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The Impact of Ethnicity, Language, and Anxiety on Quality of Life in Children with Cancer

Author

Listed:
  • Aditi Wahi

    (University of California-Irvine)

  • Michael Phelan

    (University of California-Irvine)

  • Sandra Sherman-Bien

    (Miller Children’s Hospital)

  • Leonard S. Sender

    (University of California-Irvine)

  • Michelle A. Fortier

    (University of California-Irvine
    University of California-Irvine
    CHOC Children’s Hospital)

Abstract

Undergoing cancer treatment significantly impacts quality of life (QOL). This study evaluated the role of anxiety, ethnicity, and language on QOL in children with a cancer diagnosis. Participants included 156 parent–child dyads in 3 groups: English-speaking Hispanic, Spanish-speaking Hispanic, and English-speaking non-Hispanic White. Parents completed measures of self-reported anxiety and their children’s perceived QOL. Children completed self-reported measures of anxiety and QOL. Families in which parents primarily spoke English reported higher parent-reported generic-module QOL (p = 0.0062), higher parent-reported cancer-specific QOL (p = 0.004), lower parent trait anxiety (p = 0.0005)), and lower child trait anxiety (p = 0.013), compared to families in which parents primarily spoke Spanish. Regression analyses were strongly supportive of a mediational role of parent trait anxiety in the association of ethnicity/language and parent-reported QOL. The results of this study suggest that children of Spanish-speaking parents may be at greater risk of decreased quality of life, as a function of increased parental anxiety.

Suggested Citation

  • Aditi Wahi & Michael Phelan & Sandra Sherman-Bien & Leonard S. Sender & Michelle A. Fortier, 2016. "The Impact of Ethnicity, Language, and Anxiety on Quality of Life in Children with Cancer," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 11(3), pages 817-836, September.
  • Handle: RePEc:spr:ariqol:v:11:y:2016:i:3:d:10.1007_s11482-015-9399-6
    DOI: 10.1007/s11482-015-9399-6
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    1. Victor R. Fuchs, 2018. "Reflections on the Socio-Economic Correlates of Health," World Scientific Book Chapters, in: Health Economics and Policy Selected Writings by Victor Fuchs, chapter 10, pages 115-124, World Scientific Publishing Co. Pte. Ltd..
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