Cancer Stage Knowledge and Desire for Information: Mismatch in Latino Cancer Patients?
Cancer Stage Knowledge and Desire for Information: Mismatch in Latino Cancer Patients?
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DOI：
10.1007/s13187-013-0487-8
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发表时间：
2013-09-01
影响因子：
1.6
通讯作者：
Gany, Francesca
中科院分区：
文献类型：
--
作者：
Costas-Muniz, Rosario;Sen, Rohini;Gany, Francesca
拥有更多的健康知识对癌症的结果具有至关重要和积极的影响。患者的癌症知识影响他们积极参与医疗护理决策过程和治疗选择的能力。本研究的目的是确定拉丁裔癌症患者缺乏癌症分期知识和对信息的渴望的人口和医学相关性。该样本包括从纽约市四家癌症诊所招募的 271 名得不到充分服务的拉丁裔癌症患者。参与者用他们喜欢的语言完成了需求评估调查，其中包括社会人口统计和健康相关的问题。近三分之二的样本 (65%) 不知道自己的分期，38% 的人不知道肿瘤的转移状态。只有 15% 的患者表示他们想了解有关其诊断和/或治疗的更多信息。在控制了社会人口特征后，英语水平有限且只会说西班牙语的移民是阶段性无意识和对癌症信息的渴望/需求较少的预测因素。需要医疗保健解释的患者不太可能知道他们的肿瘤是否已经转移以及他们的癌症分期，也不太可能想要有关他们的癌症诊断和/或治疗的信息。这项研究表明，被诊断患有癌症的拉丁裔美国人的阶段意识水平相当低。这种知识的缺乏可能会对他们的治疗决策和疾病管理产生不利影响。未来的研究应侧重于确定获取疾病信息的障碍和其他特定疾病的信息缺陷。
Having more health knowledge has a crucial and positive impact on cancer outcomes. Patients' cancer knowledge influences their ability to participate actively in decision-making processes for medical care and in treatment choices. The purpose of this study was to determine the demographic and medical correlates of lack of cancer stage knowledge and desire for information among Latino cancer patients. The sample included 271 underserved Latino cancer patients recruited from four cancer clinics in New York City. Participants completed a needs assessment survey in their preferred language, which included sociodemographic and health-related questions. Close to two-thirds of the sample (65 %) had no knowledge of their stage, and 38 % were unaware of the metastatic state of their tumor. Only 15 % of the patients expressed that they would like additional information about their diagnosis and/or treatment. After controlling for sociodemographic characteristics, being an immigrant with limited English proficiency and monolingual in Spanish were predictors of stage unawareness and less desire/need for cancer information. Patients needing interpretation for health care were less likely to know whether their tumor had metastasized and their cancer stage and to desire information about their cancer diagnosis and/or treatment. This study shows considerably low levels of stage awareness among Latinos diagnosed with cancer. This lack of knowledge might adversely impact their treatment decisions and disease management. Future studies should focus on identifying barriers to acquisition of disease information and other disease-specific informational deficits.