ARTICLE
Volume 10,Issue 7
31 December 2024
Characteristics and Influencing Factors of Self-Advocacy in Young and Middle-Aged Patients with Breast Cancer: A Latent Profile Analysis
Xinyi Wang ,
Shan Zhang ,
Shaoshun Zhang ,
Yu Bao
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1
School of Nursing, Shaanxi University of Traditional Chinese Medicine, Xianyang 712046, Shaanxi Province, China,
2
The Outpatient Department, the 950th People’s Liberation Army Hospital, Yecheng 844900, Xinjiang Province, China,
3
Department of Oncology, Shandong University Affiliated Weihai Municipal Hospital, Weihai 264299, Shandong Province, China,
4
Department of Cardiology, Second Medical Center of PLA General Hospital, Beijing 100853, China,
JCNR 2024 , 8(12), 147–158;
https://doi.org/10.26689/jcnr.v8i12.9040
© 2024 by the Authors. Licensee Whioce Publishing, Singapore. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract
Objective: To explore the potential categories and influencing factors of self-advocacy in young and middle-aged patients with breast cancer and to provide a theoretical basis for personalized intervention. Methods: From September 2023 to March 2024, 314 young and middle-aged breast cancer patients were studied. Female cancer patients were surveyed using the self-advocacy scale, social support rating scale, and chronic health literacy scale. Latent profile analysis was used to investigate the heterogeneity and influencing factors of self-advocacy. Results: Self-advocacy among young and middle-aged breast cancer patients were classified into two potential categories: low advocacy-lack of support (51.7%) and high advocacy-effective communication (48.3%). Binary logistic regression analysis indicated that educational level, per capita monthly income, social support, and health literacy were significant influencing factors of these categories (P < 0.05). Conclusion: Self-advocacy in young and middle-aged breast cancer patients demonstrates categorical heterogeneity. Identifying self-advocacy characteristics and implementing targeted intervention strategies—focused on self-efficacy and improving health literacy—can enhance self-advocacy in these patients.
References
Bray F, Laversanne M, Sung H, et al., 2024, Global Cancer Statistics 2022: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin, 74(3): 229–263. https://doi.org/10.3322/caac.21834
Song QK, Li J, Huang R, et al., 2014, Age of Diagnosis of Breast Cancer in China: Almost 10 Years Earlier than in the United States and the European Union. Asian Pac J Cancer Prev, 15(22): 10021–10025. https://doi.org/10.7314/apjcp.2014.15.22.10021
Jakobsen K, Magnus E, Lundgren S, et al., 2018, Everyday Life in Breast Cancer Survivors Experiencing Challenges: A Qualitative Study. Scand J Occup Ther, 25(4): 298–307. https://doi.org/10.1080/11038128.2017.1335777
Lu J, Pei XH, Fan YN, et al., 2022, Application of Ultrasound-Guided Thoracic Nerve Block in Patients Undergoing Modified Radical Mastectomy and Its Influence on VAS Score. Practical Cancer Journal, 37(5): 830–832.
Ahmad A, 2019, Breast Cancer Statistics: Recent Trends. Adv Exp Med Biol, 1152: 1–7. https://doi.org/10.1007/978-3-030-20301-6_1
Huang QM, Geng ZH, Wu FL, et al., 2020, Study on Symptom Group Characteristics and Predictive Indexes of Breast Cancer Patients During Chemotherapy. Chinese Journal of Nursing, 55(9): 1297–1303.
