260760 Perceived risk factors of depression among Latina breast cancer survivors

Wednesday, October 31, 2012 : 11:10 AM - 11:30 AM

Claudia X. Aguado Loi, PhD, MPH , Department of Community and Family Health, University of South Florida, Tampa, FL
Pamela C. Guevara, MPH , Department of Community and Family Health, College of Public Health, University of South Florida, Tampa, FL
Dinorah Martinez Tyson, PhD, MPH, MA , Department of Child and Family Studies, University of South Florida, Tampa, FL
Women with breast cancer commonly, between 27%-33%, experience depression. However, this condition often goes under-recognized and under-treated, especially in ethnic minorities. If left untreated, co-occurring depression can complicate cancer treatment, lead to poor treatment adherence, lead to impaired functioning and increased physical symptoms, and has been shown to increase mortality rate by 25% to 27%. The need for public health efforts to prevent premature death is obvious. A theory-driven parallel mixed-methods (quantitative and qualitative) approach was used to identify potential risk factors of depression within an ecological framework. The purpose of the qualitative phase, focus of this presentation, was to contextualize the perceived psychosocial, cultural, and cancer prognostic/treatment-related risk factors of depression among Latinas diagnosed with breast cancer within the last 5 years. Women with a cancer reoccurrence or terminal cancer were excluded. Ninety participants completed a semi-structured phone interview. Participants were recruited through Latino cancer support groups and other community organizations in West Central Florida. Content and thematic analyses were performed. Salient themes related to risk factors for depression include (1) intrapersonal factors - acceptance of illness, lack of faith and access to health care among other structural barriers, and body-image, (2) interpersonal factors - disclosure of illness to family and others, lack of trust in doctors and family support to include relationship changes with partner (i.e., divorce), and (3) community factors - negative advertisement and informational resources, stigma, and lack of access to health care in Spanish. Participants provided recommendations for culturally-appropriate interventions to prevent or reduce depression.

Learning Areas:
Advocacy for health and health education
Chronic disease management and prevention
Diversity and culture
Social and behavioral sciences

Learning Objectives:
At the end of the session, participants will be able to: 1. Identify the perceived risk and protective factors for depression among Latinas diagnosed with breast cancer. 2. Discuss culturally-appropriate interventions to prevent and reduce depression. 3. Discuss methods for capturing Latina breast cancer survivorsí perceptions and lived experience.

Keywords: Breast Cancer, Depression

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the principal investigator for this study. This study was conducted independently as part of my dissertation. My masters training is in Epidemiology and my Ph.D. is in Health Education and Behavioral Health. My interest is in chronic disease and mental health disparities, especially among Latinos.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.