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![1 Projected Latino cancer cases and deaths, 2016-2060 [14, 15]](publication/365391442/figure/fig5/AS:11431281097381398@1668569106690/Projected-Latino-cancer-cases-and-deaths-2016-2060-14-15.png)
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![Fig. 10.1 Projected Latino cancer cases and deaths, 2016-2060 [14, 15]](publication/365391442/figure/fig5/AS:11431281097381398@1668569106690/Projected-Latino-cancer-cases-and-deaths-2016-2060-14-15_Q320.jpg)
Breast cancer is the leading cause of death among Hispanic women. The number of Hispanic breast cancer survivors is increasing because the US Hispanic population is fast-growing and breast cancer survival is improving. However, this vulnerable population has received little attention. Obesity and weight gain affect Hispanic and African American/Bla...
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Background
Endocrine treatment (ET) is a highly effective breast cancer treatment but can distinctly impair breast cancer patients’ quality of life (QOL). In a patient-reported outcome (PROs) study conducted by the authors in 2011, patients reported higher ET-induced symptom levels than known from the registration trials, and was underestimated. Ba...
Citations
... Racial and ethnic minoritized populations with cancer are at higher risk of COVID-19 infection, hospitalizations, and more adverse outcomes, compared to their White counterparts [1]. Black and Hispanic BC survivors in the United States (US) experience higher prevalence of obesity [2,3] and comorbidities [3][4][5], which, along with the burden of side effects from BC treatment, have been associated with poorer health-related quality of life (HRQoL) [6], sleep disturbance [7], and higher levels of stress [6][7][8][9]. Moreover, these comorbidities and lifestyle factors have also been identified as important risk factors for increased COVID-19 burden [4,10] and compound the physical and psychosocial challenges accompanying BC diagnosis and treatment. ...
... We used data from the Women's Circle of Health Follow-Up Study (WCHFS) [22] and the New Jersey BC Survivors Study (NJBCS) [9,23], two population-based prospective studies of Black and Hispanic BC survivors in New Jersey. In brief, WCHFS is a longitudinal cohort study of Black BC survivors identified by the New Jersey State Cancer Registry using rapid case ascertainment at 10 counties within the state. ...
... The NJBCS, initiated in May 2019, followed a generally similar methodology to that used in the WCHFS [9,23]. Differences from the WCHFS include six target counties in NJ instead of 10 and only one home visit for data collection approximately 12-24 months after diagnosis, mainly due to budget constraints. ...
Purpose
The impact of the COVID-19 pandemic restrictions in the US since March 2020 on cancer survivorship among Black and Hispanic breast cancer (BC) survivors remains largely unknown. We aimed to evaluate associations of the pandemic with participant characteristics, patient-reported outcomes (PROs), and lifestyle factors among Black and Hispanic BC survivors in the Women’s Circle of Health Follow-Up Study and the New Jersey BC Survivors Study.
Methods
We included 447 Black (npre = 364 and npost = 83) and 182 Hispanic (npre = 102 and npost = 80) BC survivors who completed a home interview approximately 24 months post-diagnosis between 2017 and 2023. The onset of the pandemic was defined as March 2020. The association of the pandemic with binary outcomes was estimated using robust Poisson regression models.
Results
Hispanic and Black BC survivors recruited after the onset of the pandemic reported higher socioeconomic status and fewer comorbidities. Black women in the post-pandemic group reported a higher prevalence of clinically significant sleep disturbance (prevalence ratio (PR) 1.43, 95% CI 1.23, 1.68), lower sleep efficiency, and lower functional well-being, compared to the pre-pandemic group. Hispanic women were less likely to report low health-related quality of life (vs. high; PR 0.62, 95% CI 0.45, 0.85) after the onset of the pandemic.
Conclusions
Ongoing research is crucial to untangle the impact of the pandemic on racial and ethnic minorities participating in cancer survivorship research, as well as PROs and lifestyle factors.
Implications for Cancer Survivors
This study highlights the importance of considering the impact of the pandemic in all aspects of research, including the interpretation of findings.
... Regarding specific risk factors for cardiovascular disease, Hispanic and Latina breast cancer survivors have higher rates of obesity compared with non-Latina/Hispanic White women [22,23]. Particularly, visceral obesity is highly prevalent with data showing approximately a 75% prevalence of central obesity in Hispanic population versus 58% in non-Hispanic White [24]. ...
Purpose of Review
This review aims to access the current state of the evidence in exercise as medicine for cardio-oncology in Hispanic and Latina breast cancer survivors and to provide our preliminary data on the effects of supervised aerobic and resistance training on cardiovascular disease (CVD) risk in this population.
Recent Findings
Breast cancer survivors have a higher risk of CVD; particularly Hispanic and Latina breast cancer survivors have a higher burden than their White counterparts. Exercise has been shown to reduce CVD risk in breast cancer survivors; however, evidence in Hispanic and Latina breast cancer survivors is scarce.
Summary
Our review highlights a clear need for exercise oncology clinical trials in Hispanic and Latina breast cancer survivors targeting CVD risk factors. Moreover, our exploratory results highlight that 16 weeks of aerobic and resistance training may reduce the 10-year risk of developing CVD by 15% in Hispanic and Latina breast cancer survivors.
... Participants were drawn from the population-based New Jersey Hispanic Breast Cancer Survivors Study, described in detail elsewhere [19]. In brief, participants were identified through rapid case ascertainment by the New Jersey State Cancer Registry in six counties in New Jersey. ...
Objective
Cancer survivors often incur significant out-of-pocket costs; this can result in financial toxicity, defined as the adverse financial impact of cancer due to direct or indirect costs related to the disease. There has been little research on whether spirituality is associated with the experience of financial toxicity. In this study, we tested the hypothesis that spirituality would be inversely associated with financial toxicity.
Methods
We evaluated these associations in a cross-sectional study of Hispanic breast cancer survivors (n = 102) identified through the New Jersey State Cancer Registry. Participants completed the FACIT-Sp-12, which has two spirituality subscales (meaning/peace; faith). Financial toxicity was assessed using the 11-item COST measure; lower scores suggest worse toxicity. In multivariable linear regression analyses, we examined the associations between spirituality scores and financial toxicity, adjusting for age, race, education, household income, and insurance status.
Results
The spirituality total score (β = 0.49, 95% confidence interval (CI): 0.17, 0.8), meaning/peace subscale score (β = 0.71, 95% CI: 0.12, 1.31), and faith (β = 0.71, 95% CI: 0.2, 1.21) subscale score were all inversely associated with financial toxicity.
Conclusions
Spirituality may be an important factor in ameliorating the detrimental effects of financial toxicity among Hispanic breast cancer survivors and should be considered in interventions for financial toxicity in this population.
