Perceived discrimination and ethnic identity among breast cancer survivors

Maureen Campesino, Delia S. Saenz, Myunghan Choi, Robert S Krouse

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Purpose/Objectives: To examine ethnic identity and socio-demographic factors in minority patients' perceptions of healthcare discrimination in breast cancer care. Design: Mixed methods. Setting: Participants' homes in the metropolitan areas of Phoenix and Tucson, AZ. Sample: 39 women treated for breast cancer in the past six years: 15 monolingual Spanish-speaking Latinas, 15 English-speaking Latinas, and 9 African Americans. Methods: Two questionnaires were administered. Individual interviews with participants were conducted by nurse researchers. Quantitative, qualitative, and matrix analytic methods were used. Main Research Variables: Ethnic identity and perceptions of discrimination. Findings: Eighteen women (46%) believed race and spoken language affected the quality of health care. Perceived disrespect from providers was attributed to participant's skin color, income level, citizenship status, and ability to speak English. Discrimination was more likely to be described in a primary care context, rather than cancer care. Ethnic identity and early-stage breast cancer diagnosis were the only study variables significantly associated with perceived healthcare discrimination. Conclusions: This article describes the first investigation examining ethnic identity and perceived discrimination in cancer care delivery. Replication of this study with larger samples is needed to better understand the role of ethnic identity and cancer stage in perceptions of cancer care delivery. Implications for Nursing: Identification of ethnic-specific factors that influence patient's perspectives and healthcare needs will facilitate development of more effective strategies for the delivery of cross-cultural patient-centered cancer care.

Original languageEnglish (US)
JournalOncology Nursing Forum
Volume39
Issue number2
DOIs
StatePublished - Mar 2012

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Survivors
Breast Neoplasms
Neoplasms
Delivery of Health Care
Hispanic Americans
Skin Pigmentation
Patient-Centered Care
Aptitude
Quality of Health Care
African Americans
Primary Health Care
Nursing
Language
Nurses
Research Personnel
Demography
Interviews
Research

ASJC Scopus subject areas

  • Oncology(nursing)

Cite this

Perceived discrimination and ethnic identity among breast cancer survivors. / Campesino, Maureen; Saenz, Delia S.; Choi, Myunghan; Krouse, Robert S.

In: Oncology Nursing Forum, Vol. 39, No. 2, 03.2012.

Research output: Contribution to journalArticle

Campesino, Maureen ; Saenz, Delia S. ; Choi, Myunghan ; Krouse, Robert S. / Perceived discrimination and ethnic identity among breast cancer survivors. In: Oncology Nursing Forum. 2012 ; Vol. 39, No. 2.
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