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Racial and ethnic differences in prostate cancer survivors’ perceived engagement in treatment decision-making
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March 07 2018
Source: J Racial Ethn Health Disparities. 5(6):1273-1283
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Alternative Title:J Racial Ethn Health Disparities
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Personal Author:
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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.
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Pubmed ID:29516434
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Pubmed Central ID:PMC6526935
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