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Published in: Journal of Immigrant and Minority Health 4/2018

01-08-2018 | Original Paper

“People Give Opinions, but the Decision Belongs to the Patient”: Examining Cancer Treatment Decisions Among Latinos/as in Central Florida

Authors: Iraida V. Carrion, Frances R. Nedjat-Haiem, Tania Estapé, Lucia Franco-Estrada

Published in: Journal of Immigrant and Minority Health | Issue 4/2018

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Abstract

Latinos/as, the fastest-growing ethnic group in the United States, experience high cancer rates. Factors contributing to treatment decisions among Latinos diagnosed with cancer must be studied. This paper aims to identify treatment decisions among Latinos with cancer and examine factors influencing these decisions. A qualitative exploratory study using semi-structured interviews of 60 Latino/as diagnosed with cancer was conducted. Close-ended responses were analyzed using percentages and frequency distributions, while open-ended responses were analyzed using open coding and thematic categorization. Surgery was the most commonly chosen treatment among participants because it was perceived as providing the highest chance of prolonging life. Only 57% of participants were provided with treatment options. Latinos/as typically prefer modest, paternalistic patient–physician relationships. Therefore, providing culturally appropriate information is valuable. This study underscores the need for health providers to present all available treatment options to enhance cancer treatment outcomes
Literature
1.
go back to reference Roberts D, Appleton L, Calman L, Large P, Grande G, Lloyd-Williams M, Walshe C. Protocol for a longitudinal qualitative interview study: maintaining psychological well-being in advanced cancer-what can we learn from patients’ and carers’ own coping strategies? BMJ. 2013;3(6):e003046. Roberts D, Appleton L, Calman L, Large P, Grande G, Lloyd-Williams M, Walshe C. Protocol for a longitudinal qualitative interview study: maintaining psychological well-being in advanced cancer-what can we learn from patients’ and carers’ own coping strategies? BMJ. 2013;3(6):e003046.
2.
go back to reference Ashing-Giwa KT, Padilla GV, Bohórquez DE, Tejero JS, Garcia M. Understanding the breast cancer experience of Latina women. J Psychosoc Oncol. 2006;24(3):19–52.CrossRefPubMed Ashing-Giwa KT, Padilla GV, Bohórquez DE, Tejero JS, Garcia M. Understanding the breast cancer experience of Latina women. J Psychosoc Oncol. 2006;24(3):19–52.CrossRefPubMed
4.
go back to reference Palloni A, Arias E. Paradox lost: explaining the Hispanic adult mortality advantage. Demography. 2004;41(3):385–415.CrossRefPubMed Palloni A, Arias E. Paradox lost: explaining the Hispanic adult mortality advantage. Demography. 2004;41(3):385–415.CrossRefPubMed
6.
go back to reference Carrion IV, Nedjat-Haiem FR, Martinez TD, Castañeda H. An exploratory study of advance care planning among Colombians, Mexicans, and Puerto Ricans with a cancer diagnosis. Support Care Cancer. 2013;21(5):1233–9.CrossRefPubMed Carrion IV, Nedjat-Haiem FR, Martinez TD, Castañeda H. An exploratory study of advance care planning among Colombians, Mexicans, and Puerto Ricans with a cancer diagnosis. Support Care Cancer. 2013;21(5):1233–9.CrossRefPubMed
8.
go back to reference Polacek G, Ramos M, Ferrer R. Breast cancer disparities and decision-making among U.S.women. Patient Educ Couns. 2007;65(2):158–65.CrossRefPubMed Polacek G, Ramos M, Ferrer R. Breast cancer disparities and decision-making among U.S.women. Patient Educ Couns. 2007;65(2):158–65.CrossRefPubMed
9.
