Sarah T. Hawley|Nancy K. Janz|Ann S. Hamilton|Jennifer J. Griggs|Amy K. Alderman|Mahasin S. Mujahid|Steven J. Katz
Latina patient perspectives about informed treatment decision making for breast cancer
University of Michigan–Ann Arbor|Michigan Department of Health and Human Services|University of Michigan–Ann Arbor|University of Southern California|University of Michigan–Ann Arbor|Michigan United|University of Michigan–Ann Arbor|Michigan United|Robert Wood Johnson Foundation|University of Michigan–Ann Arbor|Michigan United|VA Ann Arbor Healthcare System
evaluate latina breast cancer patient perspectives regarding informed decision making related surgical treatment decision making breast cancer2030 women nonmetastatic breast cancer diagnosed 805 506 reported los angeles metropolitan seer registries mailed survey shortly surgical treatment latina africanamerican women oversampled conducted regression four decision outcome evaluate associations raceethnicity demographic clinical factors mechanistic variables ie health literacy decision outcomesour analytic sample 877 women 245 latinaspanish speaking latinasp 205 latinaenglish speaking 24 africanamerican 266 caucasian approximately 28 women ethnic group reported surgeonbased 36 shared 36 patientbased surgery decision spanishpreferent latina women greatest odds high decision dissatisfaction regret controlling factors 55 95 ci 29 105 41 95 ci 22 80 respectively low health literacy independently associated dissatisfaction regret 56 95 ci 29 111 35 95 ci 18 71 respectively slightly attenuated associations latinasp ethnicity decision outcomesdespite similar clinical outcomes patients report different experiences treatment decision making latina women especially prefer spanish vulnerable poor breast cancer treatment decision outcomesproviders need aware role ethnicity acculturation literacy breast cancer treatment discussions