Knowledge, attitudes and beliefs about lung cancer in three culturally and linguistically diverse communities living in Australia: a qualitative studyNicola Scott A D E , Connie Donato-Hunt B , Melanie Crane C , Mayanne Lafontaine C , Megan Varlow C , Holly Seale D and David Currow C
A NSW Public Health Officer Training Program, NSW Ministry of Health, NSW 2060, Australia.
B Cultural and Indigenous Research Centre Australia, NSW 2040, Australia.
C Cancer Institute, Eveleigh, NSW 2015, Australia.
D School of Public Health and Community Medicine, University of New South Wales, NSW 2052, Australia.
E Corresponding author. Email: firstname.lastname@example.org
Health Promotion Journal of Australia 25(1) 46-51 https://doi.org/10.1071/HE13095
Submitted: 28 October 2013 Accepted: 4 January 2014 Published: 16 April 2014
Issue addressed: Knowledge, attitudes and beliefs about lung cancer among Chinese, Vietnamese and Arabic-speaking communities in Sydney, New South Wales (NSW) are explored.
Methods: Seven focus groups were completed with a total of 51 participants (smokers and non-smokers) from three culturally and linguistically diverse communities (CALD). Five topics were discussed and translated summaries from focus groups were thematically analysed.
Results: There were variations in perceived susceptibility to lung cancer between the CALD groups and between smokers and non-smokers. Fatalistic views towards lung cancer were apparent across all three CALD communities. There were low levels of awareness of lung cancer signs and symptoms, with the exception of haemoptysis. Differences in help-seeking behaviour and levels of trust of general practitioners (GP) were apparent.
Conclusion: Limited awareness of the signs and symptoms of lung cancer, combined with cultural perceptions about cancer, impacted on attitudes towards help-seeking behaviour in these three CALD communities.
So what?: The prevalence of smoking among Chinese men, Vietnamese men and Arabic-speaking communities in NSW puts them at increased risk of lung cancer. Health promotion initiatives for lung cancer should be tailored for CALD communities and could focus on increasing knowledge of key symptoms, awareness that ex-smokers are at risk and awareness of the diagnostic pathway including the importance of avoiding delays in help-seeking.
References Cancer Australia. Lung cancer statistics. 2013. Available from: http://canceraustralia.gov.au/affected-cancer/cancer-types/lung-cancer/lung-cancer-statistics [Verified 7 March 2014].
 Tracey E, Kerr T, Dobrovic A, Currow D. Cancer in NSW: incidence and mortality report 2008. Sydney: Cancer Institute NSW; August 2010.
 Australian Institute of Health and Welfare & Cancer Australia. Lung cancer in Australia: an overview. Cancer series no. 64. Cat. no. CAN 58. Canberra: Australian Institute of Health and Welfare; 2011.
 Chatwin J, Sanders C (2013) The influence of social factors on help-seeking for people with lung cancer. Eur J Cancer Care (Engl) 22, 709–13.
| The influence of social factors on help-seeking for people with lung cancer.CrossRef | [epub ahead of print]
 Cancer Australia. Investigating symptoms of lung cancer: a guide for GPs. 2012. Available from: http://canceraustralia.gov.au/publications-and-resources/cancer-australia-publications/investigating-symptoms-lung-cancer-guide-gps [Verified 7 March 2014].
 Australian Bureau of Statistics. 2011 Census community profile, New South Wales. Sydney: Australian Bureau of Statistics; 2012. Available from: http://www.censusdata.abs.gov.au/census_services/getproduct/census/2011/communityprofile/1 [Verified 7 March 2014].
 Department of Health. Report on adult health by country of birth from the New South Wales adult population health survey 2006–2009. Sydney: Centre for Epidemiology and Research; 2012.
