{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T21:09:07Z","timestamp":1761512947405,"version":"3.37.3"},"reference-count":70,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2011,3,14]],"date-time":"2011-03-14T00:00:00Z","timestamp":1300060800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"U.S. Cancer Pain Relief Committee"},{"DOI":"10.13039\/100000048","name":"American Cancer Society","doi-asserted-by":"publisher","award":["117416-RSGT-09-201-01-PC"],"award-info":[{"award-number":["117416-RSGT-09-201-01-PC"]}],"id":[{"id":"10.13039\/100000048","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2011,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Learning Objectives<\/jats:title>\n                  <jats:p>After completing this course, the reader will be able to: Discuss the prevalence of frequent or persistent pain among non-English-speaking Chinese American cancer patients.Identify factors that were significantly associated with increased pain intensity and pain-related distress in the population studied.<\/jats:p>\n                  <jats:p>This article is available for continuing medical education credit at CME.TheOncologist.com<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Background.<\/jats:title>\n                  <jats:p>Little is known about cancer pain in Chinese Americans. The objective of this study was to describe the epidemiology of pain in this population. This information is needed to identify and address unmet clinical needs for culturally relevant interventions targeting pain and its consequences.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods.<\/jats:title>\n                  <jats:p>A consecutive sample of underserved ethnic Chinese patients in a large community-based oncology practice was screened for persistent or frequent pain. Those patients with pain completed translated instruments assessing demographics, linguistic acculturation, disease-related characteristics, and pain-related characteristics.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results.<\/jats:title>\n                  <jats:p>Of 312 patients screened, 178 (57.1%) reported frequent or persistent pain, 175 were eligible, and 170 participated. Most participants (85.9%) were born in China and 84.7% overall spoke Cantonese only. The most common cancers were gastrointestinal (28.2%), lung (21.8%), breast (20.6%), head and neck (12.9%), and genitourinary (4.7%); 43.5% had metastatic disease. The mean worst pain severity on a 0\u201310 numeric scale was 4.7 (standard deviation, 2.4), with 28.2% of patients rating their worst pain at \u22657 of 10. Although 37.6% used opioids and 47.1% used nonopioids, 45.8% reported \u201clittle\u201d or \u201cno\u201d pain relief from medications. Complementary or alternative medicine therapies for cancer pain were used by 35.8%. In multiple regression analyses, worst pain was positively associated with acculturation to the English language and opioid therapy, and pain-related distress was positively associated with opioid therapy.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion.<\/jats:title>\n                  <jats:p>Pain is prevalent among community-dwelling, ethnic Chinese American cancer patients. Additional studies are needed to confirm these results and investigate the finding that higher linguistic acculturation is associated with reports of more intense pain.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1634\/theoncologist.2010-0330","type":"journal-article","created":{"date-parts":[[2011,3,15]],"date-time":"2011-03-15T19:38:56Z","timestamp":1300217936000},"page":"523-533","source":"Crossref","is-referenced-by-count":31,"title":["Pain in Underserved Community-Dwelling Chinese American Cancer Patients: Demographic and Medical Correlates"],"prefix":"10.1093","volume":"16","author":[{"given":"Lara","family":"Dhingra","sequence":"first","affiliation":[{"name":"a Department of Pain Medicine and Palliative Care, Beth Israel Medical Center, and Departments of Neurology and Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine, New York, New York, USA;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kin","family":"Lam","sequence":"additional","affiliation":[{"name":"b Community Oncology Program, Asian Services Center, Beth Israel Medical Center, New York, New York, USA;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Homel","sequence":"additional","affiliation":[{"name":"c Department of Pain Medicine and Palliative Care, Continuum Center for Health and Healing, New York, New York, USA;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jack","family":"Chen","sequence":"additional","affiliation":[{"name":"d Department of Pain Medicine and Palliative Care, New York, New York, USA;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victor T.","family":"Chang","sequence":"additional","affiliation":[{"name":"e Section of Hematology\/Oncology, Medical Service, New Jersey Veterans Affairs Health Care System, East Orange, New Jersey, USA, and Department of Medicine, University of Medicine and Dentistry of New Jersey, Newark, New Jersey, USA;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juanyi","family":"Zhou","sequence":"additional","affiliation":[{"name":"f Asian Services Center, Beth Israel Medical Center, New York, New York, USA;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Selina","family":"Chan","sequence":"additional","affiliation":[{"name":"f Asian Services Center, Beth Israel Medical Center, New York, New York, USA;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wan Ling","family":"Lam","sequence":"additional","affiliation":[{"name":"f Asian Services Center, Beth Israel Medical Center, New York, New York, USA;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Russell","family":"Portenoy","sequence":"additional","affiliation":[{"name":"g Department of Pain Medicine and Palliative Care, Beth Israel Medical Center, and Department of Neurology, Albert Einstein 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