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Llave K, Cheng KK, Ko A, Pham A, Ericson M, Campos B, Perez-Gilbe HR, Kim JHJ. Promising Directions: A Systematic Review of Psychosocial and Behavioral Interventions with Cultural Incorporation for Advanced and Metastatic Cancer. Int J Behav Med 2024:10.1007/s12529-024-10264-8. [PMID: 38472713 DOI: 10.1007/s12529-024-10264-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/22/2024] [Indexed: 03/14/2024]
Abstract
BACKGROUND Improving quality of life (QOL) in advanced and metastatic cancer is a priority with increasing survivorship. This systematic review synthesizes psychosocial and behavioral interventions incorporating culture with the goal of examining their benefit for understudied and medically underserved populations with advanced and metastatic cancer. METHOD Reports were systematically screened for (1) a focus on advanced and metastatic cancer survivors, (2) psychosocial or behavioral intervention intended to improve QOL, (3) evidence of incorporating the culture(s) of understudied/underserved populations, and (4) availability in English. Bias was evaluated using the JBI Critical Appraisal Checklist and the Methodological index for non-randomized studies. Qualitative synthesis and quantitative meta-analyses were completed. RESULTS Eighty-six reports containing 5981 participants' data were examined. Qualitative synthesis of 23 studies identified four overarching themes relevant for incorporating culture in interventions. Meta-analysis of 19 RCTs and 4 quasi-experimental studies containing considerable heterogeneity indicated greater improvements in QOL (g = 0.84), eudaimonic well-being (g = 0.53), distress (g = -0.49), and anxiety (g = -0.37) for main intervention conditions compared to controls. Meta-analysis of 10 single-arm trials containing minimal to moderate heterogeneity found benefit for anxiety (g = -0.54), physical symptoms (g = -0.39), and depression (g = -0.38). CONCLUSION Psychosocial and behavioral interventions with cultural incorporation appear beneficial for improving QOL-related outcomes in advanced and metastatic cancer. Studies incorporating culture in psychosocial or behavioral interventions offer noteworthy insight and suggestions for future efforts such as attending to deep cultural structure.
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Affiliation(s)
- Karen Llave
- Department of Population Health & Preventive Disease, University of California, Irvine, USA
| | - Karli K Cheng
- Department of Medicine, University of California, 100 Theory, Suite 100, Irvine, CA, 92697, USA
| | - Amy Ko
- Department of Medicine, University of California, 100 Theory, Suite 100, Irvine, CA, 92697, USA
| | - Annie Pham
- Department of Medicine, University of California, 100 Theory, Suite 100, Irvine, CA, 92697, USA
| | - Marissa Ericson
- Institute for Clinical and Translational Science, University of Southern California, Los Angeles, USA
| | - Belinda Campos
- Department of Chicano/Latino Studies, University of California, Irvine, USA
| | | | - Jacqueline H J Kim
- Department of Population Health & Preventive Disease, University of California, Irvine, USA.
- Department of Medicine, University of California, 100 Theory, Suite 100, Irvine, CA, 92697, USA.
- Chao Family Comprehensive Cancer Center, University of California, Irvine, USA.
