Yelba Castellon-Lopez, Savanna L Carson, Katherine T Ward, Karina D Ramirez, Lynn Phan Vo, Tony Kuo, Teresa Seeman, Stefanie D Vassar, Laura Trejo, Ellen Eidem, María P Aranda, Arleen F Brown
Understanding the implementation and sustainability needs of evidence-based programs for racial and ethnic minoritized older adults in under-resourced communities with limited aging services
BMC health services research
chinese patients face higher risks gastrointestinal gi cancers greater cancerrelated deaths canadianborn patients older population encounters barriers quality healthcare impacting wellbeing survival previous studies highlighted chinese immigrant perceptions requiring healthcare support covid19 pandemic underutilization healthcare services garnered attention present study explores experiences older chinese cancer patients improve culturally sensitive cancer care total twenty interviews carried cantonese mandarin conducted chinese immigrants aged 60 diagnosed stage 3 4 gi cancer interviews transcribed verbatim translated subjected qualitative descriptive analysis among older chinese immigrant patients phenomenon termed premature acceptance normalizing death dying observed involved four key themes 1 acceptance letting go 2 family first 3 selfsufficiency 4 barriers supportive care participants displayed early acceptance mortality prioritizing family prosperity quality life older chinese patients normalize reality facing death amidst cancer adopt pragmatic outlook acknowledging lifesaving treatments willingly sacrificing support needs ease family burdens efforts enhance health literacy require culturally sensitive programs tailored address language barriers differing values among population strengthsbased approach emphasizing family support practical aspects care may help build resilience improve symptom management thereby enhancing engagement healthcare services