Brashers DE, Haas SM, Klingle RS, et al., 2000, Collective AIDS Activism and Individuals’ Perceived Self-Advocacy in Physician-Patient Communication. Human Communication Research, 26(3): 372–402. https://doi.org/10.1111/j.1468-2958.2000.tb00762.x
Walsh-Burke K, Marcusen C, 1999, Self-Advocacy Training for Cancer Survivors. The Cancer Survival Toolbox. Cancer Pract, 7(6): 297–301. https://doi.org/10.1046/j.1523-5394.1999.76008.x
Hoffman B, Stovall E, 2006, Survivorship Perspectives and Advocacy. J Clin Oncol, 24(32): 5154–5159. https://doi.org/10.1200/JCO.2006.06.5300
Hagan TL, Donovan HS, 2013, Self-Advocacy and Cancer: A Concept Analysis. J Adv Nurs, 69(10): 2348–2359. https://doi.org/10.1111/jan.12084
Sakraida TJ, Robinson MV, 2009, Health Literacy Self-Management by Patients with Type 2 Diabetes and Stage 3 Chronic Kidney Disease. West J Nurs Res, 31(5): 627–647. https://doi.org/10.1177/0193945909334096
Thomas TH, Bender C, Rosenzweig M, et al., 2023, Testing the Effects of the Strong Together Self-Advocacy Serious Game Among Women with Advanced Cancer: Protocol for the STRONG Randomized Clinical Trial. Contemp Clin Trials, 124: 107003. https://doi.org/10.1016/j.cct.2022.107003
Shiyanbola OO, Kaiser BL, Thomas GR, et al., 2021, Preliminary Engagement of a Patient Advisory Board of African American Community Members with Type 2 Diabetes in a Peer-Led Medication Adherence Intervention. Res Involv Engagem, 7(1): 4. https://doi.org/10.1186/s40900-020-00245-y
Plackowski EF, Bogart KR, 2023, “If Not Me, Who?”: Awareness- and Self-Advocacy-Related Experiences of Adults With Diverse Rare Disorders. Qual Health Res, 33(1–2): 63–80. https://doi.org/10.1177/10497323221135974
Hawley L, Morey C, Sevigny M, et al., 2022, Enhancing Self-Advocacy After Traumatic Brain Injury: A Randomized Controlled Trial. J Head Trauma Rehabil, 37(2): 114–124. https://doi.org/10.1097/HTR.0000000000000689
Stein Duker LI, Sleight AG, 2019, Occupational Therapy Practice in Oncology Care: Results from a Survey. Nurs Health Sci, 21(2): 164–170. https://doi.org/10.1111/nhs.12576
Ruggiano N, Whiteman K, Shtompel N, 2016, “If I Don’t Like the Way I Feel With a Certain Drug, I’ll Tell Them.”: Older Adults’ Experiences With Self-Determination and Health Self-Advocacy. J Appl Gerontol, 35(4): 401–420. https://doi.org/10.1177/0733464814527513
Gumidyala AP, Greenley RN, Plevinsky JM, et al., 2018, Moving On: Transition Readiness in Adolescents and Young Adults With IBD. Inflamm Bowel Dis, 24(3): 482–489. https://doi.org/10.1093/ibd/izx051
Wen Z, Xie J, Wang H, 2023, Principle, Procedure and Programs of Latent Class Model. Journal of East China Normal University (Educational Sciences), 41(1): 1–15.
Hagan TL, Donovan HS, 2013, Ovarian Cancer Survivors’ Experiences of Self-Advocacy: A Focus Group Study. Oncol Nurs Forum, 40(2): 140–147. https://doi.org/10.1188/13.ONF.A12-A19
Fletcher KA, Lewis FM, Haberman MR, 2010, Cancer-Related Concerns of Spouses of Women with Breast Cancer. Psychooncology, 19(10): 1094–1101. https://doi.org/10.1002/pon.1665
Kolmes SK, Boerstler KR, 2020, Is There a Gender Self-Advocacy Gap? An Empiric Investigation Into the Gender Pain Gap. J Bioeth Inq, 17(3): 383–393. https://doi.org/10.1007/s11673-020-09993-8
Novinmehr N, Hasanpour M, Salsali M, et al., 2019, Older Adults’ Self-Advocacy in Patient Safety: A Cross-Sectional Study. Br J Nurs, 28(16): 1076–1084. https://doi.org/10.12968/bjon.2019.28.16.1076
Tilley E, Strnadová I, Danker J, et al., 2020, The Impact of Self-Advocacy Organizations on the Subjective Well-Being of People with Intellectual Disabilities: A Systematic Review of the Literature. J Appl Res Intellect Disabil, 33(6): 1151–1165. https://doi.org/10.1111/jar.12752
Lee J, Jung D, Choi M, 2016, Relationship of Social Support and Decisional Conflict to Advance Directives Attitude in Korean Older Adults: A Community-Based Cross-Sectional Study. Jpn J Nurs Sci, 13(1): 29–37. https://doi.org/10.1111/jjns.12081
Zhang Y, Hua XL, Zheng FS, 2022, Research Progress of Patients’ Self-Advocacy. Evidence-Based Nursing, 8(14): 1900–1903.