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Hoyt MA, Llave K, Wang AWT, Darabos K, Diaz KG, Hoch M, MacDonald JJ, Stanton AL. The utility of coping through emotional approach: A meta-analysis. Health Psychol 2024:2024-52600-001. [PMID: 38330307 DOI: 10.1037/hea0001364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/10/2024]
Abstract
OBJECTIVE A systematic review and meta-analysis was conducted to examine associations between attempts to cope with stressors through the two facets of emotional approach coping (EAC; i.e., processing and expressing stressor-related emotions) and indicators of physical and mental health. METHOD EBSCO databases including MEDLINE, PsycINFO, and Cochrane Collections were searched from inception to November 2022. In all, 86 studies were included in a meta-analytic evaluation using a random-effects model and meta-regression analysis. RESULTS EAC was associated with better overall health (r = .05; p = .04; 95% confidence interval = [.003, .10]). Emotional expression (EE) and emotional processing (EP) also were positively associated with better overall health, although these relationships were not statistically significant. In meta-regressions examining specific health domains, EAC was linked to better health in biological/physiological, physical, and resilience-related psychological adjustment domains, as well as to worse outcomes in the risk-related psychological adjustment and mental/emotional distress domains. Results for EE and EP mirrored this pattern; however, only EP was associated with more engagement in health-promoting behaviors. CONCLUSIONS Coping with stressors through emotional approach appears to be associated with better mental and physical health, with some observed differences for EE and EP. The literature on EAC and health is marked by heterogeneity across study methodologies and measures. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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Affiliation(s)
- Michael A Hoyt
- Department of Population Health and Disease Prevention, University of California, Irvine
| | - Karen Llave
- Department of Population Health and Disease Prevention, University of California, Irvine
| | | | - Katie Darabos
- Department of Health Behavior, Society, and Policy, Rutgers School of Public Health
| | - Karina G Diaz
- Graduate School of Education, University of Pennsylvania
| | - Megan Hoch
- Department of Psychology, University of California, Los Angeles
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Abstract
OBJECTIVE This study compared health-related quality of life (HRQOL) among lesbian, gay, and bisexual (LGB) cancer survivors and their heterosexual counterparts in a US population-based sample of cancer survivors. METHODS The study utilized data from the All of Us research program. LGB survivors (n = 885) were matched for age, gender identity, marital status, income, education, and cancer site with heterosexual survivors (n = 885) using 1:1 propensity matching. Physical, mental, and social HRQOL were assessed with items from the Patient-Reported Outcomes Measurement Information System (PROMIS). RESULTS Relative to heterosexuals, LGB cancer survivors reported lower HRQOL in mental and social domains, but not in physical HRQOL. Older age was associated with higher HRQOL across domains. LGB survivors identifying as Black/African American were more likely to experience lower social HRQOL than White survivors. CONCLUSIONS This study highlights several disparities in HRQOL that exist between LGB and heterosexual cancer survivors.
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Affiliation(s)
- Michael A Hoyt
- Department of Population Health and Disease Prevention, University of California, Irvine, California, USA
| | - Katie Darabos
- Department of Health Behavior, Society, and Policy, Rutgers School of Public Health, Piscataway, New Jersey, USA
| | - Karen Llave
- Department of Population Health and Disease Prevention, University of California, Irvine, California, USA
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Llave K, Hoyt MA. Social constraints and cancer-related quality of life in single and partnered young adult testicular cancer survivors: a contextual approach. J Psychosoc Oncol 2022; 40:743-755. [PMID: 35068347 PMCID: PMC9308827 DOI: 10.1080/07347332.2021.2002995] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
To examine the context of relationship status on the link between friends/family social constraints (SCff) and cancer-related quality-of-life (QOL) among young adult testicular cancer survivors. Participants completed the Functional Assessment of Cancer Therapy (general version), the Social Constraints Scale (friends/family), and demographic questions. The sample included 162 young adult testicular cancer survivors. SCff, but not relationship status, significantly predicted QOL when controlling for age, time since diagnosis, education, and income. The SCff X relationship status interaction was significant such that SCff were more strongly related to lower QOL for single survivors than for partnered survivors. Focusing on friends and family support of young adult survivors, findings highlight the vulnerability of single survivors to social constraints within their diffuse social network. Interventions that target supportive exchanges in friends and family networks may be useful in improving QOL in single young adult cancer survivors.
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Hoyt MA, Darabos K, Llave K. Emotional processing writing and physiological stress responses: understanding constructive and unconstructive processes. Cogn Emot 2021; 35:1187-1194. [PMID: 34011237 DOI: 10.1080/02699931.2021.1929083] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Writing about emotions related to a life stressor is thought to promote coping via emotional processing. However, all styles of emotional processing may not be beneficial to managing stress. Such styles can include constructive (planning/problem-solving, meaning-making) and unconstructive (rumination, worry) forms. This study utilised a randomised experimental design to examine the physiological impact (as indexed by heart rate variability, salivary cortisol reactivity and recovery) of expressive writing with guidance to promote constructive and discourage unconstructive styles (EP+) versus expressive writing with no guidance (EP). Participants (N = 151) engaged in three sessions of expressive writing anchored to a self-nominated stressor over three days. Stress reactivity was measured two weeks later in response to a stress recall task. There was no effect of group on cortisol reactivity, cortisol recovery, or HRV reactivity. However, there was a significant interaction of group and subjective stressfulness of the nominated stressor was observed, such that EP+ was associated with greater cortisol recovery. Those with more taxing stressors may be better equipped to process emotions with guidance on emotional processing styles.
