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. 2020 Apr;3(2):e1218.
doi: 10.1002/cnr2.1218. Epub 2019 Sep 10.

Chinese-Australian women with breast cancer call for culturally appropriate information and improved communication with health professionals

Janelle V Levesque  1 , Martha Gerges  1 , Verena S Wu  1 , Afaf Girgis  1
Affiliations

Chinese-Australian women with breast cancer call for culturally appropriate information and improved communication with health professionals

Janelle V Levesque et al. Cancer Rep (Hoboken). 2020 Apr.

Abstract

Background: For culturally and linguistically diverse patients, breast cancer presents complex physical, psychosocial, and health care challenges, often exacerbated by a lack of culturally appropriate information and communication barriers with the treating team (even with the help of interpreters).

Aim: This qualitative study aims to broadly explore the experience of breast cancer and coping strategies utilized by Chinese-Australian women.

Methods and results: Twenty-four Chinese-Australian women with breast cancer participated in either a semi-structured interview or a focus group conducted in participants' preferred language, audio-recorded, transcribed, and subjected to thematic analysis. Two prominent themes emerged, related to information seeking, and communication with health care professionals. The theme of information needs and seeking highlighted unmet information needs and the multiple sources that are consulted for information. The second theme, communication with health care professionals, language barriers, and preferences, identified varying degrees of involvement in treatment decision-making, preference for information and interactions in Cantonese or Mandarin, and problems with interpreter services.

Conclusion: Chinese women with breast cancer face significant challenges in obtaining adequate information and can feel excluded from treatment decision-making. Women in this study expressed their eagerness for obtaining accurate information and engaging in open communication with their doctors. There is a need for culturally sensitive information resources and decision aids to enhance communication between Chinese migrant patients with cancer and health care professionals. Clinician participation in cultural awareness training is also recommended.

Keywords: Chinese migrants; breast cancer; culturally sensitive care; information needs; treatment decision making.

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Conflict of interest statement

The authors have no conflicts of interest to declare.

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