Satisfaction with treatment decision-making and treatment regret among Latinas and non-Latina whites with DCIS

PATIENT EDUCATION AND COUNSELING

卷:94

Article

Lopez, Monica E.^1,2,3  Kaplan, Celia P.^1,2,3,4  Napoles, Anna M.^1,2,3,4  Hwang, E. Shelley⁵  Livaudais, Jennifer C.¹  Karliner, Leah S.^1,2,4 

[1] Univ Calif San Francisco, Dept Med, San Francisco, CA USA

[2] Univ Calif San Francisco, Med Effectiveness Res Ctr Diverse Populat, San Francisco, CA 94143 USA

[3] Univ Calif San Francisco, Ctr Aging Diverse Communities, San Francisco, CA 94143 USA

[4] Univ Calif San Francisco, UCSF Helen Diller Family Comprehens Canc Ctr, San Francisco, CA 94143 USA

[5] Duke Univ, Dept Surg, Durham, NC 27706 USA

关键词: Decision-making;    Ductal carcinoma in situ;    Doctor-patient communication;    Language barriers;    Latina health;    Health disparities;   

DOI  :  10.1016/j.pec.2013.09.005

来源: Elsevier

【 摘 要 】

Objective: To examine differences in treatment decision-making participation, satisfaction, and regret among Latinas and non-Latina whites with DCIS. Methods: Survey of Latina and non-Latina white women diagnosed with DCIS. We assessed women's preferences for involvement in decision-making, primary treatment decision maker, and participatory decision-making. We examined primary outcomes of satisfaction with treatment decision-making and treatment regret by ethnic-language group. Results: Among 745 participants (349 Latinas, 396 white) Spanish-speaking Latinas (SSL) had the highest mean preference for involvement in decision-making score and the lowest mean participatory decision-making score and were more likely to defer their final treatment decision to their physicians than English-speaking Latinas or whites (26%, 13%, 18%, p < 0.05). SSLs reported lower satisfaction with treatment decision-making (OR 0.4; CI 95%, 0.2-0.8) and expressed more regret than whites (OR 6.2; Cl 95%, 3.0-12.4). More participatory decision-making increased the odds of satisfaction (OR 1.5; Cl 95%, 1.3-1.8) and decreased the odds of treatment regret (OR 0.8; CI 95%, 0.7-1.0), independent of ethnicity-language. Conclusion: Language barriers impede the establishment of decision-making partnerships between Latinas and their physicians, and result in less satisfaction with the decision-making process and more treatment regret. Practice implications: Use of professional interpreters may address communication-related disparities for these women. (C) 2013 Elsevier Ireland Ltd. All rights reserved.

【 授权许可】

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