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Affiliation(s)
- Michael A Hoyt
- Department of Population Health and Disease Prevention, University of California Irvine, Irvine, CA, USA
| | - Katie Darabos
- Behavioral Oncology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | - Karen Llave
- Department of Population Health and Disease Prevention, University of California Irvine, Irvine, CA, USA
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Pasick RJ, Kagawa-Singer M, Kidd S, Mercado V, Llave K. Abstract IA15: The bridge less traveled: Diversity training in public health and social/behavioral research. Cancer Epidemiol Biomarkers Prev 2020. [DOI: 10.1158/1538-7755.disp18-ia15] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Abstract
Cancer disparities are differences in incidence, survival, and survivorship due to societal inequities, all of which disproportionately affect people of color and those of low socioeconomic status. For over 3 decades, research across a broad spectrum of disciplines has sought to measure, explain, and reduce cancer disparities—with little impact. One reason is that most of the research is conceived and conducted not by members of the affected communities, but by “outsiders” who have the privileges of education and opportunities at the highest levels of science and policy. Because most NIH-funded research is conducted by Euro-Americans, and populations of color are greatly under-represented among students who seek and attain advanced degrees and who succeed in the world of competitive science, the NIH established large and long-standing programs to diversify the research pipeline—in the STEM fields. No such support exists, however, for the translational population sciences of public health and social-behavioral research. These are the disciplines with the theories and methods needed to engage and to, among many other functions, communicate effectively with patients and the public about health, medical care, and participation in research. In 1998, an investigator-initiated NCI training grant established the Minority Training Program in Cancer Control Research (MTPCCR), with the goal of increasing diversity among students at the doctoral level in public health and social-behavioral research and subsequently among those conducting cancer disparities research. Through 4 successive grants over 20 years, the program was conducted in two sites (UCSF and UCLA), and a replication was established at U Texas (Exito!). The program model includes a five-day Summer Institute (SI) and paid research internships for those SI participants for whom a match could be made with a role model (under-represented) preceptor or researcher working on cancer disparities. The SI is a place where participants' ancestors and cultures are brought forward and honored, establishing a strong emotional bond among participants and with the staff/faculty. This is further strengthened by a series of highly interactive sessions. The first three SI days address the need for under-represented researchers and the range of opportunities and disciplines through which one can have a lasting impact on disparities. The last two days provide tools for applying to doctoral programs. The MTPCCR also provides Doctoral Application Support Awards designed to offset costs of the doctoral application process. A total of 759 master's-level students and professionals have participated in the MTPCCR. To date, 237 (33%) have entered doctoral programs (74 African American/Black, 6 American Indian, 82 Asian American, 45 Latino/Hispanic, 2 Native Hawaiian/Pacific Islander, 9 Other, 18 mixed race/ethnicity, 1 White), 138 of whom have now graduated. A large majority report that the program strongly influenced their academic path.
Citation Format: Rena J. Pasick, Marjorie Kagawa-Singer, Sherry Kidd, Vanessa Mercado, Karen Llave. The bridge less traveled: Diversity training in public health and social/behavioral research [abstract]. In: Proceedings of the Eleventh AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2018 Nov 2-5; New Orleans, LA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2020;29(6 Suppl):Abstract nr IA15.
