DESCRIPTION (Adapted from the Applicant's Abstract): Cancer surveillance data
indicate that Chinese-American women utilize breast conserving surgery and
adjuvant therapies significantly less than other women, regardless of age or
stage at diagnosis. Preliminary ethnographic data suggest that cultural values
and beliefs impact upon both the treatment decisions by Chinese-American women
and their health care providers' treatment recommendations.
The goal of the proposed anthropologic research is to explicate specific
cultural factors that influence treatment decisions by both Chinese-American
patients and their providers, and to apply this information to messages and
communication guidelines for health care providers and patients. This goal will
be achieved through three specific aims. The first two aims are to understand
the cultural values, beliefs, and norms that are associated with the diagnosis
and treatment of breast cancer among (1) Chinese-American, women in the San
Francisco Bay area and (2) their breast cancer care providers. (3) The third
aim is to develop culturally appropriate concepts and messages for use in both
new materials and revision of currently utilized materials on treatment choices
for Chinese-American women. The first phase of the proposed study will involve
extensive collection of data through use of focus groups, in-depth interviews
and systematic observations at breast cancer clinics and in physician offices.
In collaboration with an advisory committee, qualitative analyses will inform
development of guidelines to promote more effective communication between
breast cancer clinicians and their Chinese-American patients.
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