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Advance care planning among Colombian, Mexican, and Puerto Rican women with a cancer diagnosis.
- Source :
-
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer [Support Care Cancer] 2013 May; Vol. 21 (5), pp. 1233-9. Date of Electronic Publication: 2012 Nov 29. - Publication Year :
- 2013
-
Abstract
- Purpose: Limited knowledge exists pertaining to advance care planning (ACP) among Colombian, Mexican, and Puerto Rican women with a cancer diagnosis living in Central Florida, in the USA. The purpose of the study is to identify factors that facilitated the completion of ACP and decisions making patterns among the three groups of Latinas.<br />Methods: The research method used was an exploratory qualitative in-depth open-ended semi-structured interview with a grounded theoretical approach and thematic analysis. The interviews were conducted in Spanish with a purposeful sample of 45 Latinas (15 in each group) diagnosed with cancer.<br />Results: A total of ten women (22 %) in the study documented at least one form of ACP. Thirty-five women identified obstacles to accessing information regarding ACP, relating this to insurance and financial factors. Among the Colombian women, one completed a living will, health care surrogate, and power of attorney (all forms of ACP), and three just a living will. Two Puerto Rican women completed all, two a living will, and one both a living will and an enduring power of attorney. Only one Mexican woman completed a living will.<br />Conclusions: This study identifies a knowledge gap regarding ACP among Latina women with cancer diagnosis living in Central Florida, in the USA. Differences between the three groups exist as a result of migration/immigration history, family support, education, English language proficiency, income, knowledge gaps, and information ascertained by medical and health professionals. These differences contribute to their readiness, receptiveness, and willingness to engage in documenting a living will, a health care surrogate, and an enduring power of attorney for health decisions.
- Subjects :
- Adolescent
Adult
Colombia ethnology
Decision Making
Emigrants and Immigrants statistics & numerical data
Female
Florida
Health Knowledge, Attitudes, Practice
Hispanic or Latino ethnology
Humans
Interviews as Topic
Living Wills ethnology
Living Wills statistics & numerical data
Mexico ethnology
Middle Aged
Neoplasms ethnology
Proxy statistics & numerical data
Puerto Rico ethnology
Young Adult
Advance Care Planning statistics & numerical data
Hispanic or Latino statistics & numerical data
Neoplasms therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1433-7339
- Volume :
- 21
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
- Publication Type :
- Academic Journal
- Accession number :
- 23192672
- Full Text :
- https://doi.org/10.1007/s00520-012-1652-z