The relationship between unmet cancer care needs and self-rated health among adolescents and young adults with cancer.


Journal

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
ISSN: 1433-7339
Titre abrégé: Support Care Cancer
Pays: Germany
ID NLM: 9302957

Informations de publication

Date de publication:
11 May 2023
Historique:
received: 08 12 2022
accepted: 01 05 2023
medline: 15 5 2023
pubmed: 11 5 2023
entrez: 11 5 2023
Statut: epublish

Résumé

Adolescents and young adults (AYA) with cancer face unique psychosocial challenges that often impact their outcomes, including self-rated health. To date, few studies have focused on AYA cancer survivors' multidimensional unmet needs of cancer care in relation to their health status. This study surveyed 324 AYA cancer survivors in a cross-sectional design using the Cancer Needs Questionnaire - Young People (CNQ-YP). In addition to descriptive statistics and bivariate correlations, multinomial logistic regressions were used for analysis. AYA cancer survivors' daily life needs were found to be significantly and negatively associated with self-rated health, OR = 0.910, 95% CI 0.843, 0.983, p < 0.01, and OR = 0.888, 95% CI 0.818, 0.966, p < 0.01. In addition, the unmet work needs were significantly and positively associated with participants' self-rated health, OR = 1.207, 95% CI 1.003, 1.452, p < 0.05. Moving beyond simply describing the unique psychosocial needs confronting AYA cancer survivors, this study empirically identified two specific dimensions of unmet needs of AYA cancer survivors that were significantly correlated to their SRH, both of which should be considered in future service and intervention research to support AYAs with cancer.

Sections du résumé

BACKGROUND BACKGROUND
Adolescents and young adults (AYA) with cancer face unique psychosocial challenges that often impact their outcomes, including self-rated health. To date, few studies have focused on AYA cancer survivors' multidimensional unmet needs of cancer care in relation to their health status.
METHODS/PROCEDURE METHODS
This study surveyed 324 AYA cancer survivors in a cross-sectional design using the Cancer Needs Questionnaire - Young People (CNQ-YP). In addition to descriptive statistics and bivariate correlations, multinomial logistic regressions were used for analysis.
RESULTS RESULTS
AYA cancer survivors' daily life needs were found to be significantly and negatively associated with self-rated health, OR = 0.910, 95% CI 0.843, 0.983, p < 0.01, and OR = 0.888, 95% CI 0.818, 0.966, p < 0.01. In addition, the unmet work needs were significantly and positively associated with participants' self-rated health, OR = 1.207, 95% CI 1.003, 1.452, p < 0.05.
CONCLUSIONS CONCLUSIONS
Moving beyond simply describing the unique psychosocial needs confronting AYA cancer survivors, this study empirically identified two specific dimensions of unmet needs of AYA cancer survivors that were significantly correlated to their SRH, both of which should be considered in future service and intervention research to support AYAs with cancer.

Identifiants

pubmed: 37166532
doi: 10.1007/s00520-023-07792-6
pii: 10.1007/s00520-023-07792-6
pmc: PMC10172720
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

332

Subventions

Organisme : Division of Cancer Epidemiology and Genetics, National Cancer Institute
ID : T32-CA-236621

Informations de copyright

© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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Auteurs

Anao Zhang (A)

University of Michigan School of Social Work, Ann Arbor, MI, USA. zhangan@umich.edu.
University of Michigan Health Adolescent and Young Adult Oncology Program, Ann Arbor, MI, USA. zhangan@umich.edu.

Joseph Delly (J)

Chicago Medical School, Rosalind Franklin University of Medicine and Science, North Chicago, IL, USA.

Dalton Meister (D)

University of Michigan School of Social Work, Ann Arbor, MI, USA.

Nina Jackson Levin (N)

University of Michigan School of Social Work, Ann Arbor, MI, USA.
University of Michigan Department of Anthropology, Ann Arbor, MI, USA.

Kate Blumenstein (K)

Chicago Medical School, Rosalind Franklin University of Medicine and Science, North Chicago, IL, USA.

Beth Stuchell (B)

University of Michigan Health Adolescent and Young Adult Oncology Program, Ann Arbor, MI, USA.

Emily Walling (E)

University of Michigan Health Adolescent and Young Adult Oncology Program, Ann Arbor, MI, USA.
University of Michigan Medical School Department of Pediatrics, Ann Arbor, MI, USA.

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