scholarly journals Sociocultural Factors Associated with Awareness of Palliative Care and Advanced Care Planning among Asian Populations

2020 ◽  
Vol 30 (3) ◽  
pp. 459-468
Author(s):  
Jay J. Shen ◽  
Catherine Dingley ◽  
Ji Won Yoo. ◽  
Sfurti Rathi ◽  
Soo Kyong Kim ◽  
...  
Keyword(s):  
United States ◽  
Palliative Care ◽  
The United States ◽  
Average Score ◽  
Sociocultural Factors ◽  
Care Planning ◽  
Advanced Care Planning ◽  
Asian Populations ◽  
Health Fairs ◽  
Church And Community

Objective: Underutilization of palliative care (PC) among racial/ethnic minorities re­mains consistent despite projected demand. The purpose of this study was to examine knowledge of palliative care and advanced care planning (ACP) and potential variations among subgroups of Asian Americans.Design: A survey was conducted to collect information about awareness, knowledge, and perspective of PC and ACP in the southwestern region of the United States, from October 2018 to February 2019. A total of 212 surveys were collected from the general public at such places as health fairs, New Year celebration events, church, and community centers; 154 surveys were included in the descriptive and multivariate data analysis.Results: About 46.1% and 40.3% partici­pants reported having heard of palliative care and advanced care planning, respec­tively. The average score of the Knowledge of Care Options Instrument (KOCO) was 6.03 out of 11 and the average score of the Palliative Care Knowledge Scale (PaCKS) was 4.38 out of 13. Among those who have heard of PC, both Chinese (odds ratio (OR) .19 [CI, .05, .73]) and Vietnamese (.22 [.06, .84]) were less likely to have heard of pal­liative care compared with Filipinos (1.00). Among those who have ever heard of advanced care planning, age (.60 [.43, .84]) was negatively and education level (1.91 [1.18, 3.08]) was positively associated with awareness about advanced care planning. The majority of survey participants preferred family members to serve as their power attorneys.Conclusion: The low levels of palliative care and advanced care planning awareness and knowledge in the diverse Asian groups liv­ing in the United States raise concerns and shed light on the critical need for cultur­ally appropriate education programs. Ethn Dis. 2020;30(3):459-468; doi:10.18865/ed.30.3.459

A Systematic Review on Barriers to Palliative Care in Oncology

2021 ◽  
pp. 104990912098328
Author(s):  
Jyotsana Parajuli ◽  
Judith E. Hupcey
Keyword(s):  
United States ◽  
Systematic Review ◽  
Palliative Care ◽  
Full Text ◽  
Literature Search ◽  
Intervention Development ◽  
The United States ◽  
Care Utilization ◽  
Review Of Literature ◽  
Meta Analyses

The number of people with cancer and the need for palliative care among this population is increasing in the United States. Despite this growing need, several barriers exist to the utilization of palliative care in oncology. The purpose of this study was to synthesize the evidence on the barriers to palliative care utilization in an oncology population. A systematic review of literature was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. PubMed, CINAHL, and Psych Info databases were used for the literature search. Articles were included if they: 1) focused on cancer, (2) examined and discussed barriers to palliative care, and c) were peer reviewed, published in English, and had an accessible full text. A total of 29 studies (8 quantitative, 18 qualitative, and 3 mixed-methods) were identified and synthesized for this review. The sample size of the included studies ranged from 10 participants to 313 participants. The barriers to palliative care were categorized into barriers related to the patient and family, b) barriers related to providers, and c) barriers related to the healthcare system or policy. The factors identified in this review provide guidance for intervention development to mitigate the existing barriers and facilitate the use palliative care in individuals with cancer.

Association of methylmercury intake from seafood consumption and blood mercury level among the Asian and Non-Asian populations in the United States

2018 ◽  
Vol 160 ◽  
pp. 212-222 ◽  
Author(s):  
Yangyang Liu ◽  
Susan Buchanan ◽  
Henry A. Anderson ◽  
Zhiwen Xiao ◽  
Victoria Persky ◽  
...  
Keyword(s):  
United States ◽  
Mercury Level ◽  
The United States ◽  
Seafood Consumption ◽  
Asian Populations ◽  
Blood Mercury

scholarly journals The Effect of Governmental Health Measures on Public Behaviour During the COVID-19 Pandemic Outbreak

2021 ◽  
Author(s):  
Guoyan Wang ◽  
Li Li ◽  
Lingfei Wang ◽  
Zhi Xu
Keyword(s):  
United States ◽  
Local Governments ◽  
Large Scale ◽  
New York State ◽  
The United States ◽  
Average Score ◽  
Phase Rule ◽  
The Public ◽  
Health Measures ◽  
Epidemic Area

Background: The COVID-19 pandemic resulted in radical changes in many aspects of life. To deal with this, each country has implemented continuous health measures from the beginning of the outbreak. Discovering how governmental actions impacted public behaviour during the outbreak stage is the purpose of this study. Methods: This study uses a hybrid large-scale data visualisation method to analyse public behaviour (epidemic concerns, self-protection, and mobility trends), using the data provided by multiple authorities. Meanwhile, a content analysis method is used to qualitatively code the health measures of three countries with severe early epidemic outbreaks from different continents, namely China, Italy, and the United States. Eight dimensions are coded to rate the mobility restrictions implemented in the above countries. Results: (1) Governmental measures did not immediately persuade the public to change their behaviours during the COVID-19 epidemic. Instead, the public behaviour proceeded in a three-phase rule, which is typically witnessed in an epidemic outbreak, namely the wait-and-see phase, the surge phase and the slow-release phase. (2) The strictness of the mobility restrictions of the three countries can be ranked as follows: Hubei Province in China (with an average score of 8.5 out of 10), Lombardy in Italy (7.125), and New York State in the United States (5.375). Strict mobility restrictions are more likely to cause a surge of population outflow from the epidemic area in the short term, whereas the effect of mobility restrictions is positively related to the stringency of policies in the long term. Conclusion: The public showed generally lawful behaviour during regional epidemic outbreaks and blockades. Meanwhile public behaviour was deeply affected by the actions of local governments, rather than the global pandemic situation. The contextual differences between the various countries are important factors that influence the effects of the different governments’ health measures.

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