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Pro G, Brown C, Rojo M, Patel J, Flax C, Haynes T. Downward National Trends in Mental Health Treatment Offered in Spanish: State Differences by Proportion of Hispanic Residents. Psychiatr Serv 2022; 73:1232-1238. [PMID: 35502519 DOI: 10.1176/appi.ps.202100614] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE This study aimed to determine how the prevalence of mental health treatment facilities that offer services in Spanish has changed over time in the United States. METHODS Data from the National Mental Health Services Survey conducted in 2014 (N=13,015 facilities) and 2019 (N=12,345 facilities) were used to measure changes in the proportions of facilities that offered treatment in Spanish overall and by year, state, and proportion of Hispanic residents. Descriptive statistics were used to illustrate state-level changes in services offered in Spanish. RESULTS Between 2014 and 2019, the national Hispanic population increased by 4.5%, or 5.2 million people. During the same period, the proportion of facilities that offered treatment in Spanish declined by 17.8%, or a loss of 1,163 Spanish-speaking mental health facilities. Overall, 44 states saw a decline in the availability of services in Spanish, despite growth in Hispanic populations across all states. Among states with the fastest Hispanic population growth, several also experienced the greatest reduction in Spanish-language services. CONCLUSIONS The findings indicate that availability of Spanish-language mental health services decreased in most U.S. states during 2014–2019. Promoting mental health service delivery in Spanish is critical for reducing barriers to treatment and ensuring health equity across populations.
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Affiliation(s)
- George Pro
- Department of Health Behavior and Health Education (Pro, Flax, Haynes), Southern Public Health and Criminal Justice Research Center (Pro), and Department of Health Policy and Management (Brown), Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock; College of Nursing, University of Arkansas for Medical Sciences, Little Rock (Rojo); Department of Epidemiology, Human Genetics, and Environmental Sciences, School of Public Health, University of Texas Health Science Center at Houston, Dallas (Patel)
| | - Clare Brown
- Department of Health Behavior and Health Education (Pro, Flax, Haynes), Southern Public Health and Criminal Justice Research Center (Pro), and Department of Health Policy and Management (Brown), Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock; College of Nursing, University of Arkansas for Medical Sciences, Little Rock (Rojo); Department of Epidemiology, Human Genetics, and Environmental Sciences, School of Public Health, University of Texas Health Science Center at Houston, Dallas (Patel)
| | - Martha Rojo
- Department of Health Behavior and Health Education (Pro, Flax, Haynes), Southern Public Health and Criminal Justice Research Center (Pro), and Department of Health Policy and Management (Brown), Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock; College of Nursing, University of Arkansas for Medical Sciences, Little Rock (Rojo); Department of Epidemiology, Human Genetics, and Environmental Sciences, School of Public Health, University of Texas Health Science Center at Houston, Dallas (Patel)
| | - Jenil Patel
- Department of Health Behavior and Health Education (Pro, Flax, Haynes), Southern Public Health and Criminal Justice Research Center (Pro), and Department of Health Policy and Management (Brown), Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock; College of Nursing, University of Arkansas for Medical Sciences, Little Rock (Rojo); Department of Epidemiology, Human Genetics, and Environmental Sciences, School of Public Health, University of Texas Health Science Center at Houston, Dallas (Patel)
| | - Chasmine Flax
- Department of Health Behavior and Health Education (Pro, Flax, Haynes), Southern Public Health and Criminal Justice Research Center (Pro), and Department of Health Policy and Management (Brown), Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock; College of Nursing, University of Arkansas for Medical Sciences, Little Rock (Rojo); Department of Epidemiology, Human Genetics, and Environmental Sciences, School of Public Health, University of Texas Health Science Center at Houston, Dallas (Patel)
| | - Tiffany Haynes
- Department of Health Behavior and Health Education (Pro, Flax, Haynes), Southern Public Health and Criminal Justice Research Center (Pro), and Department of Health Policy and Management (Brown), Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock; College of Nursing, University of Arkansas for Medical Sciences, Little Rock (Rojo); Department of Epidemiology, Human Genetics, and Environmental Sciences, School of Public Health, University of Texas Health Science Center at Houston, Dallas (Patel)
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Lu L, Liu J, Yuan YC. Cultural Differences in Cancer Information Acquisition: Cancer Risk Perceptions, Fatalistic Beliefs, and Worry as Predictors of Cancer Information Seeking and Avoidance in the U.S. and China. HEALTH COMMUNICATION 2022; 37:1442-1451. [PMID: 33752516 DOI: 10.1080/10410236.2021.1901422] [Citation(s) in RCA: 20] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
Cancer is one of the most common causes of death in China and the United States. Past studies found that cancer risk perceptions, fatalistic beliefs, and worry were prominent predictors of health-related behaviors. Perceived cancer risks, fatalistic beliefs, and worry were associated with cancer information acquisition in the United States. However, little is known about whether these factors played comparable roles in China. This study investigates the psychological antecedents of cancer information acquisition using data from Health Information National Trends Surveys (HINTS) in both countries. Results showed that cancer worry was negatively related to cancer information avoidance in the U.S. but positively related to information avoidance in China. Also, whereas cancer fatalistic beliefs were negatively associated with cancer information seeking in the U.S., the relationships between fatalistic beliefs and cancer information seeking exhibited more complex patterns in China. Implications for cancer communication in different cultures are discussed.
