Social and Cultural Factors, Self-efficacy, and Health in Latino Cancer Caregivers

Overview

Journal Cancer Nurs

Specialties Nursing
Oncology

Date 2022 Apr 10

PMID 35398867

Authors

Megan C Thomas Hebdon

Terry A Badger

Chris Segrin

Tracy E Crane

Pamela Reed

Affiliations

Soon will be listed here.

Abstract

Background: Latino cancer caregivers are at risk of physical, mental, and emotional health issues. Sociocultural factors such as informational support, Anglo orientation, and spiritual practice may compound or protect against these risks.

Objective: The purpose of this research project was to examine self-efficacy as a mediator between sociocultural factors and health outcomes in Latino cancer caregivers.

Methods: This is a secondary analysis of baseline caregiver data from an experimental study testing two psychoeducational interventions in Latina individuals with breast cancer and their caregivers. Caregivers (N = 233) completed items assessing self-efficacy, informational support, Anglo orientation, spiritual practice, depression, and global health. Caregiver data were analyzed using hierarchical linear regression and mediation analysis.

Results: Spiritual well-being was not significantly associated with health outcomes or self-efficacy. In regression analysis, both informational support ( b = 0.32; 95% confidence interval [CI], 0.20 to 0.45; P < .001) and Anglo orientation ( b = 0.15; 95% CI, 0.11 to 2.48; P < .05) were significant predictors of global health, but informational support ( b = -0.43; 95% CI, -0.55 to -0.30; P < .001) was the only significant predictor of depression. There were indirect relationships through self-efficacy for symptom management for both informational support and Anglo orientation and health outcomes.

Conclusions: Informational support and Anglo orientation were significantly related to health outcomes directly and indirectly through self-efficacy in Latino cancer caregivers.

Implications For Practice: Informational support through the health system and community, when provided with attention to culture and Spanish language translation, can increase Latino cancer caregivers' self-efficacy to care for themselves and improve health outcomes.

Citing Articles

Strategies for recruitment and retention of diverse and underserved cancer survivor and caregiver dyads in clinical trials.

Hadeed M, Badger T, Segrin C, Robles-Morales R, Werts-Pelter S Contemp Clin Trials Commun. 2025; 44:101425.

PMID: 39881887 PMC: 11773091. DOI: 10.1016/j.conctc.2024.101425.

Experiences and Supportive Care Needs of Latinx Millennial Caregivers.

Cleary C, Dupree G, Welling A, Hernandez J, Cuevas H, Thomas M J Transcult Nurs. 2024; 35(6):415-424.

PMID: 39268620 PMC: 11531083. DOI: 10.1177/10436596241274116.

Reply to: "Psychosocial symptoms associated with spiritual well‑being in Latino patients and caregivers coping with advanced cancer".

Kajiwara K, Kako J, Kobayashi M, Etou Y, Yamashita T, Yamanaka M Support Care Cancer. 2024; 32(5):306.

PMID: 38662055 DOI: 10.1007/s00520-024-08521-3.

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