Most women face only a small risk of breast cancer coming back after they complete their treatment. Yet a new study from the University of Michigan Comprehensive Cancer Center finds that nearly half of Latinas who speak little English expressed a great deal of worry about recurrence.
"Some worry about cancer recurrence is understandable. But for some women, these worries can be so strong that they impact their treatment decisions, symptom reporting and screening behaviors, and overall quality of life," says study author Nancy K. Janz, Ph.D., professor of health behavior and health education at the U-M School of Public Health.
The researchers found substantial variation based on racial or ethnic background, with Latinas who speak primarily Spanish expressing the most worry and African-Americans expressing the least worry. For Latinas, the researchers considered acculturation, a measure of how much a person is integrated into American society. For Latinas, a significant factor is whether they speak primarily English or Spanish.
While 46 percent of Latinas who spoke primarily Spanish reported they worry "very much" about recurrence, that number drops to 25 percent for Latinas who speak primarily English, 14 percent for white women and 13 percent for African-Americans.
On the other hand, about 29 percent of African-American women said they were not at all worried about recurrence, while only 10 percent of Latinas who spoke little English did.
Researchers from the Cancer Surveillance and Outcomes Research Team, a multidisciplinary collaboration among five centers across the country, surveyed 1,837 women in Detroit and Los Angeles who had been diagnosed with breast cancer. Results appear in the April 1 issue of Cancer.
In addition, researchers found that women who reported understanding information better, receiving more help with their symptoms and receiving more coordinated care were less likely to worry about recurrence.
Previous studies suggested women are frequently dissatisfied with the information they receive about their recurrence risk. The current study's authors highlight the need to provide better counseling about recurrence.
"The challenge is to ensure women are aware of the signs of recurrence while not increasing anxious preoccupation with excessive worry. How much women worry about recurrence is often not aligned with their actual risk for cancer recurrence," Janz says.
"We need to better understand the factors that increase the likelihood women will worry and develop strategies to help women with excessive worry. Programs to assist women must be culturally sensitive and tailored to differences in communication style, social support and coping strategies," she adds.
Breast cancer statistics: 209,060 Americans will be diagnosed with breast cancer this year and 40,230 will die from the disease, according to the American Cancer Society
Additional authors: Sarah T. Hawley, M.D., M.P.H.; Jennifer J. Griggs, M.D.; M.P.H.; Amy Alderman, M.D., M.P.H.; Reshma Jagsi, M.D., D.Phil.; and Steven J. Katz, M.D., M.P.H., all from U-M; Mahasin S. Mujahid, Ph.D., from the University of California Berkeley; Ann S. Hamilton, Ph.D., from the University of Southern California; and John J. Graff, Ph.D., from the Cancer Institute of New Jersey
Funding: National Cancer Institute
Reference: Cancer, Vol. 117, No. 7, April 1, 2011
U-M Cancer AnswerLine, 800-865-1125U-M Comprehensive Cancer Center,
Nicole Fawcett | EurekAlert!
Smart Data Transformation – Surfing the Big Wave
02.12.2016 | Fraunhofer-Institut für Angewandte Informationstechnik FIT
Climate change could outpace EPA Lake Champlain protections
18.11.2016 | University of Vermont
In recent years, lasers with ultrashort pulses (USP) down to the femtosecond range have become established on an industrial scale. They could advance some applications with the much-lauded “cold ablation” – if that meant they would then achieve more throughput. A new generation of process engineering that will address this issue in particular will be discussed at the “4th UKP Workshop – Ultrafast Laser Technology” in April 2017.
Even back in the 1990s, scientists were comparing materials processing with nanosecond, picosecond and femtosesecond pulses. The result was surprising:...
Have you ever wondered how you see the world? Vision is about photons of light, which are packets of energy, interacting with the atoms or molecules in what...
A multi-institutional research collaboration has created a novel approach for fabricating three-dimensional micro-optics through the shape-defined formation of porous silicon (PSi), with broad impacts in integrated optoelectronics, imaging, and photovoltaics.
Working with colleagues at Stanford and The Dow Chemical Company, researchers at the University of Illinois at Urbana-Champaign fabricated 3-D birefringent...
In experiments with magnetic atoms conducted at extremely low temperatures, scientists have demonstrated a unique phase of matter: The atoms form a new type of quantum liquid or quantum droplet state. These so called quantum droplets may preserve their form in absence of external confinement because of quantum effects. The joint team of experimental physicists from Innsbruck and theoretical physicists from Hannover report on their findings in the journal Physical Review X.
“Our Quantum droplets are in the gas phase but they still drop like a rock,” explains experimental physicist Francesca Ferlaino when talking about the...
The Max Planck Institute for Physics (MPP) is opening up a new research field. A workshop from November 21 - 22, 2016 will mark the start of activities for an innovative axion experiment. Axions are still only purely hypothetical particles. Their detection could solve two fundamental problems in particle physics: What dark matter consists of and why it has not yet been possible to directly observe a CP violation for the strong interaction.
The “MADMAX” project is the MPP’s commitment to axion research. Axions are so far only a theoretical prediction and are difficult to detect: on the one hand,...
16.11.2016 | Event News
01.11.2016 | Event News
14.10.2016 | Event News
07.12.2016 | Health and Medicine
07.12.2016 | Life Sciences
07.12.2016 | Health and Medicine