Association between Hispanic ethnicity and greater expectation of benefit from acupuncture or massage for pain in cancer Journal Article

   

Authors:	Booher, A.; Mao, J. J.; Muniz, R. C.; Romero, S. A. D.; Li, S. Q.; Lopez, A. M.; Liou, K. T.
Article Title:	Association between Hispanic ethnicity and greater expectation of benefit from acupuncture or massage for pain in cancer
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. © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2024.
Keywords:	adult; aged; middle aged; neoplasm; neoplasms; pain; cancer pain; acupuncture; integrative medicine; sex factors; massage; analgesia; socioeconomics; therapy; socioeconomic factors; pain management; hispanic; ethnology; acupuncture therapy; complication; procedures; auricular acupuncture; acupuncture, ear; latino; cancer; humans; ethnic disparities; human; male; female; latina; health equity; sex factor; hispanic or latino
Journal Title:	Journal of Immigrant and Minority Health
Volume:	26
Issue:	5
ISSN:	1557-1912
Publisher:	Springer
Date Published:	2024-10-01
Start Page:	953
End Page:	957
Language:	English
DOI:	10.1007/s10903-024-01611-8
PUBMED:	38977653
PROVIDER:	scopus
PMCID:	PMC12203418
DOI/URL:	https://www.scopus.com/inward/record.uri?eid=2-s2.0-85197789915&doi=10.1007%2fs10903-024-01611-8&partnerID=40&md5=a6af2fbd09392b2d535cd0f17755e685
Notes:	Article -- Source: Scopus

https://synapse.mskcc.org/synapse/works/has_related_data_chk/219286