ArticleThe oncologist2011
Pain in underserved community-dwelling Chinese American cancer patients: demographic and medical correlates.
Article in The oncologist, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- Does ethnicity affect pain management for people with advanced disease? A mixed methods cross-national systematic review of 'very high' Human Development Index English-speaking countries.BMC palliative care · 2022Pooled it
- Impact of acculturation on oral health among immigrants and ethnic minorities: A systematic review.PloS one · 2019Pooled it
- Non-pharmacological cancer pain interventions in populations with social disparities: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016Pooled it
- Acupuncture for chemotherapy-associated insomnia in breast cancer patients: an assessor-participant blinded, randomized, sham-controlled trial.Breast cancer research : BCR · 2023Trial
- Linguistic isolation correlates with length of stay and mortality for pediatric oncology patients in California.Cancer medicine · 2024Article
- Do Migration and Acculturation Impact Somatization? A Scoping Review.International journal of environmental research and public health · 2022Article
- Patient Race, Ethnicity, Language, and Pain Severity in Primary Care: A Retrospective Electronic Health Record Study.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2022Article
- Relationship between Acculturative Stress and Pain Catastrophizing in Korean Americans.Journal of immigrant and minority health · 2021Article
- Prevalence of Psychological Symptoms in Community-Dwelling Chinese American Patients with Chronic Cancer Pain.Journal of immigrant and minority health · 2021Article
- Quality of Life in Community-Dwelling Chinese American Patients with Cancer Pain.Journal of immigrant and minority health · 2017Article
- Depression and Pain in Asian and White Americans With Knee Osteoarthritis.The journal of pain · 2017Article
- Symptom severity of patients with advanced cancer in palliative care unit: longitudinal assessments of symptoms improvement.BMC palliative care · 2016Article
- Traditional Chinese medicine use among Chinese immigrant cancer patients.Journal of cancer education : the official journal of the American Association for Cancer Education · 2014Article
- Epidemiology of cancer pain.Current pain and headache reports · 2011Review
- Electroacupuncture Plus Auricular Acupressure on Chemotherapy-Related Insomnia in Patients With Breast Cancer (EACRI): Study Protocol for a Randomized, Sham-Controlled Trial.Integrative cancer therapiesArticle
- Pain Severity and Adequacy of Pain Management in Terminally Ill Patients with Cancer: An Experience from North Palestine.Indian journal of palliative careArticle
Corrections and comments
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Authors and funding
9 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLittle is known about cancer pain in Chinese Americans. The objective of this study was to describe the epidemiology of pain in this population. This information is needed to identify and address unmet clinical needs for culturally relevant interventions targeting pain and its consequences.
methodsA consecutive sample of underserved ethnic Chinese patients in a large community-based oncology practice was screened for persistent or frequent pain. Those patients with pain completed translated instruments assessing demographics, linguistic acculturation, disease-related characteristics, and pain-related characteristics.
resultsOf 312 patients screened, 178 (57.1%) reported frequent or persistent pain, 175 were eligible, and 170 participated. Most participants (85.9%) were born in China and 84.7% overall spoke Cantonese only. The most common cancers were gastrointestinal (28.2%), lung (21.8%), breast (20.6%), head and neck (12.9%), and genitourinary (4.7%); 43.5% had metastatic disease. The mean worst pain severity on a 0-10 numeric scale was 4.7 (standard deviation, 2.4), with 28.2% of patients rating their worst pain at ≥7 of 10. Although 37.6% used opioids and 47.1% used nonopioids, 45.8% reported "little" or "no" pain relief from medications. Complementary or alternative medicine therapies for cancer pain were used by 35.8%. In multiple regression analyses, worst pain was positively associated with acculturation to the English language and opioid therapy, and pain-related distress was positively associated with opioid therapy.
conclusionPain is prevalent among community-dwelling, ethnic Chinese American cancer patients. Additional studies are needed to confirm these results and investigate the finding that higher linguistic acculturation is associated with reports of more intense pain.
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