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Affiliation(s)
- Rena J. Pasick
- 1University of California, San Francisco, San Francisco, CA,
| | | | - Sherry Kidd
- 2University of California, Los Angeles, Los Angeles, CA
| | - Vanessa Mercado
- 1University of California, San Francisco, San Francisco, CA,
| | - Karen Llave
- 2University of California, Los Angeles, Los Angeles, CA
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Gee GC, de Castro A, Crespi C, Wang M, Hing A, Bacong A, Llave K. Pre-acculturation as a risk factor for obesity: Findings from the Health of Philippine Emigrants Study (HoPES). SSM Popul Health 2019; 9:100482. [PMID: 31709297 PMCID: PMC6831884 DOI: 10.1016/j.ssmph.2019.100482] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2019] [Revised: 08/21/2019] [Accepted: 09/12/2019] [Indexed: 11/28/2022] Open
Abstract
Immigrants to the United States may have an advantage in terms of healthier weight, but tend to gain excessive weight after arrival, and may suffer from obesity and related health conditions. Acculturation theory suggests that this increase in obesity risk is due to adoption of unhealthy western dietary behaviors, and assumes that "eastern/traditional" dietary behaviors prior to migration are healthier. While this assumption is supported by studies conducted several decades ago, the phenomenon of globalization that has risen since the 1990s has increased exposure to western ideas and behaviors in communities worldwide. Hence, today's immigrants are more likely to have already adopted less healthy behaviors that increase obesity risk prior to their arrival in the U.S., a phenomenon we term "pre-acculturation." The present study investigates the role of pre-acculturation in obesity development among immigrants from the Philippines. Data come from the Health of Philippine Emigrants Study, fielded in 2017 (n = 1632). Pre-acculturation was measured with English proficiency, preparation to migrate, receiving care packages, texting, telephone, or internet contact with friends/family in the U.S. Outcomes included the body mass index (BMI, kg/m2), waist circumference (WC, cm), waist-to-height ratio (WHtR) and waist-to-hip-ratio (WHR). Covariates included age, gender, education, financial strain, physical activity, and diet. Migrants reported greater English proficiency, preparation, and a slightly lower WHtR than non-migrants, but did not differ on BMI, WC, or WHR. Preparation was associated with greater BMI, WC, and WHtR, and the effects of preparation status differed by migration status. Among migrants, more preparation was associated with greater BMI, WC, and WtHR. Further, among non-migrants, texting and telephone communications was related to lower BMI, WC, and WHR. In summary, pre-acculturation may be a risk factor for obesity in the Philippines, suggesting that binary notions of "Western" versus "eastern/traditional" cultures may be too simplistic.
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Affiliation(s)
| | | | | | - May Wang
- University of California, Los Angeles, USA
| | - Anna Hing
- University of California, Los Angeles, USA
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de Castro AB, Hing AK, Lee NR, Kabamalan MMM, Llave K, Crespi CM, Wang M, Gee G. Cohort profile: the Health of Philippine Emigrants Study (HoPES) to examine the health impacts of international migration from the Philippines to the USA. BMJ Open 2019; 9:e032966. [PMID: 31727665 PMCID: PMC6886980 DOI: 10.1136/bmjopen-2019-032966] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/22/2023] Open
Abstract
PURPOSE The Health of Philippine Emigrants Study (HoPES) longitudinally investigates over 3 years whether migrating from the Philippines to the USA results in increased risk for obesity relative to non-migrants in the Philippines. The study is designed to test the healthy immigrant hypothesis by collecting health measures from migrants starting from a pre-migration baseline and enrolling a non-migrant cohort matched on age, gender and education for comparison. PARTICIPANTS A migrant cohort (n=832; 36.5% of eligible individuals) was recruited from clients of the Commission on Filipinos Overseas prior to exiting the Philippines. A non-migrant cohort (n=805; 68.6% eligible individuals) was recruited from community households in municipalities throughout the cities of Manila and Cebu. By intention, these two cohorts are comparable demographically, including urban/rural status of residency in the Philippines at baseline. FINDINGS TO DATE At baseline, compared with non-migrants, migrants report significantly better self-rated health and less depression, and have significantly larger hip circumference and lower waist-to-hip ratio, as well as significantly higher mean systolic blood pressure and higher mean level of apolipoprotein B. Baseline results can offer insight into the health status of both migrant and non-migrant populations and may be useful for obesity prevention efforts. FUTURE PLANS Longitudinal data collection is scheduled to be completed in December 2020 when the final data collection wave (36 months after baseline) will conclude. Both migrant and non-migrant cohorts will be maintained beyond the current prospective study, so long as research funding allows and emerges for new study questions. Findings from future longitudinal analyses can inform the need and design of health-related/relevant interventions, whether clinical, behavioural, educational, or policy, that can be implemented at the individual or population level.
