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Pain Management Among Chinese American Cancer Patients 

Pain Management Among Chinese American Cancer Patients
Chapter:
Pain Management Among Chinese American Cancer Patients
Author(s):

Lara Dhingra

, Graciete Lo

, John Tsoi

, and Victor T. Chang

DOI:
10.1093/med/9780199768875.003.0022
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date: 09 April 2020

Chinese Americans are the largest Asian subgroup (3.3 million)1 in the United States, comprising a diverse and rapidly changing population. Many (21%) are recent immigrants1 who suffer a disproportionately high burden of mortality for specific cancers, including nasopharyngeal, liver, and stomach cancer.2 Because Chinese-American immigrants often present with advanced illness,2 have low levels of acculturation,1 are medically underserved1 and economically disadvantaged,1 they are at high risk for poorly controlled pain.20 This chapter discusses the epidemiology of cancer-pain management among Chinese Americans, a population underrepresented to date in pain research, and presents data from an ongoing study of cancer pain with Chinese patients in New York City.21 We address concepts of pain within Chinese culture that may influence the pain experience and identify potential barriers to pain treatment.3 We conclude with practice recommendations to facilitate culturally relevant pain treatment.

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