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Affiliation(s)
- Linqi Lu
- College of Media and International Culture, Zhejiang University, Hangzhou, Zhejiang, China
- Department of Communication, Cornell University, Ithaca, New York, USA
| | - Jiawei Liu
- Department of Communication, Cornell University, Ithaca, New York, USA
| | - Y Connie Yuan
- Department of Communication, Cornell University, Ithaca, New York, USA
- Department of Global Development, Cornell University, Ithaca, New York, USA
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Homan S, Gabi M, Klee N, Bachmann S, Moser AM, Duri' M, Michel S, Bertram AM, Maatz A, Seiler G, Stark E, Kleim B. Linguistic features of suicidal thoughts and behaviors: A systematic review. Clin Psychol Rev 2022; 95:102161. [DOI: 10.1016/j.cpr.2022.102161] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2021] [Revised: 03/28/2022] [Accepted: 04/27/2022] [Indexed: 12/13/2022]
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Prevalence and risk factors for suicidality in cancer patients and oncology healthcare professionals strategies in identifying suicide risk in cancer patients. Curr Opin Support Palliat Care 2021; 14:239-246. [PMID: 32740271 DOI: 10.1097/spc.0000000000000503] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
PURPOSE OF REVIEW The aim of this study was to summarize the literature on prevalence and risk factors for suicidality in cancer patients and to document the research on oncology healthcare professionals' strategies in identifying this risk. RECENT FINDINGS Cancer patients exhibit increased risk of suicidality compared with the general population. Various risk factors have been identified including sociodemographic factors such as poverty, being male and elderly as well as disease-related attributes such as cancer type and stage. The literature on how healthcare professionals identify suicide risk is sparse. Ten articles were found that focused on two main themes. These included information on systematic strategies in identifying suicide risk and factors that affect healthcare professionals' ability to identify risk in their patients. SUMMARY Although there is an immense amount of literature documenting the problem of suicidality among patients, the research on how healthcare professionals identify and respond to these indications in patients is nearly nonexistent. Cancer centres should implement standardized and systematic screening of cancer patients for suicidality and research on this patient population should collect and report these data. Ongoing training and education for healthcare professionals who work in the oncology setting on how to identify and respond to suicide risk among cancer patients is urgently needed.
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Mendonça AB, Pereira ER, Magnago C, Medeiros AYBBV, Silva RMCRA, Martins ADO, Meira KC. Suffering experiences of people with cancer undergoing chemotherapy: A meta-ethnographic study. Nurs Health Sci 2021; 23:586-610. [PMID: 33817939 DOI: 10.1111/nhs.12839] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2021] [Revised: 03/30/2021] [Accepted: 03/31/2021] [Indexed: 12/14/2022]
Abstract
This meta-ethnography had the objectives of identifying, evaluating, and summarizing the findings of qualitative studies regarding the suffering experiences of people undergoing chemotherapy, as well as developing an explanatory conceptual structure regarding what affects these experiences. A systematic literature review was carried out, covering the past 10 years, in the following databases: CINAHL, Embase, Medline, LILACS and Scopus. By using meta-ethnographic synthesis methods, the following themes were found: the pain of loss; evaluating, measuring, and neutralizing the threat; and social contours of suffering. The experience of living with cancer and undergoing chemotherapy was synthesized into a theoretical-explanatory model with a structure that resembles barbed-wire loops. The model expresses people's suffering experiences as marked by the feeling of loss, restraint of emotions, and resilience. While transcendent movements broke the cycle of suffering, resilience emerged as a learning experience that made patients more resistant to the pain of loss. The results indicated a complex and diverse set of factors that influence suffering, which confirmed that experiences are individual, comprehensive, and continuously reinterpreted.
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Affiliation(s)
- Angelo Braga Mendonça
- Healthcare Sciences Program, School of Nursing, Universidade Federal Fluminense, Niterói, Brazil
| | - Eliane Ramos Pereira
- Healthcare Sciences Program, School of Nursing, Universidade Federal Fluminense, Niterói, Brazil
| | - Carinne Magnago
- Public Health Faculty, Universidade de São Paulo, Niterói, Brazil
| | | | | | | | - Karina Cardoso Meira
- Health Sciences School, Universidade Federal do Rio Grande do Norte, Natal, Brazil
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