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Additionally, despite evidence of increased vulnerability of marginalized populations to negative outcomes, few studies have examined the unique experience of gay men coping with the cancer process. The goals of this study were to determine whether disease-related self-efficacy http://www.selleckchem.com/products/Rapamycin.html and satisfaction with medical care mediated the relationship between greater physical symptoms and worse fear of recurrence among gay or bisexual prostate cancer survivors. Participants were composed of 92 self-identified gay or bisexual men, who had received a diagnosis of prostate cancer in the past 4?years. Participants provided demographic information and completed self-report questionnaires that assessed symptom function, self-efficacy for prostate http://www.selleck.cn/products/AP24534.html cancer symptoms, satisfaction with healthcare, and fear of recurrence. Bootstrapping procedures were used to assess for significant mediation. Results suggested significant mediation of the relationship between each of bowel, hormonal, and sexual function with fear of recurrence by self-efficacy and satisfaction with healthcare. Mediation was not significantly supported for the association between urinary function and fear of recurrence. Findings support the explanatory effects of self-efficacy for symptom management and satisfaction with healthcare on the relationship between symptom function and fear of recurrence. These results indicate that psychological processes, specifically psychological factors that hold particular relevance to gay or bisexual men, reflect a potential avenue for intervention to decrease fear of cancer recurrence. Copyright ? 2014 John Wiley & Sons, Ltd. ""Objective: We sought to identify the role of acculturation in the life satisfaction of Hispanic cancer survivors. Methods: We compared life satisfaction among the high- vs low-acculturated Hispanics who http://www.selleckchem.com/products/jq1.html participated in a national, cross-sectional study of quality of life among cancer survivors. Results: Despite fewer socio-economic resources, low-acculturated Hispanic survivors had higher life satisfaction (Beta=5.08, p