Perceived discrimination and cancer screening behaviors in US Hispanics: the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study

Valdovinos, Cristina; Penedo, Frank J.; Isasi, Carmen R.; Jung, Molly; Kaplan, Robert C.; Giacinto, Rebeca Espinoza; González, Patricia; Malcarne, Vanessa L.; Perreira, Krista M.; Salgado, Hugo; Simon, Melissa A.; Wruck, Lisa; Greenlee, Heather

doi:10.1007/s10552-015-0679-0

Cited by 26 publications

(10 citation statements)

References 23 publications

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“…One exception was Cheng and Mallinckrodt (2015), who used a longitudinal design with a 1-year follow-up period. Nationally representative cohort studies with probability sampling were the primary source of data in this category (Ornelas & Hong, 2012; Otiniano Verissimo, Gee, et al, 2014; Otiniano Verissimo, Grella, et al, 2014; Valdovinos et al, 2016). Latino ethnic background and nativity were reported consistently, expect in Nguyen et al (2012).…”

Section: Resultsmentioning

confidence: 99%

Discrimination and Latino Health: A Systematic Review of Risk and Resilience

Andrade

Sherman²,

Alvarez

2020

Hisp Health Care Int

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Introduction: As anti-immigrant hostility toward Latino populations grows, more fervent attention is needed to consider strength-based approaches to attenuate the effects of perceived discrimination. This systematic review synthesizes the evidence about the effects of racial/ethnic discrimination on mental, physical, and health behaviors of Latinos and examines the coping mechanisms and cultural factors that attenuate the negative association between discrimination and health among adult Latinos living in the United States. Method: The search criteria included articles that (a) examined ethnic/racial discrimination in relationship to a health outcome, (b) had study samples composed of least 25% Latino adults, and (c) were written in English. Results: A total of 33 studies were included in the review. Our findings demonstrated the negative relationship between perceived discrimination, mental health, and health behaviors. The evidence for the relationship between perceived discrimination and physical health was less robust. For mental health, greater feeling of ethnic pride and belonging attenuated the negative relationship between perceived discrimination and mental health. Conclusions: Our findings highlight the potential for building on ethnic identity for addressing mental health and perceived discrimination. Future research directions are outlined to address identified gaps.

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Section: Resultsmentioning

confidence: 99%

Discrimination and Latino Health: A Systematic Review of Risk and Resilience

Andrade

Sherman²,

Alvarez

2020

Hisp Health Care Int

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“…The quality of patient-centered communication has implications for patient health and psychosocial outcomes including quality of life, adherence to cancer screening guidelines, and satisfaction. 12,13,36,37 Lower levels of patient-centered communication as indicated by the lack of clarity, perceived discrimination, and disrespectful office staff domains on the IPC were associated with lower quality of life in a cohort of breast cancer survivors. 12 Higher perceived discrimination among Hispanic/Latino men has been associated with lower adherence to cancer screening guidelines.…”

Section: Discussionmentioning

confidence: 99%

“…12 Higher perceived discrimination among Hispanic/Latino men has been associated with lower adherence to cancer screening guidelines. 13 In a study among an ethnic and racially diverse group of adults aged 50 and older, the perceived interpersonal sensitivity of the provider seen most recently in the past year was positively associated with satisfaction with health care. 36 A study of the association of patient perceptions of communication by health care providers with patient language (English v. Spanish) and ethnicity (Latino v. white) found that Spanish-speaking and Latino patients were less satisfied than English-speaking and white patients with how well medical staff listened, answered their questions, explained medications, explained medical procedures and tests results, and provided reassurance and support.…”

Section: Discussionmentioning

confidence: 99%

“…11,12 However, there are limited studies of patient-centered communication and SDM in cancer care in cross-cultural and non–English-speaking populations. 13–15 The objectives of this study are to compare the breast cancer treatment consultation experience between Spanish- and English-speaking patients with respect to patient-centered communication and provider behaviors of SDM.…”

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confidence: 99%

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Communication and Shared Decision Making in the Breast Cancer Treatment Consultation: A Comparative Analysis of English- and Spanish-Speaking Patients

Schapira

Faghri

Jacobs³

et al. 2019

MDM Policy & Practice

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Background. Communication in the breast cancer treatment consultation is complex. Language barriers may increase the challenge of achieving patient-centered communication and effective shared decision making. Design. We conducted a prospective cohort study among Spanish- and English-speaking women with stage 0 to 3 breast cancer in two urban medical centers in the Midwestern United States. Patient centeredness of care and decisional conflict were compared between Spanish- and English-speaking participants using the Interpersonal Processes of Care (IPC) and Decision Conflict Scale (DCS), respectively. Clinician behaviors of shared decision making were assessed from consultation audio-recordings using the 12-item Observing Patient Involvement in Decision Making (OPTION) scale. Multivariate regression analyses were conducted to control for differences in baseline characteristics and clinician specialty. Results. Fifteen Spanish-speaking and 35 English-speaking patients were enrolled in the study. IPC scores (median, interquartile range [IQR]) were higher (less patient centered) in Spanish- versus English-speaking participants in the domains of lack of clarity (2.5, 1-3 v. 1.5, 1-2), P = 0.028; perceived discrimination (1.1, 1-1 v. 1.0, 1-1), P = 0.047; and disrespectful office staff (1.25, 1-2 v. 1.0, 1-1), P < 0.0005 (Wilcoxon rank-sum test). OPTION scores (median, IQR) were lower in Spanish- versus English-speaking participants (21.9, 17.7-27.1 v. 31.3, 26.6-39.6), P = 0.001 (Wilcoxon rank-sum test). In multivariate analysis, statistically significant differences persisted in the IPC lack of clarity and disrespectful office staff between Spanish- and English-speaking groups. Conclusions. Our findings highlight challenges in cancer communication for Spanish-speaking patients, particularly with respect to perceived patient centeredness of communication. Further cross-cultural studies are needed to ensure effective communication and shared decision making in the cancer consultation.

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“…35 Other factors, such as low educational attainment, lack of insurance, and no usual source of health care, 36 which are common among Hispanics, are also associated with CRC screening. 31,37 There may also be differences in cultural and health beliefs contributing to screening, for example, Hispanics frequently report medical mistrust. 38 Slower declines in CRC incidence, combined with low screening uptake, underscore the importance of screening outreach interventions targeted to Hispanic populations, such as those in community health centers 39–41 and safety-net systems.…”

Section: Discussionmentioning

confidence: 99%