148 research outputs found
Abstract ES5-3: Patient centered treatment summaries and survivorship care plans: enhancing clinical and linguistic responsiveness
No full textAbstract CN03-02: The inclusion of advocates in identifying and addressing provocative topics in cancer disparities and equity research
No full textAbstract IA06: Leveraging the NIH CHE P30 supplement as a platform to stimulate a cancer center strategic plan for addressing community cancer needs and enhancing health equity
No full text
The Recruitment of Breast Cancer Survivors Into Cancer Control Studies: A Focus on African-American Women
No full textHealth Behavior Change Models and Their Socio-Cultural Relevance for Breast Cancer Screening in African American Women
No full textAbstract 4000: Development of a patient navigation training program for the Caribbean context
No full textGynecol Oncol
No full textObjectiveThe number of Chinese-American breast cancer survivors (BCS) is increasing as a result of increasing incidence rates. There has been little research on Chinese BCS\u2019 follow-up cancer care. This qualitative study aims to understand how Chinese-American BCS experience and cope with physical distress relative to non-Hispanic White (NHW) survivors.MethodsSeventy-one BCS (37 Chinese immigrant, 7 US-born Chinese, 27 NHW) were recruited from the Greater Bay Area Cancer Registry to participate in focus group discussions or one-on-one interviews about their survivorship experiences. All BCS were diagnosed with breast cancer at stage 0-IIA between 2006-2009, and had survived for 1-4 years without recurrence. Interviews were conducted in Cantonese, Mandarin, or English. Data analyses followed established qualitative methods of content analysis.ResultsBCS experienced pain and side effects from radiation, surgery, and hormonal therapy. Physical distress subsequently caused emotional concerns about recurrence or metastasis. Most BCS consulted physicians about their physical distress. Chinese immigrant BCS were less likely to have their issues resolved compared to NHW and US-born Chinese who were more likely to question physicians, ask for referrals, and make repeat attempts if their problems were not resolved. Some Chinese immigrant BCS turned to Traditional Chinese Medicine for relief or accepted the idea that physical distress was part of survivorship.ConclusionChinese immigrant BCS may be at risk for greater distress compared with US-born Chinese and NHW BCS because of cultural norms that make them less inclined to express their needs to physicians or challenge physicians when their needs are not met. Furthermore, they may express symptoms in culturally unique ways (e.g., hot-cold imbalances). Further research is needed to determine how to best improve survivorship care experiences in this understudied population, with the goal of decreasing BCS\u2019 physical distress and improving quality of life.HHSN261201000140C/CA/NCI NIH HHSUnited States/HHSN261201000035C/CA/NCI NIH HHSUnited States/U58 DP000807/DP/NCCDPHP CDC HHSUnited States/1U58 DP000807-01/DP/NCCDPHP CDC HHSUnited States/R21 CA139408/CA/NCI NIH HHSUnited States/HHSN261201000035I/CA/NCI NIH HHSUnited States/HHSN261201000034C/CA/NCI NIH HHSUnited States/HHSN261201000040C/CA/NCI NIH HHSUnited States/HHSN261201000040I/CA/NCI NIH HHSUnited States/R21 CA139408-01/CA/NCI NIH HHSUnited States
Abstract A47: Evaluating therapeutic care delay among Latina and European American cervical cancer survivors.
No full textTwenty-first century cancer patterns in small island nations: Grenada and the English-speaking Caribbean
No full textGrenada is a small island nation of 105,000 in the Caribbean with one single general hospital and pathology laboratory. This study assesses cancer incidence on the island based on existing pathology reports, and compares the cancer mortality burden between Grenada and other Caribbean nations.Age-adjusted overall and site-specific cancer “incidence” rates (based on pathology reports) and mortality rates were calculated and compared for 2000–2009. Next, mortality rates for a more recent period, 2007–2013, were calculated for Grenada and a pool of English-speaking, majority African-ancestry Caribbean island nations. Lastly, for direct mortality comparisons by cancer site, mortality rate ratios were computed using negative binomial regression modeling.The pathology reports alone do not suffice to calculate national incidence rates but cancer mortality rates are rapidly increasing in Grenada. The leading causes of cancer mortality were prostate and lung cancers among men, and breast and cervical cancers among women. Overall cancer mortality is significantly higher for both male and female Grenadians than their Caribbean counterparts: RR 1.43 (95% CI 1.32–1.55) and RR 1.26 (95% CI 1.15–1.38), respectively. High prostate and non-Hodgkin’s lymphoma rates are concerning.Given the small existing cancer infrastructure, excessive mortality in Grenada compared to its neighbors may be disproportionately more attributable to low survival than a high cancer risk. Global solutions will be required to meet the cancer control needs of geographically isolated small nations such as Grenada
- …
