Differences in the Severity, Distress, Interference, and Frequency on Cancer-Related Symptoms Between Island Hispanic Puerto Ricans and Mainland Non-Hispanic Whites
| Autor: | Maureen Groer, Ming Ji, Elsa Pedro, Leorey N. Saligan, Velda J. González-Mercado, Susan C. McMillan |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Epidemiology media_common.quotation_subject Population Severity of Illness Index White People Article 03 medical and health sciences 0302 clinical medicine Neoplasms medicine Humans 030212 general & internal medicine education Psychiatry Depression (differential diagnoses) Aged media_common education.field_of_study Depression business.industry Puerto Rico Age Factors Public Health Environmental and Occupational Health Secondary data Middle Aged Non-Hispanic whites United States Sadness Distress Cross-Sectional Studies 030220 oncology & carcinogenesis Anxiety Female medicine.symptom Worry business Stress Psychological Demography |
| Zdroj: | Journal of Immigrant and Minority Health. 20:1029-1039 |
| ISSN: | 1557-1920 1557-1912 |
| DOI: | 10.1007/s10903-017-0651-z |
| Popis: | The knowledge base of cancer-related symptoms is increasing; yet, limited attention has been given to provide evidence on differences in the perception of cancer symptoms between ethnic groups, especially in the Hispanic Puerto Rican (PR) population. OBJECTIVE: to examine whether there are significant differences in the severity, distress, interference, and frequency of cancer symptoms between island Hispanic PR and mainland non-Hispanic whites. METHODS: In this secondary data analysis, data from 109 Hispanic PR was matched by age, gender and cancer diagnosis with data from non-Hispanic whites. Cancer symptoms were assessed using the Cancer Symptom Scale (CSS). Mann-Whitney statistical test was used to evaluate pairwise differences between Hispanic PR and non-Hispanic whites on symptoms from the CSS. RESULTS: There were significant differences on some symptoms including PR reporting: (a) more intense itching, swelling, taste change, difficulty sleeping, bloating, depression, sadness, worry, and nervousness; (b) significantly greater distress about taste change, appetite, anxiety, depression, worry, and feeling nervous; (c) rash, anxiety, depression, sadness, and nervousness interfered the most with their daily lives; and, (d) that the frequency of occurrence of the symptoms of pain, itching, dizziness, taste change, anxiety, sadness, and nervousness was higher compared to non-Hispanic whites. CONCLUSION: PR cancer patients are at increased risk for experiencing greater severity of cancer symptoms compared to non-Hispanic whites. But because the Hispanic oncology population does not always report symptoms, risking under-assessment and under-management, this suggests there may be a greater need for symptoms surveillance for this population. |
| Databáze: | OpenAIRE |
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