Racial and ethnic differences in prostate cancer survivors’ perceived engagement in treatment decision-making

Details

• Alternative Title:
  J Racial Ethn Health Disparities
• Personal Author:
  Palmer, Nynikka R. ; Gregorich, Steven E. ; Livaudais-Toman, Jennifer ; Jih, Jane ; Kaplan, Celia P.
• Description:
  Objective:
  
  We examined prostate cancer patients’ perceived engagement in treatment decision-making and associated factors by race/ethnicity in a multiethnic sample.
  
  Methods:
  
  We identified patients through the California Cancer Registry. Patients completed a cross-sectional telephone interview in English, Spanish, Cantonese or Mandarin. Multivariable logistic regression models, stratified by race/ethnicity, estimated the associations of patient demographic and health status characteristics on (1) doctor asked patient to help decide treatment plan and (2) patient and doctor worked out a treatment plan together.
  
  Results:
  
  We included 855 prostate cancer patients: African American (19%), Asian American (15%), Latino (24%), and White (42%). Asian American patients were less likely than White patients to report that their doctors asked them to help decide a treatment plan (OR=0.31; 95% CI=0.18–0.53), and that they worked out a treatment plan with their doctors (OR=0.54; 95% CI=0.33–0.90). Language of interview was a significant contributing factor in stratified analysis for both outcomes.
  
  Conclusion:
  
  Asian American prostate cancer patients reported less engagement in treatment decision-making, with Chinese language being a significant contributing factor. Future research should identify patient-centered strategies that effectively engage underserved patients and support healthcare providers in shared decision-making with multiethnic and multilingual patients.
  
  
• Subjects:
  Article Disparities Engagement Men Prostate Cancer Treatment Decision-making
• Source:
  J Racial Ethn Health Disparities. 5(6):1273-1283
• Pubmed ID:
  29516434
• Pubmed Central ID:
  PMC6526935
• Document Type:
  Journal Article
• Funding:
  R03 AG050880/AG/NIA NIH HHS/United States ; HHSN261201000140C/CA/NCI NIH HHS/United States ; HHSN261201000035C/CA/NCI NIH HHS/United States ; W81XWH-09-1-0201/U.S. Department of Defense/ ; P30 AG015272/AG/NIA NIH HHS/United States ; HHSN261201000035I/CA/NCI NIH HHS/United States ; HHSN261201000034C/CA/NCI NIH HHS/United States ; U58 DP003862/DP/NCCDPHP CDC HHS/United States ; L60 MD009289/MD/NIMHD NIH HHS/United States ; 4P30-AG015272-20/National Institute on Aging/
• Volume:
  5
• Issue:
  6
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:f55f2ec138752d8c7f22f2573b379394d2d59fd26ff15708f8fffc0bb42ced7c
• Download URL:
  https://stacks.cdc.gov/view/cdc/78648/cdc_78648_DS1.pdf
• File Type:
  [PDF - 225.85 KB ]