Jones EC, Storksdieck M, 2019, Recent Research on the Social Network Concept and Cancer. Curr Opin Support Palliat Care, 13(3): 225–237. https://doi.org/10.1097/SPC.0000000000000442
He L, Hu L, Cui J, et al., 2023, Status and Influencing Factors of Self-Advocacy in Breast Cancer Patients with Chemotherapy. Chinese Journal of Nursing, 58(7): 788–793. https://doi.org/10.3761/j.issn.0254-1769.2023.07.003
Coleman D, Hurtado-de-Mendoza A, Montero A, et al., 2024, Stigma, Social Support, and Spirituality: Associations with Symptoms among Black, Latina, and Chinese American Cervical Cancer Survivors. J Cancer Surviv, 18(3): 710–726. https://doi.org/10.1007/s11764-022-01283-z
Luszczynska A, Durawa AB, Scholz U, et al., 2012, Empowerment Beliefs and Intention to Uptake Cervical Cancer Screening: Three Psychosocial Mediating Mechanisms. Women Health, 52(2): 162–181. https://doi.org/10.1080/03630242.2012.656187
Springer F, Sautier L, Schilling G, et al., 2023, Effect of Depression, Anxiety, and Distress Screeners on the Need, Intention, and Utilization of Psychosocial Support Services Among Cancer Patients. Support Care Cancer, 31(2): 117. https://doi.org/10.1007/s00520-023-07580-2
Xie L, Bin J, Yang XH, et al., 2021, A Cross-Sectional Study on the Status Quo and Influencing Factors of Empowerment in Patients with Postoperative Chemotherapy for Breast Cancer. Modern Clinical Care, 20(8): 1–7.
Parnell TA, Stichler JF, Barton AJ, et al., 2019, A Concept Analysis of Health Literacy. Nurs Forum, 54(3): 315–327. https://doi.org/10.1111/nuf.12331
Papadakos JK, Hasan SM, Barnsley J, et al., 2018, Health Literacy and Cancer Self-Management Behaviors: A Scoping Review. Cancer, 124(21): 4202–4210. https://doi.org/10.1002/cncr.31733
Moore L, Hayes AE, 2023, Cancer Health Literacy in Black Women With Breast Cancer: A Comprehensive Literature Review. Clin J Oncol Nurs, 27(5): 507–513. https://doi.org/10.1188/23.CJON.507-513
Clarke N, Dunne S, Coffey L, et al., 2021, Health Literacy Impacts Self-Management, Quality of Life and Fear of Recurrence in Head and Neck Cancer Survivors. J Cancer Surviv, 15(6): 855–865. https://doi.org/10.1007/s11764-020-00978-5
Gabriel I, Creedy D, Coyne E, 2021, Quality of Life and Associated Factors Among Adults Living with Cancer and Their Family Caregivers. Nurs Health Sci, 23(2): 419–429. https://doi.org/10.1111/nhs.12823
Ko E, Zúñiga ML, Peacher D, et al., 2018, Efficacy of Cancer Care Communication Between Clinicians and Latino Patients in a Rural US-Mexico Border Region: A Qualitative Study of Barriers and Facilitators to Better Communication. J Cancer Educ, 33(1): 116–127. https://doi.org/10.1007/s13187-016-1100-8
Feng L, Tan LH, Yu HD, 2021, Sinicization and Validation of Self-Advocacy Scale for Female Cancer Survivors. Nursing Research, 35(3): 377–381.