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Affiliation(s)
- A B de Castro
- Department of Child, Family, and Population Health Nursing, School of Nursing, University of Washington, Seattle, Washington, United States
| | - Anna K Hing
- Department of Community Health Sciences, Fielding School of Public Health, University of California, Los Angeles, California, United States
| | - Nanette R Lee
- Office of Population Studies Foundation, Inc, University of San Carlos, Cebu City, Philippines
| | - Maria Midea M Kabamalan
- University of the Philippines Population Institute, College of Social Sciences and Philosophy, University of the Philippines Diliman, Quezon City, Philippines
| | - Karen Llave
- Department of Community Health Sciences, Fielding School of Public Health, University of California, Los Angeles, California, United States
| | - Catherine M Crespi
- Department of Biostatistics, Fielding School of Public Health, University of California, Los Angeles, California, United States
| | - May Wang
- Department of Community Health Sciences, Fielding School of Public Health, University of California, Los Angeles, California, United States
| | - Gilbert Gee
- Department of Community Health Sciences, Fielding School of Public Health, University of California, Los Angeles, California, United States
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Gee GC, de Castro AB, Crespi CM, Wang MC, Llave K, Brindle E, Lee NR, Kabamalan MMM, Hing AK. Health of Philippine Emigrants Study (HoPES): study design and rationale. BMC Public Health 2018; 18:771. [PMID: 29925337 PMCID: PMC6011515 DOI: 10.1186/s12889-018-5670-8] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2018] [Accepted: 06/04/2018] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND Immigrants to the United States are usually healthier than their U.S.-born counterparts, yet the health of immigrants declines with duration of stay in the U.S. This pattern is often seen for numerous health problems such as obesity, and is usually attributed to acculturation (the adoption of "American" behaviors and norms). However, an alternative explanation is secular trends, given that rates of obesity have been rising globally. Few studies of immigrants are designed to distinguish the effects of acculturation versus secular trends, in part because most studies of immigrants are cross-sectional, lack baseline data prior to migration, and do not have a comparison group of non-migrants in the country of origin. This paper describes the Health of Philippine Emigrants Study (HoPES), a study designed to address many of these limitations. METHODS HoPES is a dual-cohort, longitudinal, transnational study. The first cohort consisted of Filipinos migrating to the United States (n = 832). The second cohort consisted of non-migrant Filipinos who planned to remain in the Philippines (n = 805). Baseline data were collected from both cohorts in 2017 in the Philippines, with follow-up data collection planned over 3 years in either the U.S. for the migrant cohort or the Philippines for the non-migrant cohort. At baseline, interviewers administered semi-structured questionnaires that assessed demographic characteristics, diet, physical activity, stress, and immigration experiences. Interviewers also measured weight, height, waist and hip circumferences, blood pressure, and collected dried blood spot samples. DISCUSSION Migrants enrolled in the study appear to be representative of recent Filipino migrants to the U.S. Additionally, migrant and non-migrant study participants are comparable on several characteristics that we attempted to balance at baseline, including age, gender, and education. HoPES is a unique study that approximates a natural experiment from which to study the effects of immigration on obesity and other health problems. A number of innovative methodological strategies were pursued to expand the boundaries of current immigrant health research. Key to accomplishing this research was investment in building collaborative relationships with stakeholders across the U.S. and the Philippines with shared interest in the health of migrants.
