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Cancer Information for Spanish Speaking Patients

by Nancy L. Crossfield, MALS, AHIP
Medical Library, Saint Agnes Medical Center, Fresno, CA

Your next request for cancer information could be from one of the more than 17 million Americans who speak Spanish at home. Malignancies are the second leading cause of death among Hispanic Americans. These clients come from many countries and have a variety of cultural backgrounds, information needs, and literacy levels. Most Spanish-speakers in the U.S. and Canada also speak English, but many appreciate a choice when it comes to health information.

Cancer-related pamphlets in Spanish are still easier to find than books, and many of these are now on the Internet. The web sites and print materials described here are representative, not comprehensive; chat rooms, audiovisuals, and alternative medicine have not been covered. Idioms and vocabulary may vary, depending on the country of origin. Luckily, the Spanish language has similarities to both English and French, so even non-Spanish speakers can scan for source and content.

Internet Providers and Portals

Some Internet providers and search engines already offer Spanish-language services. Prodigy provides a Spanish option, links to Spanish web sites, and a search engine in Spanish. America Online permits searching for words in many languages and is developing more features.

Many search engines have screen buttons that take one directly to resources in Spanish:

  • Yahoo!
    http://espanol.Yahoo.com.
    Select Salud to see categories such as Enfermedades (the largest), with over 70 subsets including cancer.
  • Lycos
    http://www.lycos.com.
    Click on Mexico at the bottom of the screen, then Salud, to Enfermedades y Daños for links to sites on cancer, AIDS, etc.
  • Excite
    http://www.excite.es.
    Sequence is: Spain, Salud, Especialidades y Enfermedades.
  • Yupi
    http://www.yupi.com.
    Go from Salud, to Enfermedades, to Cáncer to see over 100 links to articles, organizational links, and even cancer statistics. Another track is Salud, to Tu Salud, to Enfermedades, to Cáncer for a drop-down box of articles (from NOAH, EcoMedic, National Cancer Institute, etc.) on specific diseases, cancer prevention, etc. Literacy level varies.

Web Sites

These run the gamut, from highly technical research forums for physicians to descriptions of specific diseases, treatments, and coping skills for patients to informal chat rooms and personal or anecdotal homepages. Broader health sites may also carry cancer information, so browse those covering men’s, women’s, and children’s health, specific diseases such as prostate cancer, and pages devoted to pharmaceuticals and other therapies. Try to determine the site sponsor (or even country!) as one important measure of site reliability. Another caveat is to check materials for consistency with your own hospital’s medical practices and procedures. Help your clients identify sites on which "evidence-based medicine" would truly be a foreign phrase! With those warnings, sample URL’s follow.

  • CancerNet in Español (US National Cancer Institute)
    http://cancernet.nci.nih.gov/sp_menu.htm.
    The most comprehensive and authoritative site for both professionals and patients. Descriptions of diseases by type and body site, recommended treatments, supportive care topics, and summaries of clinical trials. Updated frequently. Also indexed on OncoLink, http://www.oncolink.upenn.edu/pdq_html2/span.
  • NOAH (New York Online Access to Health Care)
    http://noah.cuny.edu.
    A cooperative effort between several major New York libraries, and probably the best bilingual health site around. Parallel English/Spanish structure. Easy to use, and contains patient education materials from the National Cancer Institute and other sources, plus links to other oncology locations.
  • DiarioMedico
    http://diariomedico.recoletos.es.
    A professional site from Spain, updated daily. Under Especialidades, see Oncología for the latest news and scientific papers, Internet links (many to English sites), and some patient information. Includes PubMed link (Acceso á Medline).
  • CancerStop
    http://www.cancerstop.net.
    Mexican web pages of medium to high literacy level for patients and families. News, basic terminology, questions to ask the doctor, descriptions of common cancers, and explanations of conventional, experimental and alternative therapies.
  • EcoMedic
    http://www.ecomedic.com/em/indice.htm.
    From Spain, over 25 cancer topics are listed under Enfermedades, with several each on breast and prostate cancer. Others include colorectal, lung, laryngeal, pancreatic, and thyroid cancers, organized by description, types, causes, symptoms, and treatments; some with diagrams.
  • Y-ME National Breast Cancer Organization
    http://www.y-me.org.
    Information and counseling for breast cancer patients, with a bilingual newsletter, links to other BRCA sites in Spanish, and a hotline for Spanish speakers.
  • Salud Latina
    http://www.salud-latina.com.
    Includes a medical glossary, some of the popular health calculators, and a drop-down box for cancer and other "enfermedades."
  • American Cancer Society
    http://www.cancer.org
  • Healthfinder (US Department of Health and Human Services)
    http://www.healthfinder.gov/justforyou/espanol
  • FEFOC (Fundación para la Educación Pública y la Formación Oncológica Continuada)
    http://www.fefoc.org/menu.htm
  • Moffitt Cancer Center and Research Institute, Tampa, FL
    http://www.moffitt.usf.edu/pated/espanol.htm
  • National Coalition for Cancer Survivorship
    http://www.cansearch.org/spanish/index.html
  • CNN en Español – Salud
    http://cnnenespanol.com/salud

