In Asian americans, is having a family member diagnosed with cancer associated with fatalistic beliefs?

Polek, Carolee; Hardie, Thomas

doi:10.4103/2347-5625.182936

Cited by 12 publications

(4 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In terms of barriers specific to this population, Native Hawaiian and Other Pacific Islander individuals who identify with their culture may prefer to receive initial care from non-Western medical practitioners . In addition, surveys have recorded fatalistic views toward cancer in certain Native Hawaiian and Other Pacific Islander populations, which could be barriers to addressing risk factors, recognizing early signs, and seeking appropriate care . There is also a shortage of ethnic concordant physicians, who may provide better opportunities for patient-practitioner rapport and quality of care .…”

Section: Discussionmentioning

confidence: 65%

“…44 In addition, surveys have recorded fatalistic views toward cancer in certain Native Hawaiian and Other Pacific Islander populations, 45,46 which could be barriers to addressing risk factors, recognizing early signs, and seeking appropriate care. 47 There is also a shortage of ethnic concordant physicians, 48 who may provide better opportunities for patient-practitioner rapport and quality of care. 49 Finally, health care costs, even with insurance coverage, present a substantial barrier for many Native Hawaiian and Other Pacific Islander patients.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Head and Neck Cancer Stage at Presentation and Survival Outcomes Among Native Hawaiian and Other Pacific Islander Patients Compared With Asian and White Patients

Moon

Megwalu

2022

JAMA Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

often group Native Hawaiian and Other Pacific Islander individuals together with Asian individuals despite being consistently identified as having worse health outcomes and higher rates of comorbidities and mortality. Native Hawaiian and Other Pacific Islander individuals also have high incidence rates of oral cavity and pharyngeal cancer compared with the general population; however, disparities in clinical presentation and survival outcomes of head and neck cancer squamous cell carcinoma (HNSCC) among this population have not been investigated nor compared with those of other races. OBJECTIVE To determine the association of race with cancer stage at diagnosis and survival outcomes among Native Hawaiian and Other Pacific Islander patients with HNSCC compared with Asian and non-Hispanic White patients. DESIGN, SETTING, AND PARTICIPANTS This was a retrospective population-based cohort study using data from the Surveillance, Epidemiology, and End Results (SEER) 18 database. Asian, Native Hawaiian or Other Pacific Islander, and non-Hispanic White adult patients diagnosed in 1988 through 2015 with HNSCC of the oral cavity, oropharynx, nasopharynx, larynx, and hypopharynx were included; any patient whose record was missing data on disease or demographic information was excluded. MAIN OUTCOMES AND MEASURES Cancer stage at presentation was compared among Asian, Native Hawaiian and Other Pacific Islander, and non-Hispanic White patients using a multivariable logistic regression model. Survival outcomes were compared among these racial groups using Cox regression models. Data analyses were performed from July 1, 2021, to March 20, 2022. RESULTS The total study population comprised 76 473 patients: 4894 Asian (mean [SD] age at presentation, 60.7 [14.6] years), 469 Native Hawaiian and Other Pacific Islander (57.8 [12.3] years), and 71 110 non-Hispanic White (62.2 [12.1] years) individuals. Native Hawaiian and Other Pacific Islander patients were more likely to present with advanced-stage HNSCC (odds ratio [OR], 1.38; 95% CI, 1.12 -1.72) compared with non-Hispanic White patients. Asian patients presented with similar stage disease (OR, 1.04; 95% CI, 0.97-1.11) compared with non-Hispanic White patients. Native Hawaiian and Other Pacific Islander patients had worse disease-specific survival (HR, 1.18; 95% CI, 1.02-1.36) compared with non-Hispanic White patients after adjusting for clinical and demographic factors. In contrast, Asian patients had improved disease-specific survival (HR, 0.93; 95% CI, 0.88-0.98) compared with non-Hispanic White patients.CONCLUSIONS AND RELEVANCE This retrospective population-based cohort study suggests that Native Hawaiian and Other Pacific Islander race was associated with more advanced HNSCC, and worse disease-specific survival compared with non-Hispanic White race, while Asian race was associated with improved survival. This study highlights the importance of disaggregating Asian from Pacific Islander data when assessing health disparities, and the need for culturally sensitive interventions t...

show abstract

Section: Discussionmentioning

confidence: 65%

Section: Discussionmentioning

confidence: 99%

Head and Neck Cancer Stage at Presentation and Survival Outcomes Among Native Hawaiian and Other Pacific Islander Patients Compared With Asian and White Patients

