RESUMO
BACKGROUND: Two thirds of respondents of a recent survey, primarily self-identified urban immigrant Dominican females, indicated that cancer was the health problem they worried about the most. PURPOSE: The purpose of this qualitative study was to gain a greater understanding of the cancer worry experienced by Dominican women. DESIGN: Giorgi's descriptive existential phenomenological framework and methodology guided the study. SETTING: Washington Heights/Inwood community, New York City, New York. PARTICIPANTS: Thirty-eight urban Dominican immigrant women were included in the study. METHOD: Data were gathered using focus group interviews. All interviews were digitally recorded, transcribed verbatim from Spanish to English. The transcripts were analyzed using Giorgi's existential phenomenological data analysis process. FINDINGS: Four essences unfolded: Cancer as Destiny, Faith, Influential Relationships, and Knowledge Acquisition. CONCLUSION: New knowledge was generated on the contextual factors that influence cancer worry among a major Hispanic subgroup. Implications for nursing research and practice are described.
Assuntos
Ansiedade/psicologia , Neoplasias/psicologia , Adulto , Ansiedade/etiologia , República Dominicana/etnologia , Feminino , Grupos Focais/métodos , Humanos , Pessoa de Meia-Idade , Neoplasias/diagnóstico , Neoplasias/etnologia , Cidade de Nova Iorque , Pesquisa Qualitativa , Inquéritos e Questionários , População Urbana/estatística & dados numéricosRESUMO
There is a paucity of studies centering on the correlates of cancer worry among Hispanics from the Dominican Republic and the potential informatics strategies to address such worries. Data were analyzed using descriptive and correlational statistics, and logistic regression with the dependent variable of cancer worry. Independent variables for the regression were: age, gender, marital status, education, socioeconomic status, previous diagnosis of cancer, anxiety, depression, sleep disturbance, and chronic burden. Four variables significantly increased cancer worry: married marital status (OR = 1.19 [95% CI 1.01, 1.41]), younger age (OR = .992 [95% CI 0.987, 0.997]), less depression (OR = .96 [95% CI 0.94, 0.98]), and cancer diagnosis (OR = 2.12 [95% CI 1.24, 3.65]). New knowledge was generated on the contextual factors that influence these health concerns in a major Hispanic sub-group. Implications for practice, research and education are discussed.