The Influence of Acculturation and Health-Related Quality of Life Among Chinese Elderly Cancer Survivors

Xiao, Yasi; Fitzpatrick, Tanya R.

doi:10.1007/978-3-319-75223-5_3

Cited by 1 publication

(1 citation statement)

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“…The high mortality rate from cancer among AAs implies that these individuals are often diagnosed at more advanced stages of the disease and with higher tumor grades than their non-Hispanic White (NHW) counterparts, leading to less favorable survivorship experiences [ 9 ]. For instance, older AA cancer survivors have reported experiencing high levels of pain, insomnia, and depression, along with difficulties in managing treatment-related side effects such as menopausal symptoms and memory impairment [ 10 , 11 ]. Adding to these challenges, older AA cancer survivors are also less likely than NHW survivors to access palliative and hospice care services designed to improve cancer symptom management [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Health-related Quality of Life in Elderly Asian American and Non-Hispanic White Cancer Survivors

Vang

2023

JPMPH

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Objectives: The purpose of this study was to assess predictors of health-related quality of life (HRQoL) in elderly Asian American and non-Hispanic White cancer survivors.Methods: We conducted cross-sectional secondary data analyses using the combined datasets from the Surveillance, Epidemiology, and End Results program and the Medicare Health Outcomes Survey.Results: Elderly Asian American cancer survivors reported a lower mental HRQoL but a comparable physical HRQoL relative to elderly non-Hispanic White cancer survivors. Stress factors, such as comorbidities, difficulties with activities of daily living, and a history of depressive symptoms, along with coping resources like self-rated health and the ability to take the survey in English, were significantly associated with mental and physical HRQoL. Among elderly Asian American cancer survivors, a significantly lower mental HRQoL was observed among those taking the survey in the Chinese language.Conclusions: The findings suggest that race exerts a differential impact on HRQoL. Interventions should be designed to address the distinct cultural, linguistic, and systemic needs of elderly Asian American cancer survivors. Such an approach could assist in reducing cancer-related health disparities.

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