scholarly journals Culture, Caregiving, and Health: Exploring the Influence of Culture on Family Caregiver Experiences

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Jennifer R. Pharr ◽  
Carolee Dodge Francis ◽  
Christine Terry ◽  
Michele C. Clark
Keyword(s):  
Cultural Values ◽  
Ethnic Groups ◽  
Asian American ◽  
Family Caregiver ◽  
Family Caregiving ◽  
Cultural Influences ◽  
European American ◽  
Hispanic American ◽  
Cultural Determinants ◽  
Caregiver Experiences

Ethnic minorities are expected to experience a greater demand for family caregiving than non-Latino Whites due to their projected population growth. Although the consensus of researchers on caregiving and culture finds that the caregiving experience differs significantly among cultural/ethnic groups, the question remains as to how cultural values and norms influence the caregiver experiences. We conducted an interpretative, phenomenological qualitative analysis of focus group transcripts from four groups (African American, Asian American, Hispanic American, and European American) for cultural influences on caregiving. Data were collected in Nevada between December 7, 2009, and August 20, 2010. Thirty-five caregivers participated in this study. We found commonalities among all of the cultural/ethnic groups in their experiences of the difficulties of caregiving. However, there were some significant differences in the cultural values and norms that shaped the caregiving experience. We categorized these differences as: (a) cultural embeddedness of caregiving, (b) cultural determinants of caregiving responsibilities or taxonomy of caregiving, and (c) cultural values and norms underlying the decision to provide care. The significance of this study is that it highlights the culturally perceived mandate to provide care in the African, Asian, and Hispanic American cultures.

Exploring caregiving-related experiences among Chinese American and European American family caregivers of persons with mental illness

2019 ◽  
Vol 56 (3) ◽  
pp. 491-509 ◽  
Author(s):  
Meekyung Han ◽  
Sadhna Diwan ◽  
Karen Sun
Keyword(s):  
Mental Illness ◽  
Cultural Values ◽  
Family Caregivers ◽  
Asian American ◽  
Cultural Context ◽  
Mental Health Problems ◽  
Negative Impact ◽  
Chinese American ◽  
European American ◽  
Snowball Sampling

Family caregivers (FCs) of people with mental illness (PMI) experience caregiving-related distress. These challenges tend to be greater for Asian American families due to acculturative stress and structural barriers to services. However, little is known about caregiving-related experiences among FCs of PMI within a cultural context. By using an exploratory approach, we examined the experience of caregiver distress and the influence of cultural values on caregiving in European American and Chinese American FCs. In collaboration with community-based agencies, a combination of convenience and snowball sampling methods were used to recruit Chinese American and European American caregivers who co-reside with PMIs. Two focus groups with each ethnic group with 57 participants (30 Chinese and 27 European American) were conducted. Thematic analysis indicates that FCs experience intense emotions, health/mental health problems, and a negative impact on their personal/social lives. Whereas Chinese American FCs reported shame, lack of knowledge, and over-protectiveness of PMIs, European American FCs reported the need for advocacy on behalf of the PMI. Findings indicate a need for: 1) greater awareness of the caregiving experience on wellbeing of FCs; 2) an understanding of how cultural values may influence caregiver experience; and 3) developing culturally relevant prevention and intervention services that can support FCs from diverse cultural contexts.

Race/Ethnicity and Survival in Metastatic Renal Cell Carcinoma: Outcomes for Patients Receiving First Line Targeted Therapies

Kidney Cancer ◽  
2020 ◽  
Vol 4 (3) ◽  
pp. 159-166
Author(s):  
Nazli Dizman ◽  
Nicholas J. Salgia ◽  
Paulo G. Bergerot ◽  
JoAnn Hsu ◽  
Nora Ruel ◽  
...  
Keyword(s):  
Ethnic Groups ◽  
Asian American ◽  
Targeted Therapies ◽  
Survival Outcomes ◽  
Hispanic American ◽  
First Line ◽  
Caucasian American ◽  
Race Ethnicity ◽  
The Relationship ◽  
Racial Ethnic

BACKGROUND: No study to date has assessed the relationship between treatment-specific therapeutic outcomes and race/ethnicity in metastatic renal cell carcinoma (mRCC). As targeted therapies have formed the backbone of first-line treatment options for mRCC until very recently, we assessed the relationship between race/ethnicity and targeted therapy-related outcomes in mRCC. OBJECTIVE: To retrospectively compare response rates and survival outcomes across ethnicities in patients who received first-line targeted therapies for mRCC. METHODS: Patients with mRCC receiving a first-line targeted therapy were identified from an institutional database encompassing consecutive patients treated between 2009 and 2019. Patient demographics, clinical characteristics and survival outcomes were recorded. The racial/ethnic groups included for analysis were Caucasian American, Hispanic American, and Asian American. Survival and response outcomes including progression-free survival (PFS), overall survival (OS), objective response rate (ORR) and disease control rate (DCR) were calculated and compared across ethnic groups using Kaplan-Meier method and Chi-square test, respectively. RESULTS: In total, 295 patients were included for analysis. There were 184 (62.4%) Caucasian American patients, 82 (27.8%) Hispanic American patients, and 29 (9.8%) Asian American patients. No statistically significant differences in PFS nor OS were found between groups (PFS: 5.6 vs. 4.7 vs. 4.7 months, respectively) (OS: 32 vs. 31.7 vs. 51.7 months, respectively). No significant difference was found in ORR nor DCR across groups. Univariate cox regression analyses demonstrated no independent effect of race/ethnicity on PFS or OS. CONCLUSIONS: The apparent lack of differences in treatment-related outcomes across racial/ethnic groups is encouraging. However, further validation is required in larger series.

Stepping Aside for Elderly Persons in American versus East-Asian Cultures

2001 ◽  
Vol 88 (3) ◽  
pp. 664-666
Author(s):  
Broshel Lenea Baker ◽  
Jay Hewitt
Keyword(s):  
Ethnic Group ◽  
Cultural Values ◽  
Asian Americans ◽  
Asian American ◽  
East Asian ◽  
The Other ◽  
European American ◽  
Elderly Persons ◽  
European Americans

In the current study, younger (15–30 years of age) and older (60+ years of age) Asian-American and European-American individuals ( N = 160) were observed as they approached someone of the same ethnic group on a walkway at a city market. The interaction was recorded if one stepped aside and let the other pass. Younger Asian-Americans tended to step aside for older Asian-Americans. No such trend was observed among European-Americans. Results were discussed in terms of cultural values.

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