*; D000066498:Emotional Adjustment; D005260:Female; D006304:Health Status; D006801:Humans; D008875:Middle Aged; D020377:Self Efficacy; D017741:Survivors / Q000523:psychology*