Xiao SY, 1994, The Theoretical Basis and Research Application of Social Support Rating Scale. Journal of Clinical Psychiatry, 4(2): 98–100.
Sun H, 2012, Study and Preliminary Application of Health Literacy Scale for Chronic Disease Patients, dissertation, Fudan University.
Lubke G, Muthén BO, 2007, Performance of Factor Mixture Models as a Function of Model Size, Covariate Effects, and Class-Specific Parameters. Structural Equation Modeling: A Multidisciplinary Journal, 14(1): 26–47.
Gao Y, Yuan L, Pan B, et al., 2019, Resilience and Associated Factors Among Chinese Patients Diagnosed with Oral Cancer. BMC Cancer, 19(1): 447. https://doi.org/10.1186/s12885-019-5679-0
Liang X, Chen HL, Yang XM, et al., 2023, The Influencing Factors of Self-Advocacy in Cervical Cancer Survivors and Its Correlation with Quality of Life. Nursing Research, 37(19): 3428–3434.
Wiltshire J, Cronin K, Sarto GE, et al., 2006, Self-Advocacy During the Medical Encounter: Use of Health Information and Racial/Ethnic Differences. Med Care, 44(2): 100–109. https://doi.org/10.1097/01.mlr.0000196975.52557.b7
Li S, 2022, Status Quo of Disease Communication and Self-Advocacy Between Couples of Young Female Cancer Patients. Nursing Research, 36(19): 3522–3527.
Benedict C, Fisher S, Schapira L, et al., 2022, Greater Financial Toxicity Relates to Greater Distress and Worse Quality of Life Among Breast and Gynecologic Cancer Survivors. Psychooncology, 31(1): 9–20. https://doi.org/10.1002/pon.5763
Molina Y, Scherman A, Constant TH, et al., 2016, Medical Advocacy Among African-American Women Diagnosed with Breast Cancer: From Recipient to Resource. Support Care Cancer, 24(7): 3077–3084. https://doi.org/10.1007/s00520-016-3123-4
Kroenke CH, Michael YL, Shu XO, et al., 2017, Post-Diagnosis Social Networks, and Lifestyle and Treatment Factors in the After Breast Cancer Pooling Project. Psychooncology, 26(4): 544–552. https://doi.org/10.1002/pon.4059
Zhu XC, Liu ZY, Dong ZX, et al., 2022, A Systematic Review of the Influence of Decision Participation on Quality of Chronic Disease Patients in China. Journal of Nursing Science, 37(9): 10–16.
Qiu JJ, Hu Y, Huang JL, 2010, Effect of Comprehensive Social Support on Improving the Quality of Life of Patients with Breast Cancer. Chinese Journal of Nursing, 45(1): 47–50.
Bishop SJ, Gagne C, 2018, Anxiety, Depression, and Decision Making: A Computational Perspective. Annual Review of Neuroscience, 41: 371–388. https://doi.org/10.1146/annurev-neuro-080317-062007
Thomas TH, Donovan HS, Rosenzweig MQ, et al., 2021, A Conceptual Framework of Self-advocacy in Women With Cancer. ANS Adv Nurs Sci, 44(1): E1–E13. https://doi.org/10.1097/ANS.0000000000000342
Shieh C, Halstead JA, 2009, Understanding the Impact of Health Literacy on Women’s Health. J Obstet Gynecol Neonatal Nurs, 38(5): 601–610; quiz 610–2. https://doi.org/10.1111/j.1552-6909.2009.01059.x
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