Basic Health Books

General-purpose health books may be a good starting place, especially if your Spanish vocabulary needs work:

Griffith, HW. Instructions for patients; instrucciones para los pacientes. Saunders, 1997. 566p. 0-7216-6997-2 $52.00. One-page summaries of common health problems including over 20 pages on cancer topics, with a few unlabeled anatomy diagrams in a short appendix. English and Spanish indices.

Rees, AL, editor. Información de salud para los consumidores. (Health information for consumers) Oryx Press, 1998. 520p. 1-573561665 $74.95. 80+ oncology pages from the National Cancer Institute and other agencies in sections on Cancer, Women’s Health, and others. (May be difficult to obtain; Oryx no longer distributes.)

Book Vendors

Some links to suppliers of books from Spain, Mexico, and South America include:

Chulainn Publishing Corp., Bailey, CO, 888-525-2665, http://www.newpublications.com
Use "Links" to access Leer (see entry below) without registering.

Donar's Spanish Books, Lafayette, CO, 800-552-3316 (no web site found)
Will send monthly booklists with some health titles.

Lectorum Publications, New York, NY, 800-345-5946, http://www.lectorum.com
New web site. Provides contacts, but no online catalog yet.

Leer (Libros en español) http://www.leer.nisc.com [Free registration, or see Chulainn]
Compilation of books from publishers and vendors, with links from titles to a provider. Entering "cancer" yielded a list of nearly 70 titles, 1996-2000.

Libros sin Fronteras, Olympia, WA, 360-357-4332, http://www.librossinfronteras.com
Browsable online catalog on general health topics, with a few cancer titles.

Pamphlets

Many colorful Krames pamphlets are available in Spanish, a few on topics such as breast lumps, mammography, pap tests, and PSA testing. Krames is now part of StayWell (http://www.staywell.com, 1-800-333-3032), which offers a small but growing number of Spanish materials through its Krames On-Demand product, with stand-alone PC and Intranet versions.

Channing-Bete (http://www.channing-bete.com, 1-800-477-4776), another pamphlet provider, also lists many Spanish health pamphlets in its print catalog.

Scan for keywords in the non-indexed alphabetic list of foreign language pamphlets from Krames, Channing-Bete, and other organizations on the Utah Department of Health site, www.health.state.ut.us/ethnic/html/pamphlet_list.html.

CHID, the Combined Health Information Database (http://chid.nih.gov ), can also be used to locate brochures. Use its Detailed Search to select categories and languages.

Kidney and Urologic Diseases include prostate materials; clicking on individual titles brings up full citations with English abstracts and ordering or availability information.

North American publishers and others have discovered the Hispanic market, and a growing number of resources in Spanish will aid us in reaching out to Hispanic clients. Assess the needs in your area, and coordinate efforts with other nearby libraries or resource centers. Low-literacy materials are still needed, especially those with diagrams or photos. It would be interesting to see educational titles based on the foto-novela format. News releases, information on screening clinics, and basic health information may already be available on local Hispanic media sites or in newspapers, and these sites may publicize your services, too. Access to both print and Internet materials in Spanish will empower both health professionals and Spanish-speaking patients to take action for better health.

Selected References

Brown, Laura. Health sites in Spanish. Health Care on the Internet, 1999; 3(3): 3-15.

Connors, Margaret. Se habla español? Spanish-language patient education resources hit cyberspace. Medicine on the Net, 1998; 4(1):15-18.

Freiband, Susan J. Developing collections for the Spanish speaking. RQ, 1996; 35(3):330-342.

Milo, Albert. Ten reasons why we buy Spanish books. Unabashed Librarian, 1997;103:13.

Youngkin, Molly. MEDLINE citations translated to Spanish. Latitudes, 1999; 8(5):11.
(Reprinted from NN/LM-MR's Netlink, Spring 1999)

Glossary of Spanish Terms

Internet Terms
Buscar= search
Enlaces= links
Enviar= send
Hojear= browse
Motores de busqueda= search engines
Preguntas= questions
Red= web
Respuestas= answers
Health Terms
Bienestar= wellness
Consejo= advice
Dolor= pain
Enfermedad= disease
Mama= breast
Pulmón= lung
Quimioterapia= chemotherapy
Salud= health
Seno= breast

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       Last modified: 01-April-2003

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