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Geriatrics

Geriatrics

Ethnogeriatrics

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      • Introduction
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    • Background
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Prostate Cancer

“The rate of prostate cancer among Chinese-American men is three to five times higher than Chinese living in Asia.”

Incidence Rate

The incidence rate for prostate cancer among Asian/Pacific Islander men (from 2002 to 2006) was 91.1 per 100,000 men.

Mortality Rates

Mortality rates among Asian/Pacific Islander men were 10.6 per 100,000 men. Both incidence and mortality rates were lower compared with White or Black populations in the U.S. See the National Cancer Institute’s SEER Stat Fact Sheet for more information

Effect of Age

The rate of prostate cancer increases sharply with age, and the rate of prostate cancer among Chinese-American men is three to five times higher than Chinese living in Asia. Robbins et al. (2007) conducted a study of prognostic factors and survival from prostate cancer in non-Hispanic whites and 6 Asian subgroups (Chinese, Filipino, Japanese, Korean, South Asian, and Vietnamese), using data from all men in California diagnosed with incident prostate cancer during 1995-2004 and followed through 2004 (n = 116,916).

Survival Rate

On multivariate analyses adjusting for all prognostic factors, all subgroups except South Asian,and Vietnamese men had significantly better survival than whites; the latter 2 groups had statistically equal survival. This study showed that Chinese American men had better survival rates compared with White men, but the reasons were unclear. Another study among Medicare recipients investigated differences in disease-free survival among white, black, Hispanic, and Asian patients in a large, population-based database. It found that the disease-free survival of white, Hispanic, and Asian patients were not statistically different. (Cohen et al, 2006)

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Chinese American

  • Description
  • Learning Objectives
  • Introduction and Overview
    • Current Population
    • Religion
    • Language
  • Patterns of Health Risk
    • Role of Western Society
    • Depression
    • Alcoholism
    • Dementia
    • Infectious Disease
    • Cancer
      • Liver Cancer
      • NPC
      • Breast Cancer
      • Prostate Cancer
      • Colon Cancer
      • Lung Cancer
    • Smoking
    • Cardiovascular Disease
    • Diabetes
    • ESRD

Culturally Appropriate Care

  • Fund of Knowledge
    • Beliefs and Practices
      • Confucianism
      • Other Influences
      • Conflicts with Western Autonomy
    • Cohort Analysis
      • Historical Influence
      • Significant Dates and Periods
    • Acculturation
  • Assessment
    • Heterogeneity vs. Homogeneity
    • Degree of Acculturation and Traditional Beliefs
  • Delivery of Care
    • Health Care Provider Role
    • Traditional Chinese Medicine
    • Psychotherapy
    • Advance Directives/End of Life Issues
    • Medications
  • Cancer Care

Access & Utilization

  • Health Care Utilization
  • Long Term Care

Learning Resources

  • Instructional Strategies
    • Case Study 1
    • Case Study 2
  • Student Evaluation
  • Links
  • List of References
  • Searchable Reference Database
  • Glossary
  • Interview Strategies
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