Cancer information-seeking experiences: The implications of Hispanic ethnicity and Spanish language

  • Robin C. Vanderpool
  • Julie Kornfeld
  • Lila Finney Rutten
  • Linda Squiers


Background. Strategies to support cancer information-seeking among Hispanics are needed. Methods. We analyzed data from the 2005 Health Information National Trends Survey (HINTS) to explore cancer information-seeking experiences among respondents according to ethnicity and language of interview. Results. Over 80% of Spanish-speaking Hispanics had never looked for cancer information. Compared to English-speaking respondents, Spanish-speaking Hispanics who sought cancer information indicated their search took a lot of effort (67%), was hard to understand (54%), and frustrating (42%). Spanish-speaking Hispanics noted minimal confidence in obtaining cancer information. Conclusions. Language and cultural differences must be considered in the design, implementation, and dissemination of cancer information.


  1. 1.
    US Census Bureau. Release Date: May 17, 2007. Table 4: Annual estimates of the Hispanic or Latino population by age and sex for the US: April 1, 2000 to July 1, 2006 (NC-EST 2006-04-HISP). Available at: Accessed August 30, 2007.Google Scholar
  2. 2.
    Timmins CL. The impact of language barriers on the health care of Latinos in the U.S.: a review of the literature and guidelines for practice. J Midwifery Womens Health. 2002;47:80–96.PubMedCrossRefGoogle Scholar
  3. 3.
    Garbers S, Chiasson MA. Inadequate functional health literacy in Spanish as a barrier to cervical cancer screening among immigrant Latinas in New York City. Prev Chronic Dis. 2004; 1(4). Available at: Accessed August 30, 2007.
  4. 4.
    Huerta EE. Cancer Statistics for Hispanics, 2003: good news, bad news, and the need for a health system paradigm change. CA Cancer J Clin. 2003;53:205–207.PubMedCrossRefGoogle Scholar
  5. 5.
    Diaz VA. Cultural factors in preventive care: Latinos. Prim Cary Clin Office Pract. 2002;29:503–517.CrossRefGoogle Scholar
  6. 6.
    American Cancer Society. Cancer Facts & Figures for Hispanic/Latinos 2006–2008. Atlanta, GA: American Cancer Society; 2007.Google Scholar
  7. 7.
    McDougal JA, Madeleine MM, Daling JR, et al. Racial and ethnic disparities in cervical cancer incidence rates in the United States, 1992–2003. Cancer Causes Control. 2007;18:1175–1186.CrossRefGoogle Scholar
  8. 8.
    Ramanadhan S, Viswanath K. Health and the information nonseeker: a profile. Health Commun. 2006;20:131–139.PubMedCrossRefGoogle Scholar
  9. 9.
    Tichenor PJ, Donohue GA, Olien CN. Mass Media Flow and Differential Growth in Knowledge. Pub Opin Q. 1970;34:159–170.CrossRefGoogle Scholar
  10. 10.
    Viswanath K, Finnegan, JR, Jr. Knowledge gap hypothesis: Twenty five years later. In: Burleson B, ed. Communication Yearbook: Vol. 19. Thousand Oaks, CA: Sage; 1996:187–227.Google Scholar
  11. 11.
    Ku L, Waidmann T. How race/ethnicity, immigration status, and language affect health insurance coverage, access to care and quality of care among the low-income population. Washington, DC: The Henry J. Kaiser Family Foundation; August 2003. Available at: Accessed August 30, 2007.Google Scholar
  12. 12.
    Hudson JC, Watts E. Hispanic preferences for health care providers and health care information. Health Mark Q. 1996;14:67–83.PubMedCrossRefGoogle Scholar
  13. 13.
    Gloria AM, Peregoy JJ. Counseling Latino alcohol and other substance users/abusers: cultural considerations for counselors. J Subst Abuse Treat. 1996;13:119–126.PubMedCrossRefGoogle Scholar
  14. 14.
    Lehrer J. Changing times: Ethnic media sector is growing. [Transcript of television broadcast]. PBS Newshour with Jim Lehrer. October 14, 2002. Available at: 02/ethnic_10-14.html. Accessed November 8, 2007.Google Scholar
  15. 15.
    Talosig-Garcia M, Davis SW. Information-seeking behavior of minority breast cancer patients: an exploratory study. J Health Commun. 2005;10(suppl 1):53–64.PubMedCrossRefGoogle Scholar
  16. 16.
    Cheong PH. Health communication resources for uninsured and insured Hispanics. Health Commun. 2007;21:153–163.PubMedGoogle Scholar
  17. 17.
