Exploring the Impact of Cultural Influences on Ethnic Minority Cancer Patients in a Small Community
DOI:
https://doi.org/10.47611/jsrhs.v13i4.8075Keywords:
cancer patients, community hospitals, ethnic minorities, cancer care, patient decisionsAbstract
The purpose of the research was to investigate whether culture influences attributed to an oncology patient’s background have an effect on patient decision-making. 25 white and non-white oncology patients were surveyed for this study creating two separate arms. A survey was created and distributed to patients at a local community hospital. Patients were asked about factors relating to cultural influences and patient decision making, including any alternative therapy used, use of religious and cultural support, and any potential stigma experienced. Patients were also asked about whether they delayed seeing a doctor or initiating treatment and the reasons associated with these decisions. Results found that both white and non-white patients delayed seeing a doctor for various reasons, as well as experienced factors associated with cultural influences. This demonstrates that experiencing cultural influences related to background is not limited to minority groups. Few minority patients utilized factors relating to cultural influences, however were seen to have the higher rates of using religious support to cope. No patients surveyed delayed initiating treatment once they were made aware of their cancer diagnosis. Further research can be done using a larger sample size of patients and having an even balance of white and non-white oncology patients. Whether the study being conducted in a community hospital had an effect on the results should also be investigated.
Downloads
References or Bibliography
African American people and cancer | CDC. (2023, January 31). www.cdc.gov.
https://www.cdc.gov/cancer/health-equity/groups/african-american.htm#:~:text=Black%20people%20have
%20the%20highest
Al-Wassia, R., Al-Zaben, F., Sehlo, M. G., & Koenig, H. G. (2019). Religiosity and beliefs about the transmission of
cancer, chemotherapy, and radiation through physical contact in Saudi Arabia. Journal of Religion and
Health, 58(1), 221–235. https://www.jstor.org/stable/26750394
Broom, A., & Doron, A. (2012). The rise of cancer in urban India: Cultural understandings, structural inequalities
and the emergence of the clinic. Health, 16(3), 250–266. https://www.jstor.org/stable/26650188
Bureau, U. C. (2021, August 12). The chance that two people chosen at random are of different race or ethnicity ‘
groups has increased since 2010. Census.gov.
Centers for Disease Control and Prevention. (2019, February 15). Health disparities | Healthy aging | CDC.
Www.cdc.gov.
Common types of survey bias and how to avoid them. (n.d.). SurveyMonkey.
https://www.surveymonkey.com/mp/how-to-avoid-common-types-survey-bias/
Daher, M. (2012). Cultural beliefs and values in cancer patients. Annals of Oncology, 23(suppl 3), 66–69.
https://doi.org/10.1093/annonc/mds091
DeFranzo, S. (2017, September 21). Advantages and disadvantages of surveys. Snap SURVEYS.
https://www.snapsurveys.com/blog/advantages-disadvantages-surveys/
Drew, E. M., & Schoenberg, N. E. (2011). Deconstructing fatalism: Ethnographic perspectives on women’s decision
making about cancer prevention and treatment. Medical Anthropology Quarterly, 25(2), 164–182.
https://www.jstor.org/stable/23012126
Giaquinto, A. N., Miller, K. D., Tossas, K. Y., Winn, R. A., Jemal, A., & Siegel, R. L. (2022). Cancer statistics for
African American/Black People 2022. CA: A Cancer Journal for Clinicians, 72(3).
https://doi.org/10.3322/caac.21718
Goudarzian, A. H., Boyle, C., Beik, S., Jafari, A., Nesami, M. B., Taebi, M., & Zamani, F. (2019). Self-Care in
Iranian cancer patients: The role of religious coping. Journal of Religion and Health, 58(1), 259–270.
https://www.jstor.org/stable/26750397
Guadagnolo, B. A., Cina, K., Helbig, P., Molloy, K., Reiner, M., Cook, E. F., & Petereit, D. G. (2009). Assessing
cancer stage and screening disparities among Native American cancer patients. Public Health Reports
(1974-), 124(1), 79–89. https://www.jstor.org/stable/25682151
Guz, H., Gursel, B., & Ozbek, N. (2012). Religious and spiritual practices among patients with cancer. Journal of
Religion and Health, 51(3), 763–773. https://www.jstor.org/stable/41653866
Healthcare Worker Implicit Bias Training and Education Rapid Review. (n.d.).
Hill, L., Ndugga, N., & Artiga, S. (2023, March 15). Key data on health and health care by race and ethnicity.
Kaiser Family Foundation; KFF.
