• Giang T Nguyen, Frances K Barg, Katrina Armstrong, John H Holmes, and Robert C Hornik.
• Department of Family Medicine and Community Health, University of Pennsylvania, Philadelphia, PA, USA. nguyeng@uphs.upenn.edu
• J Gen Intern Med. 2008 Jan 1; 23 (1): 455045-50.

BackgroundAs patients grow older, accurate communication with health care providers about cancer becomes increasingly important. However, little is known about the cancer communication experiences of older Asian immigrants.ObjectiveTo learn about the cancer-related communication experiences of older Vietnamese immigrants from the insider perspective.DesignQualitative study (grounded theory, constant comparative method) using individual interviews with older Vietnamese immigrants with the purpose of discussing how they learn about cancer. Interviews were conducted in Vietnamese.ParticipantsVietnamese immigrants aged 50-70 years, recruited through community-based organizations. Most had low education and limited English proficiency. The sample size of 20 was sufficient to achieve theoretical saturation.ResultsWe identified 3 categories of themes concerning informants' experiences with cancer communication in the health care setting: (1) attitudes about addressing screening with providers, (2) issues/problems communicating with physicians about cancer, and (3) language/translation difficulties. There was substantial overlap between informants who mentioned each theme category, and 40% of the participants mentioned all 3 categories.ConclusionClinicians should be aware of and act upon specific cancer communication needs/challenges of their older immigrant patients. Moreover, health care systems need to be prepared to address the needs of an increasingly multiethnic and linguistically diverse patient population. Finally, community-level interventions should address baseline knowledge deficits while encouraging immigrant patients to engage their doctors in discussions about cancer screening.

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