Is family functioning and communication associated with health-related quality of life for Chinese- and Korean-American breast cancer survivors?
Identifieur interne : 003923 ( Pmc/Curation ); précédent : 003922; suivant : 003924Is family functioning and communication associated with health-related quality of life for Chinese- and Korean-American breast cancer survivors?
Auteurs : Jung-Won Lim ; Kimlin T. Ashing-GiwaSource :
- Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation [ 0962-9343 ] ; 2012.
Abstract
This study aims to investigate direct and indirect pathways of family flexibility, social support, and family communication on health-related quality of life (HRQOL) for Chinese- and Korean-American breast cancer survivors (BCS).
A total of 157 Chinese (
Structural equation modeling demonstrated that (1) family communication was directly associated with HRQOL for both groups; (2) family flexibility was indirectly associated with HRQOL through family communication for Korean-Americans only; (3) social support mediated the relationship between family flexibility and family communication for Chinese-Americans only; and (4) acculturation was directly related to social support for both groups. Multigroup analysis demonstrated that the structural paths were equivalent between Chinese- and Korean-American BCS, although statistical differences in baseline parameters were noted.
Our findings suggest that family communication impacts HRQOL among Asian-American BCS. Our results show that while there are commonalities in family characteristics among Asian-Americans, specific ethnic variations also exist. Therefore, specific cultural and familial contexts should be assessed to better inform interventions to enhance family communication strategies and improve HRQOL.
Url:
DOI: 10.1007/s11136-012-0247-y
PubMed: 22875219
PubMed Central: 3578976
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Is family functioning and communication associated with health-related quality of life for Chinese- and Korean-American breast cancer survivors?</title><author><name sortKey="Lim, Jung Won" sort="Lim, Jung Won" uniqKey="Lim J" first="Jung-Won" last="Lim">Jung-Won Lim</name></author><author><name sortKey="Ashing Giwa, Kimlin T" sort="Ashing Giwa, Kimlin T" uniqKey="Ashing Giwa K" first="Kimlin T." last="Ashing-Giwa">Kimlin T. Ashing-Giwa</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22875219</idno><idno type="pmc">3578976</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3578976</idno><idno type="RBID">PMC:3578976</idno><idno type="doi">10.1007/s11136-012-0247-y</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">003924</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003924</idno><idno type="wicri:Area/Pmc/Curation">003923</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">003923</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Is family functioning and communication associated with health-related quality of life for Chinese- and Korean-American breast cancer survivors?</title><author><name sortKey="Lim, Jung Won" sort="Lim, Jung Won" uniqKey="Lim J" first="Jung-Won" last="Lim">Jung-Won Lim</name></author><author><name sortKey="Ashing Giwa, Kimlin T" sort="Ashing Giwa, Kimlin T" uniqKey="Ashing Giwa K" first="Kimlin T." last="Ashing-Giwa">Kimlin T. Ashing-Giwa</name></author></analytic><series><title level="j">Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation</title><idno type="ISSN">0962-9343</idno><idno type="eISSN">1573-2649</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Purpose</title><p id="P1">This study aims to investigate direct and indirect pathways of family flexibility, social support, and family communication on health-related quality of life (HRQOL) for Chinese- and Korean-American breast cancer survivors (BCS).</p></sec><sec id="S2"><title>Methods</title><p id="P2">A total of 157 Chinese (<italic>n</italic> = 86)- and Korean-American (<italic>n</italic> = 71) BCS were recruited from the California Cancer Surveillance Program and area hospitals in Los Angeles County. The present study was guided by the Resiliency Model of Family Stress, Adjustment, and Adaptation.</p></sec><sec id="S3"><title>Results</title><p id="P3">Structural equation modeling demonstrated that (1) family communication was directly associated with HRQOL for both groups; (2) family flexibility was indirectly associated with HRQOL through family communication for Korean-Americans only; (3) social support mediated the relationship between family flexibility and family communication for Chinese-Americans only; and (4) acculturation was directly related to social support for both groups. Multigroup analysis demonstrated that the structural paths were equivalent between Chinese- and Korean-American BCS, although statistical differences in baseline parameters were noted.