Howard, J. (2023, September 5). As cancer cases rise among younger adults, some types of the disease have higher
burden than others, study finds. CNN.
ease-have-higher-burden-than-others-study-finds/index.html#:~:text=The%20researchers%20found%20that
%20the
Jones, T., Baxter, M., & Khanduja, V. (2013). A quick guide to survey research. The Annals of the Royal College of
Surgeons of England, 95(1), 5–7. NCBI. https://doi.org/10.1308/003588413X13511609956372
Kobeissi, L., Samari, G., Telesca, D., Esfandiari, M., & Galal, O. (2014). The impact of breast cancer knowledge
and attitudes on screening and early detection among an immigrant Iranian population in southern
California. Journal of Religion and Health, 53(6), 1759–1769. https://www.jstor.org/stable/24485281
Llanos, A. A. M., Ashrafi, A., Ghosh, N., Tsui, J., Lin, Y., Fong, A. J., Ganesan, S., & Heckman, C. J. (2023).
Evaluation of inequities in cancer treatment delay or discontinuation following sars-cov-2 infection. JAMA
Network Open, 6(1), e2251165. https://doi.org/10.1001/jamanetworkopen.2022.51165
National Cancer Institute. (2019). Cancer disparities. National Cancer Institute; Cancer.gov.
https://www.cancer.gov/about-cancer/understanding/disparities
Oliffe, J., Thorne, S., Hislop, T. G., & Armstrong, E.-A. (2007). “Truth telling” and cultural assumptions in an era of
informed consent. Family and Community Health, 30(1), 5–15. https://www.jstor.org/stable/44954519
Palmer, N. R. A., Kent, E. E., Forsythe, L. P., Arora, N. K., Rowland, J. H., Aziz, N. M., Blanch-Hartigan, D.,
Oakley-Girvan, I., Hamilton, A. S., & Weaver, K. E. (2014). Racial and ethnic disparities in
patient-provider communication, quality-of-care ratings, and patient activation among long-term cancer survivors. Journal of Clinical Oncology, 32(36), 4087–4094. https://doi.org/10.1200/jco.2014.55.5060
Petrelli, N. J. (2010). A community cancer center program: Getting to the next level. Journal of the American
College of Surgeons, 210(3), 261–270. https://doi.org/10.1016/j.jamcollsurg.2009.11.015
Pfister, D. G., Rubin, D. M., Elkin, E. B., Neill, U. S., Duck, E., Radzyner, M., & Bach, P. B. (2015). Risk adjusting
survival outcomes in hospitals that treat patients with cancer without information on cancer stage. JAMA
Oncology, 1(9), 1303–1310. https://doi.org/10.1001/jamaoncol.2015.3151
Ponto, J. (2015). Understanding and evaluating survey research. Journal of the Advanced Practitioner in Oncology,
(2), 168–171. NCBI. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4601897/
Pujadas Botey, A., Robson, P. J., Hardwicke-Brown, A. M., Rodehutskors, D. M., O’Neill, B. M., & Stewart, D. A.
(2020b). From symptom to cancer diagnosis: Perspectives of patients and family members in Alberta,
Canada. PLOS ONE, 15(9), e0239374. https://doi.org/10.1371/journal.pone.0239374
Sexton Ward, A., Nuys, K., & Lakdawalla, D. (2021). Reducing racial disparities in early cancer diagnosis with
blood-based tests.
iagnosis_With_Blood-Based_Tests.pdf
Shavers, V. L. (2002). Racial and ethnic disparities in the receipt of cancer treatment. CancerSpectrum Knowledge
Environment, 94(5), 334–357. https://doi.org/10.1093/jnci/94.5.334
Sincero, S. M. (2012, March 18). Advantages and disadvantages of surveys. Explorable.com.
https://explorable.com/advantages-and-disadvantages-of-surveys
Tucker, T. C., Charlton, M. E., Schroeder, M. C., Jacob, J., Tolle, C. L., Evers, B. M., & Mullett, T. W. (2020).
Improving the quality of cancer care in community hospitals. Annals of Surgical Oncology, 28(2), 632–638.
https://doi.org/10.1245/s10434-020-08867-y
U.S. Census Bureau QuickFacts: Hunterdon County, New Jersey. (n.d.). Www.census.gov. Retrieved March 12,
, from https://www.census.gov/quickfacts/fact/table/hunterdoncountynewjersey/PST045223
World Cancer Research Fund International. (2023, December 17). Worldwide cancer data | World Cancer Research
Fund International. WCRF International; World Cancer Research Fund International.
Published
How to Cite
Issue
Section
Copyright (c) 2024 Dhyana Abeysinghe; Almas Thaha, Margaret Donhauser

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Copyright holder(s) granted JSR a perpetual, non-exclusive license to distriute & display this article.


