Targeting Social and Economic Correlates of Cancer Treatment Appointment Keeping among Immigrant Chinese Patients

Gany, Francesca; Ramirez, Julia; Chen, Serena; Leng, Jennifer

doi:10.1007/s11524-010-9512-y

Cited by 13 publications

(8 citation statements)

References 17 publications

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“…Several studies have shown that racial/ethnic minority patients with cancer face significant financial strain after a cancer diagnosis. [5][6][7] Latino, 7 immigrant Chinese, 6,8 and African American 9,10 patients with cancer often report unmet needs for support with logistical, practical, and financial issues. The rates of food insecurity among low-income ethnic minority patients with cancer likely increase after a cancer diagnosis, because of changes in income and employment, along with increased financial strain.…”

Section: Introductionmentioning

confidence: 99%

“…Food-insecure patients are more likely to be nonadherent with their prescribed treatments because of issues related to their food insecurity, such as prioritizing between affording food or medical care. 6,7 The relationship between health-related quality of life (HRQOL) and food insecurity has not been examined in ethnic minority patients with cancer. Because of the high rates of food insecurity among ethnic minority individuals and the financial burden of cancer in this patient population, this study examines the relationship between food insecurity and HRQOL in ethnic minority patients.…”

Section: Introductionmentioning

confidence: 99%

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Health-Related Quality of Life of Food-Insecure Ethnic Minority Patients With Cancer

Gany

Leng

Ramirez

et al. 2015

JOP

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Purpose: The association between food insecurity and healthrelated quality of life (QOL) of racial/ethnic minority patients with cancer has not been examined. The purpose of this study is to determine the relationship between food insecurity and health-related QOL reported by racial/ethnic minority patients with cancer.Methods: A consecutive sample of 1,390 underserved ethnic minority patients receiving cancer care in 10 cancer clinics and hospitals in New York City participated in this study. Healthrelated QOL was measured by the Functional Assessment of Cancer Therapy-General (FACT-G) and food security was assessed by the US Department of Agriculture Core Food Security Module.Results: Of the 1,390 patients, 581 (41.8%) were classified as food secure, 571 (41.1%) with low food security, and 238 (17.1%) with very low food security. Health-related QOL decreased with each lower food security level. Patient self-reported physical, functional, social, and emotional well-being subscale scores decrease significantly with increasing food insecurity. After controlling for demographic and medical-related factors, the decreases in QOL, physical, functional, social and emotional well-being scores with increasing food insecurity remained significant. Conclusion:Food insecurity was associated with lower QOL in this sample of underserved racial/ethnic minority patients with cancer. Underserved ethnic minority patients diagnosed with cancer are a vulnerable patient population, at significant risk for inadequate food access and the related lower QOL.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Health-Related Quality of Life of Food-Insecure Ethnic Minority Patients With Cancer

Gany

Leng

Ramirez

et al. 2015

JOP

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“…The “Cancer Portal Project” at Memorial Sloan-Kettering Cancer Center’s (MSKCC) Center for Immigrant Health and Cancer Disparities is an individualized patient navigation program that assists predominately underserved and minority cancer patients with obtaining social and economic assistance, including financial support, transportation assistance, food support and nutritional information, legal advising, assistance with insurance, and referrals to cancer support and informational services 40,41 . The “Portal Project” is a service program and enrolls patients at ten New York City hospital-based cancer clinics.…”

Section: Methodsmentioning

confidence: 99%

Support needs of Chinese immigrant cancer patients

Leng

Lee

et al. 2013

Support Care Cancer

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“…Previous studies (Formenti et al 1995, Ashing-Giwa et al 2010, Gany et al 2011a, 2011b) have consistently found that patients facing practical and economic barriers have more difficulty adhering to their cancer treatment regimen. This research sheds important light on the detrimental effect of the experience of economic deprivation and unmet needs on the cancer care of ethnic minority patients.…”

Section: Discussionmentioning

confidence: 93%

“…The needs assessment tool was developed by the investigators based on the previous research conducted by the research team, documenting the relevant unmet needs of ethnic minority and immigrant cancer patients, (Gany, et.al. 2011a 2011b). Patients were asked in their preferred language “Do you feel that you need assistance with...” the seven areas previously mentioned.…”

Section: Methodsmentioning

confidence: 99%

Association of socioeconomic and practical unmet needs with self-reported nonadherence to cancer treatment appointments in low-income Latino and Black cancer patients

et al. 2015

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Objective Treatment adherence, with minimal numbers of missed appointments, is an important determinant of survival among cancer patients. This study aims to determine if unmet financial, logistic and supportive care needs predict self-reported adherence to cancer treatment appointments of chemotherapy and/or radiation among low-income ethnic minority patients. Design The sample included 1098 underserved Latino and Black patients recruited from cancer clinics in New York City through the Cancer Portal Project (CPP). Participants completed a survey which included sociodemographic, health-related questions and a needs assessment, in their preferred language. Patients’ adherence to chemotherapy and/or radiation treatment appointments was assessed using a self-report. Results A sample of 1098 patients (581 Latino and 517 Black cancer patients) was recruited. Forty-two Latino cancer patients (7.4%) and seventy-eight Black cancer patients (15.5%) reported missing treatment appointments. Patients, who experienced four or more unmet needs (OR's=2.02-3.36), and those with unmet housing needs (OR's=3.10-3.31), were more likely to report missing cancer treatment appointments, regardless of their ethnicity/race. Black patients with unmet supportive care (OR=2.27) and health insurance needs (OR=3.80) were more likely to miss appointments. Amongst Latinos, legal health-related issues (OR=2.51) was a significant predictor of missed appointments. Conclusions Among ethnic minority cancer patients, unmet socioeconomic and supportive care needs, housing needs in particular, predicted patient-reported missed radiation and/or chemotherapy appointments. Future research should focus on exploring the impact of practical and supportive unmet needs on adherence and development of interventions aiming to improve cancer treatment adherence.

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Targeting Social and Economic Correlates of Cancer Treatment Appointment Keeping among Immigrant Chinese Patients

Cited by 13 publications

References 17 publications

Health-Related Quality of Life of Food-Insecure Ethnic Minority Patients With Cancer

Health-Related Quality of Life of Food-Insecure Ethnic Minority Patients With Cancer

Support needs of Chinese immigrant cancer patients

Association of socioeconomic and practical unmet needs with self-reported nonadherence to cancer treatment appointments in low-income Latino and Black cancer patients

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