go back to reference Sheppard BV, Figueiredo M, Cañar J, Goodman M, Caicedo L, Kaufman A, Norling G, Mandelblatt J. Latina a Latina: developing a breast cancer decision support intervention. Psycho-Oncology. 2007;17:383–391.CrossRef Sheppard BV, Figueiredo M, Cañar J, Goodman M, Caicedo L, Kaufman A, Norling G, Mandelblatt J. Latina a Latina: developing a breast cancer decision support intervention. Psycho-Oncology. 2007;17:383–391.CrossRef
10.
go back to reference Nápoles-Springer A, Ortiz C, O’Brien H, Diaz-Mendez M. Developing a culturally competent peer support intervention for Spanish-speaking Latinas with breast cancer. J Immigr Minor Health. 2009;11(4):268–80.CrossRefPubMed Nápoles-Springer A, Ortiz C, O’Brien H, Diaz-Mendez M. Developing a culturally competent peer support intervention for Spanish-speaking Latinas with breast cancer. J Immigr Minor Health. 2009;11(4):268–80.CrossRefPubMed
11.
go back to reference Carrion IV, Cagle, JG, Van Dussen D, Culler KL, Hong S. Knowledge about hospice care and beliefs about pain management: exploring differences between Hispanics and non-Hispanics. Am J Hosp Palliat Care. 2015;32(6):647–53.CrossRefPubMed Carrion IV, Cagle, JG, Van Dussen D, Culler KL, Hong S. Knowledge about hospice care and beliefs about pain management: exploring differences between Hispanics and non-Hispanics. Am J Hosp Palliat Care. 2015;32(6):647–53.CrossRefPubMed
12.
go back to reference Demiris G, Wittenberg-Lyles E, Parker Oliver D, Washington K. Delivering a psychoeducational intervention to Hispanic hospice informal caregivers. J Palliat Med. 2011;25(2):185–6.CrossRef Demiris G, Wittenberg-Lyles E, Parker Oliver D, Washington K. Delivering a psychoeducational intervention to Hispanic hospice informal caregivers. J Palliat Med. 2011;25(2):185–6.CrossRef
14.
go back to reference Brislin RW. Back-translation for cross-cultural research. J Cross Cult Psychol. 1970;1:185–216.CrossRef Brislin RW. Back-translation for cross-cultural research. J Cross Cult Psychol. 1970;1:185–216.CrossRef
15.
go back to reference Muhr T. User’s manual for ATLAS.ti 5. 0. 2nd ed. Berlin: Scientific Software Development; 2004. Muhr T. User’s manual for ATLAS.ti 5. 0. 2nd ed. Berlin: Scientific Software Development; 2004.
17.
go back to reference Morse JM, Stern PN, Corbin J, Bowers B, Charmaz K, Clarke A. Grounded theory: the second generation. Walnut Creek: Left Coast Press; 2009. Morse JM, Stern PN, Corbin J, Bowers B, Charmaz K, Clarke A. Grounded theory: the second generation. Walnut Creek: Left Coast Press; 2009.
18.
go back to reference Distelhorst SR, Cleary JF, Ganz PA, Bese N, Camacho-Rodriguez R, Cardoso F, Ddungu H, Gralow JR, Yip CH, Anderson BO. Optimisation of the continuum of supportive and palliative care for patients with breast cancer in low-income and middle-income countries: executive summary of the Breast Health Global Initiative, 2014. Lancet Oncol. 2015;16(3):e137–e147.CrossRefPubMed Distelhorst SR, Cleary JF, Ganz PA, Bese N, Camacho-Rodriguez R, Cardoso F, Ddungu H, Gralow JR, Yip CH, Anderson BO. Optimisation of the continuum of supportive and palliative care for patients with breast cancer in low-income and middle-income countries: executive summary of the Breast Health Global Initiative, 2014. Lancet Oncol. 2015;16(3):e137–e147.CrossRefPubMed
19.
go back to reference Blendon RJ, Benson JM, Gorski MT, Weldon KJ, Pérez DJ, Mann F, Miller CE, Ben-Porath EN. The perspectives of six Latino heritage groups about their health care. J Immigr Minor Health. 2015;17:1347–54.CrossRefPubMed Blendon RJ, Benson JM, Gorski MT, Weldon KJ, Pérez DJ, Mann F, Miller CE, Ben-Porath EN. The perspectives of six Latino heritage groups about their health care. J Immigr Minor Health. 2015;17:1347–54.CrossRefPubMed
