Financial Toxicity Among Older Mexican Adults With Cancer and Their Families: A Mixed-Methods Study.

Purpose: The financial toxicity (FT) of cancer is common among older adults in high-income countries, but little is known about the financial hardships faced by older patients with cancer living in developing countries. The aim of this study was to explore the financial burden of cancer among older Mexican adults and their relatives, as well as factors that might mitigate such burden.

Methods: This mixed-methods study included patients age 65 years and older with the 10 most common malignancies in Mexico and 3-24 months from diagnosis at two cancer centers in Mexico City and their relatives.

Ethical dilemmas in the face of the possibility of suffering from Alzheimer's disease or other dementias. An exploratory study.

Introduction: In Mexico, efforts have been made to increase understanding of Alzheimer's disease (AD) and other dementias, as well as to improve the care of patients with these diseases and that of their caregivers. However, people's interest in making decisions and facing the ethical dilemmas regarding the possibility of living with mental diseases has not been investigated.

Objective: To know the opinions of mature adults on some ethical dilemmas related to the possibility of living with AD or other dementias.

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Experience of oncology residents with death: a qualitative study in Mexico.

Background: Physicians play a fundamental role in the care of patients at the end of life that includes knowing how to accompany patients, alleviate their suffering and inform them about their situation. However, in reality, doctors are part of this society that is reticent to face death and lack the proper education to manage it in their clinical practice. The objective of this study was to explore the residents' concepts of death and related aspects, their reactions and actions in situations pertaining to death in their practice, and their perceptions about existing and necessary training conditions.

[Young Mexicans' attitudes towards voluntary interruption of pregnancy and opinions on unsafe abortion as a public health problem].

This study aimed to explore young Mexicans' attitudes towards induced abortion and its relationship to their opinions on unsafe abortion as a public health problem. The results were compared by participants' gender, age, religion, and course major. The sample consisted of 411 university students who answered a questionnaire on their attitudes towards abortion and another questionnaire on unsafe abortion.

Facing death in the clinical practice: a view from nurses in Mexico.

Objective: To explore the views of nurses on death in their practice, and their perception about physicians' actions dealing with terminally ill patients.

Materials And Methods: Two hundred ninety-five nurses with experience caring for terminally ill patients responded to a questionnaire developed for this study.

Results: The majority of participants considered that terminally ill patients should know about their prognosis.

Psychosocial barriers associated with organ donation in Mexico.

Introduction: There is a severe shortage of organs for transplantation worldwide, and Mexico has one of the lowest organ donation rates. In this study, we explored the psychosocial barriers that prevent posthumous organ donation by Mexicans.

Method: We asked 218 adults who were not willing to be donors to complete the sentence "I don't want to donate my organs after death because organ donation is…" The data were analyzed using the Natural Semantic Networks Technique.

Facing Death in Medical Training: A View From Students in Mexico.

This study explores how medical students feel about caring for terminally ill patients as well as how their medical courses prepare them for addressing end-of-life (EOL) issues with patients. Four hundred and five Mexican medical students were surveyed through the Student Views on Death questionnaire. The vast majority of students (94%) felt that physicians should inform patients of their impending death.

End-of-life decisions in perinatal care: A view from health-care providers in Mexico.

Objective: To examine the opinions of a perinatal health team regarding decisions related to late termination of pregnancy and severely ill newborns.

Materials And Methods: An anonymous questionnaire was administered to physicians, social workers, and nurses in perinatal care. Differences were evaluated using the chi square and Student's t tests.

[Learning about death from the undergraduate: Evaluation of an educational intervention].

Background: From June to November 2013 an elective subject "The doctor before death" was held in a public medical school. The aim of this report is to assess the achievement of the objectives of this course.

Methods: The main objectives of the course were to develop competences, aptitude for reflection before death and encourage changes in attitude towards it.

Facing death in clinical practice: a view from physicians in Mexico.

Objective: Physicians' decisions and actions, once they know that their patients' death is inevitable, will influence how patients are going to live their last moments. The purpose of the present study was to explore the views of physicians about death in their clinical practices.

Methods: Physicians who work at four high-specialty public hospitals and two private hospitals in Mexico City provided responses to the Physicians' Views about Death Questionnaire, which was developed for this study.

On abortion: exploring psychological meaning and attitudes in a sample of Mexican gynecologists.

Elective abortion has become an issue of ethical and political debate in many countries including Mexico. As gynecologists are directly involved in the practice of abortion, it is important to know the psychological meaning that the term 'elective abortion' has for them. This study explores the psychological meaning and attitudes toward elective abortion of one hundred and twenty-three Mexican gynecologists.

On euthanasia: exploring psychological meaning and attitudes in a sample of Mexican physicians and medical students.

Euthanasia has become the subject of ethical and political debate in many countries including Mexico. Since many physicians are deeply concerned about euthanasia, due to their crucial participation in its decision and implementation, it is important to know the psychological meaning that the term 'euthanasia' has for them, as well as their attitudes toward this practice. This study explores psychological meaning and attitudes toward euthanasia in 546 Mexican subjects, either medical students or physicians, who were divided into three groups: a) beginning students, b) advanced students, and c) physicians.

[The physician confronting the patient's suffering].

The patient's suffering and the physicians' duty towards it is reviewed in this article. After having defined suffering and having analyzed its main characteristics, it is questioned if there are limits to the physicians' responsibility and how can they succeed in attending the patients' suffering. Physicians find especially difficult to deal with when they realize that the patient's death is unavoidable.

Strategies and ethical considerations for the recruitment of young men who have sex with men: challenges of a vaccination trial in Mexico.

Background: The importance of recruiting and retaining study participants from minority groups is well recognized; however, there are no established rules for recruitment as its success depends on the setting and population.

Purpose: To describe and analyze recruitment strategies, ethical considerations, and recruitment outcomes from a study to evaluate the efficacy the Human Papilloma Virus vaccine in young men who have sex with men (MSM).

Methods: The recruitment settings were university and community sites in the state of Morelos, Mexico.

Physician-assisted death. Opinions of a sample of Mexican physicians.

Background: There is insufficient information on what Mexicans think of physician-assisted death, a problem that is currently being discussed in our legislative bodies. This paper discusses the findings among a sample of physicians.

Methods: The sample was formed by 2097 physicians from several specialties employed by a Mexican government health system, distributed throughout the country.

Ethics and communication between physicians and their patients with cancer, HIV/AIDS, and rheumatoid arthritis in Mexico.

Background: Despite evidence that open communication concerning diagnosis of a disease substantially improves the doctor-patient relationship, in developing countries physicians often provide partial information.

Methods: We carried out a cross-sectional study with 379 physicians practicing at 11 hospitals in Mexico City and in the central Mexican state of Morelos to quantify their communication patterns with patients with cancer, HIV/AIDS, and rheumatoid arthritis. Communication patterns were defined as physician self-reported communication with patients with regard to their diagnosis, prognosis, and treatment.

The emotional response of families to children with leukemia at the lower socio-economic level in central Mexico: a preliminary report.

Little research has been done in developing countries on the emotional impact experienced by families who have a child diagnosed with leukemia. This preliminary study looked at parents in Mexico who had to cope with their child's leukemia in the face of meager financial and social resources. The 51 children in the study were under 15 years and being treated for leukemia in hospitals affiliated with the Mexican Social Security Institute (IMSS) where their parents were interviewed using a questionnaire to ascertain their emotional responses to the illness.