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Cultural differences in medical deci...

Loma Linda University.

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Cultural differences in medical decision-making in women with stage I, II and III breast cancer.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Cultural differences in medical decision-making in women with stage I, II and III breast cancer./
作者:	Gordon, Nalda Zipporah.
面頁冊數:	217 p.
附註:	Chair: Susanne Montgomery.
Contained By:	Dissertation Abstracts International64-06B.
標題:	Health Sciences, Oncology. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3094848
ISBN:	9780496424771

Cultural differences in medical decision-making in women with stage I, II and III breast cancer.
Gordon, Nalda Zipporah.

Cultural differences in medical decision-making in women with stage I, II and III breast cancer. - 217 p.

Chair: Susanne Montgomery.

Thesis (Dr.P.H.)--Loma Linda University, 2002.

The purpose of this cross-sectional study was to investigate the amount of involvement in care, desired by women of color, and the effect post-treatment on quality of life outcomes. These outcomes include functional, social, physical and emotional well-being, as well as other concerns specific to breast cancer. In addition we assessed the effects of acculturation, health locus of control, congruence in care and religious decision making on desire for involvement in care. Many researchers indicate that in general, patients want more involvement in their care. This seems to result in an increased sense of control believed to lead to increased survival rates, better treatment outcomes and better psychological adjustment. A sample of 70 Black and Hispanic breast cancer patients were recruited from breast cancer clinics and support groups in the Inland Empire area of Southern California. Univariate and Multivariate/Correlational analyses revealed that the majority of women of color in this sample desired collaborative or joint decision making in treatment rather than passive or sole decision making. It appears that those who had congruence between desired and actual involvement had better quality of life scores. Further, women who were highly acculturated had greater desire for involvement in care. For African American women, high acculturation was also correlated with internal health locus of control. When we investigated the effect of religious problem solving style we found that highly acculturated individuals scored lower on the Collaborative and Deferring subscales and higher on Self Directing scales. The Collaborative Religious Problem Solving style is one in which individuals solve problems jointly with God. The Deferring style is one in which individuals leave the problem solving to God solely and become passive in the process. Additionally, those who had high scores on Self Direction, that is a style of problem solving that excludes God and in which the individual dominates the process, had lower quality of life scores. Interestingly, there were several differences between Blacks and Latinas when analyzed independently. Implications for Preventive Care and Clinical Psychology are discussed.

ISBN: 9780496424771Subjects--Topical Terms:

1018566
Health Sciences, Oncology.

Cultural differences in medical decision-making in women with stage I, II and III breast cancer.
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