Chest
Original ResearchLung CancerRacial and Ethnic Differences in Beliefs About Lung Cancer Care
Section snippets
Materials and Methods
We recruited patients with recently diagnosed lung cancer from Mount Sinai Hospital, Montefiore Hospital, New York Presbyterian Hospital, and Harlem Hospital (all in New York City) between January 23, 2008, and February 9, 2011. The study population consisted of English- or Spanish-speaking patients aged ≥ 18 years who had been given a diagnosis of lung cancer within the past year. Potentially eligible patients were identified from centralized registries maintained by the pathology departments
Results
We screened 1,470 patients with lung cancer, of whom 953 did not meet eligibility criteria (diagnosed > 1 year ago or did not have lung cancer); 97 were excluded because of language, lack of capacity, or physician assent reasons. Of the 420 eligible patients, 335 (90%) agreed to participate in the study (median time from diagnosis to interview date, 2.9 months). Those who refused were older than the participants (74 vs 66 years). Overall, 21% of patients were black and 20% Hispanic; 46% of
Discussion
Disparities in lung cancer incidence, treatment, palliative care, and mortality have been well documented in the United States.4, 7, 8, 9, 23, 24 Although access to care and system factors play a likely role, previous research has shown that disparities persist after controlling for these determinants.25 We found multiple differences in beliefs and attitudes toward both lung cancer treatment and palliative care held by minority vs nonminority patients. Minorities also held more fatalistic views
Acknowledgments
Author contributions: Dr Wisnivesky had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
Dr Jonnalagadda: contributed to data analysis and manuscript preparation.
Dr Lin: contributed to data analysis and manuscript preparation.
Dr Nelson: contributed to study design and manuscript preparation.
Dr Powell: contributed to data collection and manuscript revision.
Dr Salazar-Schicchi: contributed to data collection
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Barriers, blocks, and barricades: Disparities to access of palliative care in cancer care
2023, Current Problems in CancerRacial and ethnic variation in referral times for thoracic oncologic surgery in a major metropolitan area
2023, Journal of Thoracic and Cardiovascular SurgeryA Decade of Studying Drivers of Disparities in End-of-Life Care for Black Americans: Using the NIMHD Framework for Health Disparities Research to Map the Path Ahead
2022, Journal of Pain and Symptom ManagementCitation Excerpt :Three studies with moderate to high risk of bias explored patient and caregiver knowledge. One study with moderate risk of bias found increased beliefs that hospice must be received in a facility and that it is reserved for those who will only live a few days among Black patients, which could lead to lower uptake of hospice services.48 One found that Black family caregivers had a lower level of knowledge about dementia compared with white family caregivers of patients with dementia, which could influence outcomes,49 while another found that awareness that death was imminent decreased in-hospital death in white but not Black patients, suggesting that increased knowledge of prognosis alone will not reduce disparities in location of death.65
Serious Illness Discussion in Palliative Care—A Case Study Approach in an African American Patient with Cancer
2022, Critical Care Nursing Clinics of North AmericaCitation Excerpt :The findings from this study also revealed that African Americans were more likely than other ethnic and racial groups to believe that a living will precludes the patient from receiving cancer treatment. Subjects also believed that cardiopulmonary resuscitation (CPR) had a greater than 50% chance of being successful.29 Minority groups are more likely to believe that hospice is an option only for patients who are going to die within a few days.29
Racial Differences in Lung Cancer Screening Beliefs and Screening Adherence
2021, Clinical Lung CancerCitation Excerpt :Less is known about racial differences in attitudes toward lung cancer screening (LCS). Wisnivesky and colleagues showed that while intention to screen was similar among minority and non-minority high-risk smokers, fatalistic and spiritual beliefs were more common among African-American and Hispanic participants compared with Whites.10 A recent analysis of NLST participants’ risk perceptions found that African-American smokers demonstrated lower risk perceptions of smoking-related disease compared with Whites.11
Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.
Funding/Support: The study was supported by the American Cancer Society [RSGT-07-162-01-CPHPS]. Dr Jonnalagadda was supported by the Doris Duke Foundation for Clinical Research.