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Affiliation(s)
- Gilbert C. Gee
- UCLA Fielding School of Public Health, 650 Charles E. Young Drive South, Los Angeles, CA 90095-1772 USA
| | - A. B. de Castro
- University of Washington School of Nursing, Box 357260, Seattle, WA 98195 USA
| | - Catherine M. Crespi
- UCLA Fielding School of Public Health, 650 Charles E. Young Drive South, Los Angeles, CA 90095-1772 USA
| | - May C. Wang
- UCLA Fielding School of Public Health, 650 Charles E. Young Drive South, Los Angeles, CA 90095-1772 USA
| | - Karen Llave
- UCLA Fielding School of Public Health, 650 Charles E. Young Drive South, Los Angeles, CA 90095-1772 USA
| | - Eleanor Brindle
- Center for Studies in Demography and Ecology, University of Washington, Box 353412, Seattle, WA 98195 USA
| | - Nanette R. Lee
- Department of Anthropology, Sociology, and History, USC-Office of Population Studies Foundation, Inc., University of San Carlos, Talamban, Cebu City, Philippines
| | - Maria Midea M. Kabamalan
- Population Institute, College of Social Sciences and Philosophy, University of the Philippine, Diliman, Quezon City, Philippines
| | - Anna K. Hing
- UCLA Fielding School of Public Health, 650 Charles E. Young Drive South, Los Angeles, CA 90095-1772 USA
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Kwan P, Briand G, Lee C, Lepule J, Llave K, Pang K, Sabado M, Santos L, Tanjasiri S, Tui’one V, Schmidt-Vaivao D, Palmer P. Reservations to Participate in Biospecimen Research among Pacific Islanders. Calif J Health Promot 2015; 13:27-33. [PMID: 29805326 PMCID: PMC5966275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023] Open
Abstract
BACKGROUND AND SIGNIFICANCE Despite high rates of chronic diseases like cancer, diabetes and cardiovascular disease, Pacific Islanders (PIs) are underrepresented in clinical and genetic studies designed to identify the physiological causes of poor health outcomes. There are limited genetic data and biospecimen samples from PIs under study. This paper described why PIs have reservations about donating their biospecimen samples for research. METHODS Data were drawn from a pilot study designed to assess the knowledge, attitudes and beliefs surrounding biospecimen research among PIs in southern California. Utilizing a community-based participatory research approach, community and academic partners collected quantitative and qualitative data from a total of 60 PI adults with a mean age of 61 years (SD 13 years). RESULTS "Fear", "God or Spirituality" and "Lack of Information or Knowledge" were the most cited reasons for not participating in biospecimen research. Respondents younger than age 65 years expressed more concerns about donating their biospecimen samples than those older than age 65 years (p<0.012). No significant gender differences were found (p=0.84). CONCLUSION Our results emphasize the need to conduct relevant and appropriate biospecimen education among minority communities in order to address misconceptions and build support to increase PI and other minority participation in biospecimen-related studies.
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Affiliation(s)
- Patchareeya Kwan
- Claremont Graduate University, School of Community and Global Health
| | | | - Cevadne Lee
- Claremont Graduate University, School of Community and Global Health
| | - Jonathan Lepule
- California State University Fullerton, Department of Health Science
| | - Karen Llave
- California State University Northridge, Department of Health Science
| | | | - Melanie Sabado
- Claremont Graduate University, School of Community and Global Health
| | | | - Sora Tanjasiri
- California State University Fullerton, Department of Health Science
| | | | | | - Paula Palmer
- Claremont Graduate University, School of Community and Global Health
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Kwan P, Briand G, Lee C, Lepule J, Llave K, Pang K, Sabado M, Santos L, Tanjasiri S, Tui’one V, Schmidt-Vaivao D, Palmer P. Reservations to Participate in Biospecimen Research among Pacific Islanders. CALIF J HEALTH PROMOT 2015. [DOI: 10.32398/cjhp.v13i3.1832] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Background and Significance: Despite high rates of chronic diseases like cancer, diabetes and cardiovascular disease, Pacific Islanders (PIs) are underrepresented in clinical and genetic studies designed to identify the physiological causes of poor health outcomes. There are limited genetic data and biospecimen samples from PIs under study. This paper described why PIs have reservations about donating their biospecimen samples for research. Methods: Data were drawn from a pilot study designed to assess the knowledge, attitudes and beliefs surrounding biospecimen research among PIs in southern California. Utilizing a community-based participatory research approach, community and academic partners collected quantitative and qualitative data from a total of 60 PI adults with a mean age of 61 years (SD 13 years). Results: “Fear”, “God or Spirituality” and “Lack of Information or Knowledge” were the most cited reasons for not participating in biospecimen research. Respondents younger than age 65 years expressed more concerns about donating their biospecimen samples than those older than age 65 years (p
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