 Donato-Hunt C, Munot S, Copeland J (2012) Alcohol, tobacco and illicit drug use among six culturally diverse communities in Sydney. Drug Alcohol Rev 31, 881–9.
| Alcohol, tobacco and illicit drug use among six culturally diverse communities in Sydney.CrossRef | 22404499PubMed |
 Federation of Ethnic Communities’ Councils of Australia. Cancer and culturally and linguistically diverse communities. Canberra: Federation of Ethinic Communities’ Council; 2010.
 Yeo SS, Meiser B, Barlow-Stewart K, Goldstein D, Tucker K, Eisenbruch M (2005) Understanding community beliefs of Chinese-Australians about cancer: initial insights using an ethnographic approach. Psychooncology 14, 174–86.
| Understanding community beliefs of Chinese-Australians about cancer: initial insights using an ethnographic approach.CrossRef | 15386778PubMed |
 Lui CW, Ip D, Chui WH (2009) Ethnic experience of cancer: a qualitative study of Chinese-Australians in Brisbane, Queensland. Soc Work Health Care 48, 14–37.
| Ethnic experience of cancer: a qualitative study of Chinese-Australians in Brisbane, Queensland.CrossRef | 19197764PubMed |
 Kwok C, Sullivan G (2006) Influence of traditional Chinese beliefs on cancer screening behaviour among Chinese-Australian women. J Adv Nurs 54, 691–9.
| Influence of traditional Chinese beliefs on cancer screening behaviour among Chinese-Australian women.CrossRef | 16796661PubMed |
 Cameron KA, Francis L, Wolf MS, Baker DW, Makoul G (2007) Investigating Hispanic/Latino perceptions about colorectal cancer screening: a community-based approach to effective message design. Patient Educ Couns 68, 145–52.
| Investigating Hispanic/Latino perceptions about colorectal cancer screening: a community-based approach to effective message design.CrossRef | 17517486PubMed |
 Waller J, Robb K, Stubbings S, Ramirez A, Macleod U, Austoker J, Hiom S, Wardie J (2009) Awareness of cancer symptoms and anticipated help seeking behaviour among ethnic minority groups in England. Br J Cancer 101, S24–30.
| Awareness of cancer symptoms and anticipated help seeking behaviour among ethnic minority groups in England.CrossRef | 19956159PubMed |
 Paul C, Tzelepis F, Walsh RA, Girgis A, King L, McKenzie J (2003) Has the investment in public cancer education delivered observable changes in knowledge over the past 10 years? Cancer 97, 2931–9.
| Has the investment in public cancer education delivered observable changes in knowledge over the past 10 years?CrossRef | 12784324PubMed |
 Greenhalgh T, Robb N, Scambler G (2006) Communicative and strategic action in interpreted consultations in primary health care: a Habermasian perspective. Soc Sci Med 63, 1170–87.
| Communicative and strategic action in interpreted consultations in primary health care: a Habermasian perspective.CrossRef | 16697095PubMed |
 Britten N (2011) Qualitative research on health communication: what can it contribute? Patient Educ Couns 82, 384–8.
| Qualitative research on health communication: what can it contribute?CrossRef | 21242048PubMed |
 Tong A, Sainsbury P, Craig J (2007) Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care 19, 349–57.
| Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups.CrossRef | 17872937PubMed |
 Corbin J, Strauss A. Basics of qualitative research: techniques and procedures of developing grounded theory 3rd edn. London: Sage Thousand Oaks; 2007.
 National Cancer Institute. The role of the media in promoting and reducing tobacco use. Tobacco Control Monograph No. 19. Bethesda, MD: U.S. Department of Health and Human Services, National Institutes of Health, National Cancer Institute. NIH Pub. No. 07–6242; June 2008.
 Akl EA, Gunukula SA, Aleem S, Obeid R, Jaoude PA, Honeine R, et al. (2011) The prevalence of water pipe tobacco smoking among the general and specific populations: a systematic review. BMC Public Health 11, 244
 Smith DR, Wei N, Wang RS (2005) Tobacco smoking habits among Chinese medical students and their need for health promotion initiatives. Health Promot J Austr 16, 233–5.