Cancer and Communication in the Health Care Setting: Experiences of Older Vietnamese Immigrants, A Qualitative Study

Nguyêñ, Giang T.; Barg, Frances K.; Armstrong, Katrina; Holmes, John H.; Hornik, Robert

doi:10.1007/s11606-007-0455-2

Cited by 45 publications

(56 citation statements)

References 13 publications

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“…19 Discussion of screening for CRC is complicated and time consuming, and may be omitted or abbreviated when there are language barriers. 22 A recent study showed that patients who spoke Spanish at home were less likely to receive CRC screening compared to patients who spoke English at home, even after controlling for English proficiency and patient characteristics.…”

Section: Objectivementioning

confidence: 99%

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Patient-Provider Language Concordance and Colorectal Cancer Screening

et al. 2010

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BACKGROUND AND OBJECTIVE: Patient-provider language barriers may play a role in health-care disparities, including obtaining colorectal cancer (CRC) screening. Professional interpreters and language-concordant providers may mitigate these disparities. DESIGN, SUBJECTS, AND MAIN MEASURES:We performed a retrospective cohort study of individuals age 50 years and older who were categorized as EnglishConcordant (spoke English at home, n=21,594); Other Language-Concordant (did not speak English at home but someone at their provider's office spoke their language, n=1,463); or Other Language-Discordant (did not speak English at home and no one at their provider's spoke their language, n=240). Multivariate logistic regression assessed the association of language concordance with colorectal cancer screening. KEY RESULTS: Compared to English speakers, nonEnglish speakers had lower use of colorectal cancer screening (30.7% vs 50.8%; OR, 0.63; 95% CI, 0.51-0.76). Compared to the English-Concordant group, the Language-Discordant group had similar screening (adjusted OR, 0.84; 95% CI, 0.58-1.21), while the Language-Concordant group had lower screening (adjusted OR, 0.57; 95% CI, 0.46-0.71). CONCLUSIONS: Rates of CRC screening are lower in individuals who do not speak English at home compared to those who do. However, the Language-Discordant cohort had similar rates to those with English concordance, while the Language-Concordant cohort had lower rates of CRC screening. This may be due to unmeasured differences among the cohorts in patient, provider, and health care system characteristics. These results suggest that providers should especially promote the importance of CRC screening to non-English speaking patients, but that language barriers do not fully account for CRC screening rate disparities in these populations.

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Section: Objectivementioning

confidence: 99%

“…18 Communication problems when discussing cancer screening are also documented with VietnameseAmericans. 19 Furthermore, there is evidence that fewer providers discuss CRC screening with non-English speaking patients 20 even when translators are available. 21 …”

Section: Introductionmentioning

confidence: 99%

Patient-Provider Language Concordance and Colorectal Cancer Screening

et al. 2010

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“…These studies suggest migrant patients are more passive during medical consultations, ask fewer questions and have less understanding of cancer and treatment than non-migrants [2,5,9,10].…”

Section: Introductionmentioning

confidence: 99%

Treatment decision making experiences of migrant cancer patients and their families in Australia

Shaw¹,

Zou²,

Butow³

2015

Patient Education and Counseling

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Objective: To explore treatment decision-making experiences of Australian migrants with cancer from Arabic, Chinese, or Greek backgrounds and their relatives.Methods: 73 patients and 18 caregivers from cancer support groups and oncology clinics participated in either a focus group (n=14) or semi-structured interview (n=21) conducted in the participant's own language. Participant treatment decision-making preferences were discussed as part of patients' overall treatment experience and a thematic analysis conducted.Results: Four main themes emerged from the data:(1) perceived role of the patient in decision-making;(2) access to information and the impact of language; (3)cultural influences (4)family involvement. The majority of participants experienced passive involvement during treatment consultations, but expressed a desire for greater involvement. Language rather than culture was a greater obstacle to active participation. Difficulty communicating effectively in English was the most significant barrier to participation in treatment decisions. To overcome language challenges, participants actively sought information from alternative sources. Conclusion and practice implications:This study provides new insights into the influence of language and culture on the treatment decision-making experiences of migrants with cancer and their families within the Australian cancer care system. To reduce health disparities doctors need to address language difficulties and be aware of cultural differences.

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“…And indeed this expectation is borne out in the extant literature. In studies on the patient's perspective, the salient finding has been that these participants adopt an inhibited, compliant attitude towards those who are charged with treating them (Fancher et al, 2010;Nguyen et al, 2007;Tran, 2009).…”

Section: Introductionmentioning

confidence: 99%