20.
go back to reference Lopez-Class M, Gomez-Duarte J, Graves K, Ashing-Giwa K. A contextual approach to understanding breast cancer survivorship among Latinas. Psycho-Oncology. 2012;21(2):115–24.CrossRefPubMed Lopez-Class M, Gomez-Duarte J, Graves K, Ashing-Giwa K. A contextual approach to understanding breast cancer survivorship among Latinas. Psycho-Oncology. 2012;21(2):115–24.CrossRefPubMed
21.
go back to reference Saleh M, Barlow-Stewart K, Meiser B, Tucker K, Eisenbruch M, et al. Knowledge, attitudes, and beliefs of Arabic–Australians concerning cancer. Psycho-Oncology. 2012;21(2):195–202.CrossRefPubMed Saleh M, Barlow-Stewart K, Meiser B, Tucker K, Eisenbruch M, et al. Knowledge, attitudes, and beliefs of Arabic–Australians concerning cancer. Psycho-Oncology. 2012;21(2):195–202.CrossRefPubMed
22.
go back to reference Calvo R, Carr DC, Matz-Costa C: Another paradox? The life satisfaction of older Hispanic immigrants in the United States. J Aging Health. 2017; 29(1):3–24.CrossRefPubMed Calvo R, Carr DC, Matz-Costa C: Another paradox? The life satisfaction of older Hispanic immigrants in the United States. J Aging Health. 2017; 29(1):3–24.CrossRefPubMed
23.
go back to reference Carrion IV, Nedjat-Haiem FR, Marquez DX. Examining cultural factors that influence treatment decisions: a pilot study of Latino men with cancer. J Cancer Educ. 2013;28(4):729–37.CrossRefPubMed Carrion IV, Nedjat-Haiem FR, Marquez DX. Examining cultural factors that influence treatment decisions: a pilot study of Latino men with cancer. J Cancer Educ. 2013;28(4):729–37.CrossRefPubMed
24.
go back to reference Levine EG, Yoo G, Aviv C. Predictors of quality of life among ethnically diverse cancer survivors. Appl Res Qual Life. 2017;12(1):1–16.CrossRefPubMed Levine EG, Yoo G, Aviv C. Predictors of quality of life among ethnically diverse cancer survivors. Appl Res Qual Life. 2017;12(1):1–16.CrossRefPubMed
25.
go back to reference Weir HK, Thompson TD, Soman A, Møller B, Leadbetter S, White MC. Meeting the healthy people 2020 objectives to reduce cancer mortality. Prev Chronic Dis. 2015;12:140482.CrossRef Weir HK, Thompson TD, Soman A, Møller B, Leadbetter S, White MC. Meeting the healthy people 2020 objectives to reduce cancer mortality. Prev Chronic Dis. 2015;12:140482.CrossRef
26.
go back to reference Foley KA, Feldman-Stewart D, Groome PA, Brundage MD, McArdle S, Wallace D, Peng Y, Mackillop WJ. What aspects of personal care are most important to patients undergoing radiation therapy for prostate cancer? Int J Radiat Oncol Biol Phys. 2016;94(2):280–8.CrossRefPubMed Foley KA, Feldman-Stewart D, Groome PA, Brundage MD, McArdle S, Wallace D, Peng Y, Mackillop WJ. What aspects of personal care are most important to patients undergoing radiation therapy for prostate cancer? Int J Radiat Oncol Biol Phys. 2016;94(2):280–8.CrossRefPubMed
27.
go back to reference Hsieh E, Nicodemus B. Conceptualizing emotion in healthcare interpreting: a normative approach to interpreters’ emotion work. Patient Educ Couns. 2015;98:1474–81.CrossRef Hsieh E, Nicodemus B. Conceptualizing emotion in healthcare interpreting: a normative approach to interpreters’ emotion work. Patient Educ Couns. 2015;98:1474–81.CrossRef
Metadata
Title
“People Give Opinions, but the Decision Belongs to the Patient”: Examining Cancer Treatment Decisions Among Latinos/as in Central Florida
Authors
Iraida V. Carrion
Frances R. Nedjat-Haiem
Tania Estapé
Lucia Franco-Estrada
Publication date
01-08-2018
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 4/2018
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-017-0628-y

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