ArticleJournal of cancer education : the official journal of the American Association for Cancer Education2023
Exploring Racial Differences in Treatment Decision-making in Chinese Immigrant and White American Breast Cancer Patients: the Role of Patient-Provider Communication.
Article in Journal of cancer education : the official journal of the American Association for Cancer Education, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 15 citations in OpenAlex.
- Exploring the information needs of breast cancer patients and families in a large, urban, academic hospital: perceived barriers and facilitators to finding relevant and credible information.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Development, Reliability, and Validity of the Treatment Decision-Making Needs Assessment Scale for Chinese Cancer Patients.Patient preference and adherence · 2026Article
- Treatment Decision-Making Among Chinese Americans With Chronic Rhinosinusitis.The Laryngoscope · 2025Article
- Culturally appropriate patient-provider communication methods for Black women with breast cancer: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Race and Ethnicity Impacts Patient-Reported Outcomes in Implant-Based Breast Reconstruction.Annals of surgical oncology · 2025Article
- Discussion of Emotions Among Newly Diagnosed Non-Hispanic White and Chinese American Patients With Breast Cancer and Their Oncologists.Asian American journal of psychology · 2024Article
- Socioeconomic Status, Stress, and Cancer-related Fatigue among Chinese American Breast Cancer Survivors: The Mediating Roles of Sleep.Asian American journal of psychology · 2024Article
- Perceived communication efficacy and unmet needs for chemotherapy-associated symptom management in patients with lung and colorectal cancer: a cross-sectional study.BMC palliative care · 2024Article
- Chinese American and Non-Hispanic White Breast Cancer Patients' Knowledge and Use of BRCA Testing.International journal of environmental research and public health · 2023Article
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Authors and funding
8 authors at 6 institutions in 2 countries.
Funding
Abstract
Chinese immigrant cancer patients report suboptimal patient-provider communication, which increases the likelihood of decisional conflict and unsatisfactory treatment decision-making (TDM) outcomes (e.g., low satisfaction and perceived control over cancer care). This cross-sectional study explored whether (1) communication and decisional conflict factors associated with TDM outcomes differed between Chinese immigrant and non-Hispanic White breast cancer patients, and (2) the association between patient-provider communication and the outcomes were mediated by TDM factors, regardless of race. Ninety-eight breast cancer patients, diagnosed at stage I-III participated in cross-sectional survey interviews. TDM outcomes and possible predictors of the outcomes (e.g., patient-provider communication, decisional conflict, preference for who makes the treatment decision) were assessed. Linear regression and mediational testing were performed to examine associations among variables of interest. Of the 98, 85 were included for analysis. Chinese patients with limited English proficiency (n = 37) had poorer patient-provider communication, higher decisional conflict, and preferred providers to make decisions than non-Hispanic White patients (n = 48; all p < .05). They also had lower satisfaction with their TDM process after controlling for predictors (e.g., patient-provider communication) (p < .001). There were no significant racial differences in perceived control, controlling for covariates. Regardless of race, patients who reported quality patient-provider communication reported less decisional conflict. These patients also reported increased satisfaction and perceived control. The disparities Chinese immigrant cancer patients experienced in the TDM process may be related to their cultural communication style with providers. Facilitating Chinese patients' communication and partnership with providers may reduce decisional conflicts and increase their TDM outcomes.
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