    Fernandez LE, Morales A. Language and use of cancer screening services among border and non-border Hispanic Texas women. Ethn Health. 2007;12:245–263.PubMedCrossRefGoogle Scholar
  18. 18.
    Lara M, Gamboa C, Iya Kahramanian M, et al. Acculturation and Latino health in the U.S.: a review of the literature and its sociopolitical context. Annu Rev Public Health. 2005;26:367–397.PubMedCrossRefGoogle Scholar
  19. 19.
    Scott SA, Jorgensen CM, Suarez L. Concerns and dilemmas of Hispanic AIDS information seekers: Spanish-speaking callers to the CDC national AIDS hotline. Health Educ Behav. 1998;25:501–516.PubMedCrossRefGoogle Scholar
  20. 20.
    De Abla I, Sweningson JM. English proficiency and physicians’ recommendation of Pap smears among Hispanics. Cancer Detect Prev. 2006;30:292–296.CrossRefGoogle Scholar
  21. 21.
    Jacobs EA, Karavolos K, Rathouz PJ, et al. Limited English proficiency and breast and cervical cancer screening in a multiethnic population. Am J of Public Health. 2005;95:1410–1416.CrossRefGoogle Scholar
  22. 22.
    Shin HB, Bruno R. Language use and English-speaking ability: 2000. US Census Bureau, Department of Commerce; October 2003. Available at: Accessed August 30, 2007.Google Scholar
  23. 23.
    US Census Bureau. U.S.: profile of selected social characteristics: 2000. Available at: Accessed August 30, 2007.Google Scholar
  24. 24.
    Office of Management and Budget. Revisions to the standards for the classification of federal data on race and ethnicity. Federal Register. 1997;62:58781–58790.Google Scholar
  25. 25.
    RTI International. About SUDAAN. Available at: Accessed August 30, 2007.Google Scholar
  26. 26.
    Freimuth V, Quinn SC. The contributions of health communication to eliminating health disparities. Am J of Public Health. 2004;94:2053–2055.CrossRefGoogle Scholar
  27. 27.
    Vishwanath K. Public communications and its role in reducing and eliminating health disparities. In: Thompson GE, Mitchell F, Williams M, eds. Examining the Health Disparities Research Plan of the National Institutes of Health: Unfinished Business. Washington, DC: National Academies Press; 2006; Appendix G, 215–253.Google Scholar
  28. 28.
    Tortolero-Luna G, Byrd T, Groff JY, Linares AC, Mullen PD, Cantor SB. Relationship between English language use and preferences for involvement in medical care among Hispanic women. J Womens Health. 2006; 15(6):774–85.CrossRefGoogle Scholar
  29. 29.
    Nelson DE, Powell-Griner E, Town M, et al. A comparison of national estimates from the National Health Interview Survey and the Behavioral Risk Factor Surveillance System. Am J Public Health. 2003;93:1335–1341.PubMedCrossRefGoogle Scholar
  30. 30.
    Oetzel J, De Vargas F, Ginossar T, Sanchez C. Hispanic women’s preferences for breast health information: subjective cultural influences on source, message, and channel. Health Commun. 2007;21: 223–233.PubMedGoogle Scholar
  31. 31.
    Lorence DP, Park H, Fox S. Radial disparities in health information access: resilience of the digital divide. J Med Syst. 2006;30:241–249.PubMedCrossRefGoogle Scholar
  32. 32.
    Fox S, Livingston G: Latinos Online, Washington, DC: Pew Hispanic Center/Pew Internet & American Life Project; March 14, 2007. Available at:, Accessed August 30, 2007.Google Scholar
  33. 33.
    Brashers DE, Goldsmith DJ, Hsieh E. Information seeking and avoiding in health contexts. Human Commun Res. 2002;28:258–271.CrossRefGoogle Scholar

Copyright information

© American Association for Cancer Education 2009

Authors and Affiliations

  • Robin C. Vanderpool
    • 4
  • Julie Kornfeld
    • 1
  • Lila Finney Rutten
    • 2
  • Linda Squiers
    • 3
  1. 1.Coastal Region Cancer Information Service, Sylvester Comprehensive Cancer CenterUniversity of Miami Miller School of MedicineUSA
  2. 2.Health Communication and Informatics Research BranchNational Cancer Institute, National Institutes of HealthUSA
  3. 3.The Cancer Information ServiceNational Cancer Institute, National Institutes of HealthUSA
  4. 4.Mid South Cancer Information ServiceUniversity of Kentucky Markey Cancer Control ProgramLexingtonUSA

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