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Teaming up with the Latino Community in the Battle Against Breast Cancer

Breast cancer can be catastrophic for a woman who lacks family and social support, speaks little or no English, has limited economic means, and no health insurance. For many Latinas recently arrived in the country with limited English proficiency, or simply emotionally overwhelmed, it is extremely difficult to fight the health care system alone. In addition, due to low health literacy levels, Latinas are isolated from information. Cultural health beliefs contribute to fatalistic beliefs about the disease, leading to depression.

In 1996, to address the lack of culturally sensitive cancer support services for Latinas, a group of health professionals and survivors founded Nueva Vida. Under the sponsorship of two health institutions, the first Spanish-language support group for Latinas with breast cancer was opened.

Main Stage at the 2008 Komen National Race for the Cure: Photo by Katie Garlock

In 2000, thanks to a community-based grant from the Susan G. Komen National Race for the Cure®, Nueva Vida became the first independent consumer-led, community-based, non-profit organization supporting Latinas with breast cancer in the Washington, D.C. metropolitan area.

With the input of survivors, health professionals and researchers, Nueva Vida developed programs addressing access to care and psychosocial aspects of breast cancer survivorship, and making it possible for staff and clients to choose among support intervention options while providing navigation and case management services. All services are free of charge and co-facilitated by Latina mental heath professionals and survivors.

“We recognized the critical need for a comprehensive support model relevant to the complex needs of a mostly recently arrived immigrant community, addressing mental health and access to care,” says Larisa Caicedo, executive director of Nueva Vida.

Survivor participation in Nueva Vida has always been important to the success of the programs. Staff and survivors join the Komen National Race for the Cure every year. Photo Courtesy of Nueva Vida.

“By offering a culturally sensitive environment and empowering women to learn the U.S. system through a bilingual/bicultural team, we enhance quality of life of Latinas with breast cancer and help improve the health of this community.” A “navigator” at Nueva Vida works to find services, solve issues and fulfill the needs of these women case by case throughout their cancer continuum.

“To tell the truth, if they didn’t exist, I do not know what I would have done!!! I didn’t know what to do. They gave me information, they took the time necessary to go and discuss my case with doctors, to look after and advocate for my rights, helped me find treatment when others closed their doors to me because I didn’t have insurance, they gave me support and advice during my treatment and they accompanied me when I visited my doctor to make sure I understood what he was saying… really, Nueva Vida has been the best that has happened to me in my cancer experience.”
Laura Joya, Survivor

During support groups and stress reduction activities, women have the opportunity to share their feelings with others facing similar circumstances.

Mental health professionals are always on call for women with advanced disease or going through an emotional crisis. Nueva Vida also uses its “compañeras de apoyo” training program to train survivors as peer counselors. After an evaluation, mental health professionals match newly diagnosed women with trained counselors with similar backgrounds: same country, diagnosis and personal situation. Peer counselors and the women assigned to them are closely supervised and evaluated for progress.

“It has been very important for me to meet Ana Quijada my peer counselor. She had to go through the same, she is very human, and she is always by my side when I need her. She gives me advice and support when I am in doubt…she has been like my guardian angel…The talks, the exercises make me feel relaxed. When they told me the diagnosis, it was a very hard moment for me and in that moment NV provided me with individual therapy through a professional counselor. Before this I was very scared, I didn’t want to talk to anyone and she gave me support, confidence and has accompanied through the entire cancer process and has provided me security.”
Andrea Argueta, Survivor

Today, with contributions from two Komen grants, Nueva Vida provides access to screening and diagnostic services to over 320 Latinas, support services to 70 newly diagnosed women, referrals for 1000 plus other and education through an Information Center to encourage informed decision making.

Nueva Vida’s mission is to inform, support and empower Latinas whose lives are affected by cancer and to advocate for and facilitate timely access to state-of-the-art cancer care for all Latinas.

Kids Race: Children running in the Kids Race for the Cure. Photo by Alex Cooke

By Larisa Caicedo

 

[This article has been edited for www.latinastyle.com. For the full version, check out the July/August issue of LATINA Style.]

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