Communication challenges experienced by migrants with cancer: A comparison of migrant and English-speaking Australian-born cancer patients
Bell, Melanie L.
AffiliationUniv Arizona, Mel & Enid Zuckerman Coll Publ Hlth, Div Epidemiol & Biostat
MetadataShow full item record
CitationCommunication challenges experienced by migrants with cancer: A comparison of migrant and English-speaking Australian-born cancer patients 2017, 20 (5):886 Health Expectations
Rights© 2017 The Authors Health Expectations Published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License.
Collection InformationThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at firstname.lastname@example.org.
AbstractObjectivesUnderstanding the difficulties faced by different migrant groups is vital to address disparities and inform targeted health-care service delivery. Migrant oncology patients experience increased morbidity, mortality and psychological distress, with this tentatively linked to language and communication difficulties. The objective of this exploratory study was to investigate the communication barriers and challenges experienced by Arabic, Greek and Chinese (Mandarin and Cantonese) speaking oncology patients in Australia. MethodsThis study employed a cross-sectional design using patient-reported outcome survey data from migrant and English-speaking Australian-born patients with cancer. Patients were recruited through oncology clinics and Australian state cancer registries. Data were collected regarding patient clinical and demographic characteristics and health-care and communication experiences. Data from the clinics and registries were combined for analysis. ResultsSignificant differences were found between migrant groups in demographic characteristics, communication and health-care experiences, and information and care preferences. Chinese patients cited problems with understanding medical information, the Australian health-care system, and communicating with their health-care team. Conversely, Arabic- and Greek-speaking patients reported higher understanding of the health-care system, and less communication difficulties. ConclusionsOur study findings suggest that migrant groups differ from each other in their health communication expectations and requirements. Lower education and health literacy of some groups may play a role in poorer health outcomes. Public health interventions and assistance provided to migrants should be tailored to the specific needs and characteristics of that language or cultural group. Future research directions are discussed.
NoteOpen Access Journal.
VersionFinal published version
SponsorsNational Health and Medical Research Council (NHMRC) grant; Victorian Community Foundation-James & Vera Lawson Trust; beyondblue: the national depression initiative; Cancer Australia; beyondblue under the Priority-driven Collaborative Cancer Research Scheme; Multicultural Health Service, South Eastern Sydney Illawarra Health, under the Cultural Diversity Health Enhancement Grants Program; NHMRC senior principal research fellowship
- Treatment decision making experiences of migrant cancer patients and their families in Australia.
- Authors: Shaw J, Zou X, Butow P
- Issue date: 2015 Jun
- Prognostic communication preferences of migrant patients and their relatives.
- Authors: Mitchison D, Butow P, Sze M, Aldridge L, Hui R, Vardy J, Eisenbruch M, Iedema R, Goldstein D
- Issue date: 2012 May
- It's all good on the surface: care coordination experiences of migrant cancer patients in Australia.
- Authors: Shaw JM, Shepherd HL, Durcinoska I, Butow PN, Liauw W, Goldstein D, Young JM
- Issue date: 2016 Jun
- Migrant health in cancer: outcome disparities and the determinant role of migrant-specific variables.
- Authors: Sze M, Butow P, Bell M, Vaccaro L, Dong S, Eisenbruch M, Jefford M, Girgis A, King M, McGrane J, Ng W, Asghari R, Parente P, Liauw W, Goldstein D, Psycho-oncology Co-operative Research Group Culturally and Linguistically Diverse (CALD) TEAM.
- Issue date: 2015 May
- The physical and mental health problems of refugee and migrant fathers: findings from an Australian population-based study of children and their families.
- Authors: Giallo R, Riggs E, Lynch C, Vanpraag D, Yelland J, Szwarc J, Duell-Piening P, Tyrell L, Casey S, Brown SJ
- Issue date: 2017 Nov 17