Exploring Differences in Perceived Satisfaction, Resilience, and Achievement Between Hispanic and Non-Hispanic White Childhood Cancer Survivors.
Paula Rosales, Lorraine Evangelista, Yuqing Guo and 3 others
PMID 33516620WHAT IT FOUND
Hispanic childhood cancer survivors reported lower resilience and achievement than non-Hispanic White survivors, while satisfaction did not differ.
The study did not test causes or whether support improves these outcomes.
Key findings
01Hispanic survivors reported lower resilience and achievement than non-Hispanic White survivors, while satisfaction scores did not differ.
02Hispanic survivors were more likely to live below the poverty line and to have a leukemia diagnosis than non-Hispanic White survivors.
03Achievement was positively associated with years of schooling, and resilience was positively associated with satisfaction and achievement.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
The design was cross-sectional, so it could not show whether cancer, resources, or ethnicity caused the differences. All outcomes were self-reported by survivors, and no parent or objective record outcomes were used. Participants came from one hospital survivorship program, and the average age was 19.0 years, so results may not apply to younger or older survivors or other settings. Of 156 enrolled, 116 completed the survey, so the findings may reflect more engaged participants. The achievement domain had a Cronbach alpha of 0.65 overall and 0.54 among Hispanic participants, so it may not have measured achievement well in those groups.
Declared interests
One author received the Eugene Cota-Robles Fellowship, and another author is a speaker for Covidien, Edwards Lifesciences, and Huron Consulting. The remaining authors declared no conflicts.
The easy way to misread this
Do not read the lower resilience and achievement scores as proof that Hispanic survivors are less resilient or that any intervention will improve them. The study measured self-reported scores at one time point, did not test causes, and the achievement scale had a Cronbach alpha of 0.54 among Hispanic participants, so that domain may not have been measured well.