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Cancer pain is complex and its score (0 to 10) is influenced by various components such as physiological, sensory,cognitive, neurological, as well as patients cultural belief and attitude.Studies" suggest that Chinese American cancer patients pain scores are underreported due to patient and medical system barriers.The practice of cancer pain management is affected by these barriers.In a study i.of convenient community sample of Chinese American breast cancer patients, the highest patients barrier scores were tolerance, followed by time of dosage, disease progression,addiction, distracting physicians in treating the cancer, fatalism, side effects, religious fatalism, and being a good patient.In another study, findings suggested that Complementary Alternative Medicine is considered effective among foreign and US born Chinese American cancer patients in alleviating aches and pains.However, both groups are less likely to consider it to be effective for alleviation of pain resulting from breast cancer.