COVID-19 pandemic–related emotional, social, and medical concerns of Latino patients with cancer: perspectives of mental health providers

Author:

Costas-Muñiz Rosario12,Montaña Maria F.3,Ruda-Santolaria Lourdes45,Sanchez-Ramirez Jose C.67,Torres-Blasco Normarie8,Castro-Figueroa Eida8,Esenarro Loida7910,Galindo-Vazquez Oscar11,Bergerot Cristiane1012,Claros Maria1,Narang Bharat1,Finik Jackie1,Gany Francesca12,Breitbart William12

Affiliation:

1. Department of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY

2. Department of Psychiatry, Weill Cornell Medical College, New York, NY

3. Hospital Británico, Buenos Aires, Argentina

4. Pontificia Universidad Católica del Perú, Lima, Perú

5. Asociación Nacional de Psicooncología del Perú, Lima, Perú

6. Universidad de Lima, Lima, Perú

7. Sociedad Peruana de Psicooncología, Lima, Perú

8. Ponce Research Institute, Ponce Health Sciences University, Puerto Rico

9. School of Medicine and School of Behavioral and Brain Sciences, Ponce Research Institute, Ponce Health Sciences University, Puerto Rico

10. Instituto Nacional de Salud Mental "Honorio Delgado - Hideyo Noguchi", Lima, Perú

11. Universidad Peruana Unión, Lima, Perú

12. Oncoclínicas & Co - Medica Scientia Innovation Research (MEDSIR), Sao Paulo, Brazil

Abstract

Abstract Introduction: Latino people with cancer might face additional health, emotional, and socioeconomic burdens of the COVID-19 pandemic. Methods: This study included data from two waves of (independent) assessments with providers of mental health services to Latino/Hispanic people with cancer from the United States, Spain, and Latin America (first wave: May–July 2020; second wave: March–July 2021) who completed a cross-sectional online survey with open-ended and closed-ended questions, including concerns of people with cancer with/without COVID-19. Results: The response rates were 15% for Wave 1 (N = 88) and 14% for Wave 2 (N = 115). For Wave 1, 74 surveys were completed by clinicians and included in the analyses; for Wave 2, 115 surveys were included. Providers (first [77%] and second [84%] waves) reported that most patients had concerns about stress/symptoms of anxiety, followed by concerns about COVID-19 exposure (first [74%] and second [82%] waves) and family members' exposure (second wave 75%), hospital visits or appointments (82%, 79%, respectively), treatment/testing delays (69%, 72%, respectively), general health (58%, 71%, respectively), and income/salary loss or reduction (60%, 50%, respectively). According to providers, concerns of patients diagnosed with COVID-19 included fear of death and dying, spreading the disease, getting worse, and lack of appropriate medical care. Conclusion: Our findings reveal the need to address health, emotional, and socioeconomic burdens of the COVID-19 pandemic throughout Latin America, Spain, and the United States for Latino people with cancer. Interventions targeting the health care access, emotional, and socioeconomic needs of Latino people with cancer are warranted.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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