Few studies have explored the preferences of ethnic groups, including Latinos, when trying to make a decision that allows them to achieve a balance between optimal analgesia and tolerable side effects. The purpose of this study was to ascertain the preferences of Latinos toward heath states associated with cancer pain. In this study, 77 community-dwelling Latino adults were recruited to participate in a 20 - minute telephone interview. Heath state descriptions included combinations of severe or moderate pain severity, absence or presence of side effects (confusion, constipation, dry mouth, nausea, sleepiness, vomiting), constant interference with daily function and the use of strong opioids needed for cancer pain management. Subjects were asked to assess 3 hypothetical health states, 6 side effects and their own current health status using a numerical scale (0 - 100; 0=death; 100=perfect health). Interestingly, 48% of the subjects were currently taking pain medication ranging from over the counter to strong prescription medications; yet, the mean utility score for their own current health status was 79. Subjects considered all side effects to be aversive but vomiting was the most aversive side effect with a mean score of 44. Our findings indicate that Latinos are willing to take strong pain medications for cancer pain if the side effects are minimal. These results are useful for the management of side effects and development of pain management patient education interventions for diverse cultural and ethnic groups. Funded by a grant from the National Cancer Institute No. CA26582.
Learning Objectives: 1. Recognize the barriers toward effective cancer pain management in diverse cultural and ethnic groups, such as Latinos. 2. Identify the preferences of Latinos toward cancer pain health states and related side effects. 3. Discuss strategies for developing pain management patient education interventions for Latinos and other diverse ethnic groups.
Keywords: Latino Caucus, Minority Research
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.