1998
DOI: 10.1046/j.1523-5394.1998.006003153.x
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Cross‐Cultural Issues in the Disclosure of Cancer

Abstract: Developing an awareness about cross-cultural practices regarding cancer disclosure issues allows the clinician to become more sensitive to the expectations of culturally and individually diverse cancer patients. To this end, all healthcare professionals should be informed about how the patient would like to be informed of a diagnosis and how involved he or she would like family members to be. In addition, an awareness of the use of nonverbal communication in some cultures and the psychosocial impact of certain… Show more

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Cited by 150 publications
(104 citation statements)
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“…Published studies similarly show that older Asian-Americans may not want to discuss a poor prognosis and that many would prefer that family members take the lead in communicating with doctors. 41, 42 Yet we found that elderly Chinese-Americans were interested in prognostic information and that many of those who showed some initial reluctance ultimately expressed willingness to discuss prognosis at the doctor's discretion. Further, ChineseAmericans in our study did not prefer that their family be told first of their prognosis, suggesting that such attitudes may be shifting over time, perhaps due to the spread of Western values through traditional Chinese-American communities.…”
Section: Resultsmentioning
confidence: 86%
“…Published studies similarly show that older Asian-Americans may not want to discuss a poor prognosis and that many would prefer that family members take the lead in communicating with doctors. 41, 42 Yet we found that elderly Chinese-Americans were interested in prognostic information and that many of those who showed some initial reluctance ultimately expressed willingness to discuss prognosis at the doctor's discretion. Further, ChineseAmericans in our study did not prefer that their family be told first of their prognosis, suggesting that such attitudes may be shifting over time, perhaps due to the spread of Western values through traditional Chinese-American communities.…”
Section: Resultsmentioning
confidence: 86%
“…This may be due to poor communication with the doctor, although cultural issues leading to denial or suppression of unwelcome information may play a role, as well as the desire to retain hope for cure (Mitchell, 1998). There are systematic variations across ethnic groups in experience with illness, expectations from treatment and acceptability of treatment (Juarez et al, 1999).…”
Section: Discussionmentioning
confidence: 99%
“…In general, North American and Northern European populations expect more complete disclosure of information than Southern European populations (Perez-Stable et al, 1992;Mitchell, 1998;Galanti, 2000), although a survey of Portuguese-speaking cancer patients found that most of them desired full information (Pimentel et al, 1999). A survey comparing perceptions of cancer by people of Southern European origin (Latinos) and English speakers (Anglos) found that Latinos were more likely than Anglos to believe that having cancer is like getting a death sentence, and that they would prefer not to know if they had incurable cancer (Perez-Stable et al, 1992).…”
mentioning
confidence: 99%
“…Specifically, there are cultural differences in belief of risk and participation in cancer screening services (Garcia & Lee, 1988;Navon, 1999;Vernon et al, 1992), decision making on life and death issues (Hosking et al, 2000;Kagawa-Singer & Blackhall, 2001;Kaufert, 1999;Klessig, 1995), practices of disclosure and communication (Blackhall et al, 1995;Butow, Tattersall & Goldstein, 1997;Gautam & Nijhawan, 1987;Goncalves & Castro, 2001;Gordon & Paci, 1997;Kagawa-Singer & Blackhall, 2001;Mitchell, 1998;Mullin, Cooper & Eremenco, 1998;Mystakidou et al, …”
Section: Introductionmentioning
confidence: 99%