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Article: Unmet supportive care needs: A cross-cultural comparison between Hong Kong Chinese and German Caucasian women with breast cancer

TitleUnmet supportive care needs: A cross-cultural comparison between Hong Kong Chinese and German Caucasian women with breast cancer
Authors
KeywordsCulture
Psychological distress
Psychosocial support
Supportive care needs
Issue Date2011
PublisherSpringer New York LLC. The Journal's web site is located at http://springerlink.metapress.com/openurl.asp?genre=journal&issn=0167-6806
Citation
Breast Cancer Research And Treatment, 2011, v. 130 n. 2, p. 531-541 How to Cite?
AbstractThe comparison of psychosocial needs across different cultural settings can identify cultural and service impacts on psychosocial outcomes. We compare psychosocial needs in Hong Kong Chinese and German Caucasian women with breast cancer. Completed questionnaires were collected from 348 Chinese and 292 German women with breast cancer for assessing unmet psychosocial needs (Supportive Care Needs Survey Short Form), psychological distress (the Hospital Anxiety and Depression scale), and listed physical and psychological symptoms. Only 11% of the participants reported not needing help for any of the 34 items. More German (14%) than Chinese women (8%) reported no unmet needs (χ 2 = 6.16, P = .013). With both samples combined, the Health System and Information domain unmet needs were the most prevalent, apart from one Psychological need domain item, ''Fear about the cancer spreading.'' Chinese and German samples differed significantly in prevalence and patterns of unmet psychosocial needs. Multivariate adjustment for demographic, clinical, and sample characteristics, psychological distress, and symptoms showed that significantly greater unmet Health system and Information, and Patient care and support domain needs, associated with the presence of symptoms (β = .232, P<.001), high HADS Anxiety (β = .187, P<.001), higher education attainment (β = .120, P = .002), and Chinese sample membership (β = .280, P<.001). Greater unmet Psychological, Physical and Daily Living, and Sexuality domain needs were associated with the presence of symptoms, psychological distress, and German group membership, among others. German women reported more anxiety (t = 10.45, P<.001) and depression (t = 3.71, P<.001). In post hoc analyses, German, but not Chinese women reporting greater anxiety and depression had greater unmet Psychological and Sexuality domain needs (P<.001). It can be concluded that culturespecific differences in supportive care needs exist. Hong Kong Chinese women prioritize needs for information about their disease and treatment, whereas German Caucasian women prioritize physical and psychological support. Planning for cancer supportive care services or interventions to reduce unmet needs must consider cultural and/or health service contexts. © Springer Science+Business Media, LLC. 2011.
Persistent Identifierhttp://hdl.handle.net/10722/143804
ISSN
2015 Impact Factor: 4.085
2015 SCImago Journal Rankings: 2.424
ISI Accession Number ID
Funding AgencyGrant Number
Research Grants Council of Hong Kong
Germany Academic Exchange Service of GermanyG_HK027/09
Barbara and Michael Hell Stiftung Hamburg
German Cancer Aid, Germany
Fritz und Hildegard Berg-Stiftung
Stiftung Wissenschaft Hamburg
Funding Information:

Hong Kong: This study was supported by a grant from the Germany/Hong Kong Joint Research Scheme sponsored by the Research Grants Council of Hong Kong and the Germany Academic Exchange Service of Germany (Reference no. G_HK027/09 and a grant from The Hong Kong Cancer Fund). The authors would like to thank Pheebie Kwok, Ella Ho, April Chiu, Teresa Wong, and Wylie Li for their valuable contributions to data collection and management, and the women who participated in the study. The authors would also like to thank Professor Afaf Girgis for providing us with the scoring instructions of the SCNS-SF-34. Finally, the authors thank the Culturally and Linguistically Diverse (CALD) study team, headed by Professor Phyllis Butow, for the use of the translated Chinese version of the SCNS-SF-34. Germany: This research has been supported by the grants from the Barbara and Michael Hell Stiftung Hamburg and the German Cancer Aid, Germany. The Psycho-Oncological and Palliative Care Research Group at the Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, is funded by grants from the Fritz und Hildegard Berg-Stiftung, and the Stiftung Wissenschaft Hamburg within the Donors' Association for the Promotion of Sciences and Humanities in Germany.