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Our findings suggest that family communication impacts HRQOL among Asian-American BCS. Our results show that while there are commonalities in family characteristics among Asian-Americans, specific ethnic variations also exist. Therefore, specific cultural and familial contexts should be assessed to better inform interventions to enhance family communication strategies and improve HRQOL.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9210257</journal-id><journal-id journal-id-type="pubmed-jr-id">2385</journal-id><journal-id journal-id-type="nlm-ta">Qual Life Res</journal-id><journal-id journal-id-type="iso-abbrev">Qual Life Res</journal-id><journal-title-group><journal-title>Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation</journal-title></journal-title-group><issn pub-type="ppub">0962-9343</issn><issn pub-type="epub">1573-2649</issn></journal-meta><article-meta><article-id pub-id-type="pmid">22875219</article-id><article-id pub-id-type="pmc">3578976</article-id><article-id pub-id-type="doi">10.1007/s11136-012-0247-y</article-id><article-id pub-id-type="manuscript">NIHMS399661</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Is family functioning and communication associated with health-related quality of life for Chinese- and Korean-American breast cancer survivors?</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Lim</surname><given-names>Jung-won</given-names></name><aff id="A1">Mandel School of Applied Social Sciences, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106, USA</aff></contrib><contrib contrib-type="author"><name><surname>Ashing-Giwa</surname><given-names>Kimlin T.</given-names></name><aff id="A2">Department of Population Sciences, Center of Community Alliance for Research and Education (CCARE), City of Hope National Medical Center, 1500 East Duarte Road, Duarte, CA 91010, USA<email>kashing@coh.org</email></aff></contrib></contrib-group><author-notes><corresp id="CR1"><email>jung-won.lim@case.edu</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>23</day><month>8</month><year>2012</year></pub-date><pub-date pub-type="epub"><day>09</day><month>8</month><year>2012</year></pub-date><pub-date pub-type="ppub"><month>8</month><year>2013</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>8</month><year>2014</year></pub-date><volume>22</volume><issue>6</issue><fpage>1319</fpage><lpage>1329</lpage><permissions><copyright-statement>© Springer Science+Business Media B.V. 2012</copyright-statement><copyright-year>2012</copyright-year></permissions><abstract><sec id="S1"><title>Purpose</title><p id="P1">This study aims to investigate direct and indirect pathways of family flexibility, social support, and family communication on health-related quality of life (HRQOL) for Chinese- and Korean-American breast cancer survivors (BCS).</p></sec><sec id="S2"><title>Methods</title><p id="P2">A total of 157 Chinese (<italic>n</italic> = 86)- and Korean-American (<italic>n</italic> = 71) BCS were recruited from the California Cancer Surveillance Program and area hospitals in Los Angeles County. The present study was guided by the Resiliency Model of Family Stress, Adjustment, and Adaptation.</p></sec><sec id="S3"><title>Results</title><p id="P3">Structural equation modeling demonstrated that (1) family communication was directly associated with HRQOL for both groups; (2) family flexibility was indirectly associated with HRQOL through family communication for Korean-Americans only; (3) social support mediated the relationship between family flexibility and family communication for Chinese-Americans only; and (4) acculturation was directly related to social support for both groups. Multigroup analysis demonstrated that the structural paths were equivalent between Chinese- and Korean-American BCS, although statistical differences in baseline parameters were noted.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Our findings suggest that family communication impacts HRQOL among Asian-American BCS. Our results show that while there are commonalities in family characteristics among Asian-Americans, specific ethnic variations also exist. Therefore, specific cultural and familial contexts should be assessed to better inform interventions to enhance family communication strategies and improve HRQOL.</p></sec></abstract><kwd-group><kwd>Asian-Americans</kwd><kwd>Breast cancer survivors</kwd><kwd>Family communication</kwd><kwd>Family functioning</kwd><kwd>Health-related quality of life</kwd></kwd-group><funding-group><award-group><funding-source country="United States">National Cancer Institute : NCI</funding-source><award-id>R03 CA139941 || CA</award-id></award-group></funding-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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