Association between Hispanic Ethnicity and Greater Expectation of Benefit from Acupuncture or Massage for Pain in Cancer.

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Immigrant and Minority Health Pub Date : 2024-10-01 Epub Date: 2024-07-08 DOI:10.1007/s10903-024-01611-8
Allison Booher, Jun J Mao, Rosario Costas Muniz, Sally A D Romero, Susan Q Li, Ana Maria Lopez, Kevin T Liou
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Abstract

Individuals living with cancer and survivors of cancer who self-identify as Hispanic experience higher pain burden and greater barriers to pain management compared with their non-Hispanic counterparts. The Society for Integrative Oncology-ASCO guideline recommends acupuncture and massage for cancer pain management. However, Hispanic individuals' expectations about these modalities remain under-studied and highlight a potential barrier to treatment utilization in this population. We conducted a subgroup analysis of baseline data from two randomized clinical trials to evaluate ethnic differences in treatment expectations about integrative pain treatment modalities among Hispanic and non-Hispanic cancer patients and survivors of cancer. The Mao Expectancy of Treatment Effects (METE) instrument was used to measure treatment expectancy for electro-acupuncture, auricular acupuncture, and massage therapy. Results of this study demonstrated that Hispanic participants reported greater expectation of benefit from electroacupuncture, auricular acupuncture, and massage (all P < 0.01). After controlling for age, gender, race, and education, Hispanic ethnicity remained significantly associated with greater expectation of benefit from integrative therapies for pain (coef.=1.47, 95% CI, 0.67-2.27). Non-white race (coef.=1.04, 95% CI, 0.42-1.65), no college education (coef.=1.16, 95% CI, 0.59-1.74), and female gender (coef.=0.94, 95% CI, 0.38-1.50) were also associated with a greater expectation of benefit from integrative therapies. Pain management should be informed by a shared decision-making approach that aligns treatment expectancy with treatment selections to optimize outcomes. Compared with non-Hispanic participants, Hispanic individuals reported higher expectation of benefit from acupuncture and massage, highlighting the potential role for integrative therapies in addressing ethnic pain disparities. Trial Registration NCT02979574 NCT04095234.

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西班牙裔与更期望从针灸或按摩治疗癌症疼痛中获益的关系。
与非西班牙裔的癌症患者和癌症幸存者相比,自我认同为西班牙裔的癌症患者和癌症幸存者的疼痛负担更重,疼痛管理的障碍更大。综合肿瘤学会-ASCO 指南推荐针灸和按摩用于癌症疼痛治疗。然而,西班牙裔患者对这些方法的期望仍未得到充分研究,这也凸显了该人群在利用这些方法进行治疗时可能遇到的障碍。我们对两项随机临床试验的基线数据进行了亚组分析,以评估西班牙裔和非西班牙裔癌症患者及癌症幸存者对综合疼痛治疗方式的治疗期望的种族差异。研究使用了毛氏治疗效果预期(METE)工具来测量对电针、耳针和按摩疗法的治疗预期。研究结果表明,西语裔参与者对电针、耳针和按摩的疗效有更高的期望值(所有 P
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来源期刊
Journal of Immigrant and Minority Health
Journal of Immigrant and Minority Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.70
自引率
5.30%
发文量
104
期刊介绍: Journal of Immigrant and Minority Health is an international forum for the publication of peer-reviewed original research pertaining to immigrant health from contributors in many diverse fields including public health, epidemiology, medicine and nursing, anthropology, sociology, population research, immigration law, and ethics. The journal also publishes review articles, short communications, letters to the editor, and notes from the field.
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