References
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DC FieldValueLanguage
dc.contributor.authorLam, WWTen_HK
dc.contributor.authorAu, AHYen_HK
dc.contributor.authorWong, JHFen_HK
dc.contributor.authorLehmann, Cen_HK
dc.contributor.authorKoch, Uen_HK
dc.contributor.authorFielding, Ren_HK
dc.contributor.authorMehnert, Aen_HK
dc.date.accessioned2011-12-21T08:56:30Z-
dc.date.available2011-12-21T08:56:30Z-
dc.date.issued2011en_HK
dc.identifier.citationBreast Cancer Research And Treatment, 2011, v. 130 n. 2, p. 531-541en_HK
dc.identifier.issn0167-6806en_HK
dc.identifier.urihttp://hdl.handle.net/10722/143804-
dc.description.abstractThe comparison of psychosocial needs across different cultural settings can identify cultural and service impacts on psychosocial outcomes. We compare psychosocial needs in Hong Kong Chinese and German Caucasian women with breast cancer. Completed questionnaires were collected from 348 Chinese and 292 German women with breast cancer for assessing unmet psychosocial needs (Supportive Care Needs Survey Short Form), psychological distress (the Hospital Anxiety and Depression scale), and listed physical and psychological symptoms. Only 11% of the participants reported not needing help for any of the 34 items. More German (14%) than Chinese women (8%) reported no unmet needs (χ 2 = 6.16, P = .013). With both samples combined, the Health System and Information domain unmet needs were the most prevalent, apart from one Psychological need domain item, ''Fear about the cancer spreading.'' Chinese and German samples differed significantly in prevalence and patterns of unmet psychosocial needs. Multivariate adjustment for demographic, clinical, and sample characteristics, psychological distress, and symptoms showed that significantly greater unmet Health system and Information, and Patient care and support domain needs, associated with the presence of symptoms (β = .232, P<.001), high HADS Anxiety (β = .187, P<.001), higher education attainment (β = .120, P = .002), and Chinese sample membership (β = .280, P<.001). Greater unmet Psychological, Physical and Daily Living, and Sexuality domain needs were associated with the presence of symptoms, psychological distress, and German group membership, among others. German women reported more anxiety (t = 10.45, P<.001) and depression (t = 3.71, P<.001). In post hoc analyses, German, but not Chinese women reporting greater anxiety and depression had greater unmet Psychological and Sexuality domain needs (P<.001). It can be concluded that culturespecific differences in supportive care needs exist. Hong Kong Chinese women prioritize needs for information about their disease and treatment, whereas German Caucasian women prioritize physical and psychological support. Planning for cancer supportive care services or interventions to reduce unmet needs must consider cultural and/or health service contexts. © Springer Science+Business Media, LLC. 2011.en_HK
dc.languageengen_US
dc.publisherSpringer New York LLC. The Journal's web site is located at http://springerlink.metapress.com/openurl.asp?genre=journal&issn=0167-6806en_HK
dc.relation.ispartofBreast Cancer Research and Treatmenten_HK
dc.rightsThe original publication is available at www.springerlink.com-
dc.subjectCultureen_HK
dc.subjectPsychological distressen_HK
dc.subjectPsychosocial supporten_HK
dc.subjectSupportive care needsen_HK
dc.subject.meshAsian Continental Ancestry Group-
dc.subject.meshBreast Neoplasms - complications - psychology-
dc.subject.meshCross-Cultural Comparison-
dc.subject.meshEuropean Continental Ancestry Group-
dc.subject.meshNeeds Assessment-
dc.titleUnmet supportive care needs: A cross-cultural comparison between Hong Kong Chinese and German Caucasian women with breast canceren_HK
dc.typeArticleen_HK
dc.identifier.emailLam, WWT:wwtlam@hku.hken_HK
dc.identifier.emailFielding, R:fielding@hku.hken_HK
dc.identifier.authorityLam, WWT=rp00443en_HK
dc.identifier.authorityFielding, R=rp00339en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/s10549-011-1592-1en_HK
dc.identifier.pmid21617919-
dc.identifier.scopuseid_2-s2.0-82955249177en_HK
dc.identifier.hkuros197938en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-82955249177&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume130en_HK
dc.identifier.issue2en_HK
dc.identifier.spage531en_HK
dc.identifier.epage541en_HK
dc.identifier.eissn1573-7217-
dc.identifier.isiWOS:000295675700017-
dc.publisher.placeUnited Statesen_HK
dc.relation.projectAn international study of psychosocial needs and psychological distress among women with breast cancer - cross-cultural comparison-
dc.identifier.scopusauthoridLam, WWT=7203022022en_HK
dc.identifier.scopusauthoridAu, AHY=54387984500en_HK
dc.identifier.scopusauthoridWong, JHF=48462150400en_HK
dc.identifier.scopusauthoridLehmann, C=22980133800en_HK
dc.identifier.scopusauthoridKoch, U=26642965400en_HK
dc.identifier.scopusauthoridFielding, R=7102200484en_HK
dc.identifier.scopusauthoridMehnert, A=6603518420en_HK
dc.identifier.citeulike9438724-

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