Moon

Megwalu

2022

JAMA Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

show abstract

“…Other more contextual factors may explain the dominance of negative emotions. Fate is a major belief that not only affects individuals’ cancer screening behaviors, but also poses a problem for its treatment [ 52 ].…”

Section: Discussionmentioning

confidence: 99%

Emotional and behavioral attitudes of Tunisian youth towards childhood leukemia: health education and primary prevention in perspective

et al. 2022

View full text Add to dashboard Cite

Background Given the increasing blood cancer incidence in Tunisia and recent discoveries proving the involvement of environmental factors, this study examined the environmental health literacy (EHL) of Tunisian secondary school students concerning not only this disease, but also their emotional and behavioral attitudes towards leukemia risks. Methods A cross-sectional survey was conducted among Tunisian youths (N = 372, 16–20 years; 68% females, 32% males). Data collection took place in four representative public secondary schools in the North, Center, and South of Tunisia. Students completed a paper and pencil questionnaire and described their EHL level of blood cancer, as well as their attitudes and interests in this disease. The statistical software (SPSS, v.25.0) was used to analyze the data collected. Results The results indicated low EHL levels of leukemia. Most youths failed to identify all the leukemogenic (except tobacco and pollution) and non- leukemogenic risk factors. Pesticide use and exposure to low frequency electromagnetic radiation were not considered risk factors. Proximity to heavy-traffic roads and benzene exposure were not perceived by youth as risk factors. Despite these low levels, most participants were interested in having more information about leukemia and cancers in general. Conclusion This investigation shows a lack of knowledge about leukemia. Low EHL levels will incite educational actors and curriculum designers to optimize content and innovate ICT adapted to this environmental health challenge.

show abstract

“…Individuals with such cancer fatalism have posed a signi cant challenge to cancer prevention behaviors, such as cancer screening and cancer treatment [6][7][8]. Worse yet, studies reported that the individuals had a fatalistic attitude highly associated with a family history [9][10][11][12]. Individuals with a cancer family history (CFHs) were more likely to rate their quality of care as fair or poor, to believe that they can prevent cancer or receive treatment negatively [13].…”

Section: Introductionmentioning

confidence: 99%

Strategies for mitigating cancer fatalism among individuals with a cancer family history through social media activities

Ao,

Wu,

Zhao

2024

Preprint

View full text Add to dashboard Cite

Background People with a cancer family history are among those who experience severe cancer fatalism and are more likely to seek cancer-related information on social media. However, the spread of health misinformation on social media negativly impacts people's attitudes towards healthy behaviors and triggers negative emotional responses. Few studies have specifically examined how online cancer information influences cancer fatalistic attitudes in this context. This study aims to investigate strategies for reducing cancer fatalism when people with a cancer family history engage in social media activities. Methods The Health Information National Trends Survey (HINTS) in 2022 was conducted to create an integrated model for reducing cancer fatalism through four social media activities (i.e., visiting social media sites, sharing health-related information, online discussion and watching health-related videos) among people with a cancer family history (N = 3708). Results Confidence in online information seeking and barriers to cancer information seeking were found to be significant mediators between social media activities and cancer fatalism. Specifically, engaging in visiting social media sites, sharing health-related information and watching health-related videos may reduce cancer fatalism by increasing confidence in online information seeking. Increased confidence in searching abilities would help them overcome barriers, mitigating their cancer fatalism. However, no matter how much misinformation people are exposed to, engaging in these activities has a weak effect on cancer fatalism. We also found that there is no significant direct or indirect link between online discussions and cancer fatalism. Conclusion This study found that social media activities have a positive effect on cancer fatalism. It offered advice to people with a cancer family history on how to reduce cancer fatalism while maintaining positive cancer prevention beliefs. People with a cancer family history could be encouraged to challenge negative health beliefs and promote health-prevention behaviours.

show abstract

In Asian americans, is having a family member diagnosed with cancer associated with fatalistic beliefs?

Cited by 12 publications

References 21 publications

Head and Neck Cancer Stage at Presentation and Survival Outcomes Among Native Hawaiian and Other Pacific Islander Patients Compared With Asian and White Patients

Head and Neck Cancer Stage at Presentation and Survival Outcomes Among Native Hawaiian and Other Pacific Islander Patients Compared With Asian and White Patients

Emotional and behavioral attitudes of Tunisian youth towards childhood leukemia: health education and primary prevention in perspective

Strategies for mitigating cancer fatalism among individuals with a cancer family history through social media activities

Contact Info

Product

Resources

About