دورية أكاديمية
أعرض في EDS

Excess risk of chronic health conditions in Black adolescent and young adult cancer survivors.

التفاصيل البيبلوغرافية
العنوان: Excess risk of chronic health conditions in Black adolescent and young adult cancer survivors.
المؤلفون: Berkman AM; Department of Pediatrics, Duke University School of Medicine, Durham, NC, USA., Choi E; Department of Nursing, The University of Texas MD Anderson Cancer Center, Houston, TX, USA., Cheung CK; University of Maryland School of Social Work, Baltimore, MD, USA., Salsman JM; Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Wake Forest Baptist Comprehensive Cancer Center, Winston-Salem, NC, USA., Peterson SK; Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, TX, USA., Andersen CR; Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA., Lu Q; Department of Health Disparities Research, Division of Cancer Prevention and Population Sciences, The University of Texas MD Anderson Cancer Institute, Houston, TX, USA., Livingston JA; Department of Sarcoma Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA., Battle A; McGovern Medical School, University of Texas Health Science Center, Houston, TX, USA., Hildebrandt MAT; Department of Lymphoma and Myeloma, The University of Texas MD Anderson Cancer Center, Houston, TX, USA., Parsons SK; Institute for Clinical Research and Health Policy Studies and the Division of Hematology/Oncology, Tufts Medical Center, Tufts University School of Medicine, Boston, MA, USA., Roth ME; Division of Pediatrics, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX, 77030, USA. MRoth1@MDAnderson.org.
المصدر: Journal of cancer survivorship : research and practice [J Cancer Surviv] 2023 Aug 14. Date of Electronic Publication: 2023 Aug 14.
Publication Model: Ahead of Print
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Science + Business Media Country of Publication: United States NLM ID: 101307557 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1932-2267 (Electronic) Linking ISSN: 19322259 NLM ISO Abbreviation: J Cancer Surviv Subsets: MEDLINE
أسماء مطبوعة: Original Publication: New York, N.Y. : Springer Science + Business Media, c2007-
مستخلص: Background: The US population of adolescent and young adult (age 15-39 years at diagnosis) cancer survivors is growing. Previous studies have identified racial and ethnic disparities in survival and health outcomes in racially minoritized survivors, including Black survivors, compared with White survivors. However, comparisons should be made between those of the same race or ethnicity with and without a history of AYA cancer to fully understand the association of a cancer diagnosis with socioeconomic status (SES) and health outcomes within a minoritized population.
Methods: Non-Hispanic Black AYA cancer survivors and non-Hispanic Black age- and sex-matched controls were identified from self-reported data from the National Health Interview Survey (2009-2018). SES factors and chronic health conditions prevalence were compared between survivors and controls using chi-square tests. Survey-weighted logistic regression models were used to determine odds of chronic conditions by SES factors within and between survivors and controls. Interactions between each variable and cancer group were assessed.
Results: A total of 445 survivors and 4450 controls were included. Survivors were less likely than controls to be married, have family income >45K/year, have completed a bachelor's degree or higher, and have private insurance. Survivors had higher odds than controls of having at least one (odds ratio (OR): 7.02, p<0.001) and ≥3 (OR: 4.44, p<0.001) chronic conditions. Survivors had higher odds of each chronic condition assessed including cardiovascular disease, diabetes, and hypertension. Survivors had higher odds of having chronic health conditions compared with controls across all SES variables.
Conclusions: A cancer diagnosis during adolescence and young adulthood is associated with poor SES outcomes and increased odds of comorbidities within the Black population, thus further exacerbating existing disparities.
Implications for Cancer Survivors: Black AYA cancer survivors have a very high risk of developing chronic health conditions after cancer treatment and interventions are needed to improve long-term health outcomes for this population.
(© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
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معلومات مُعتمدة: R38-HL143612 United States NH NIH HHS; P30 CA016672 United States NH NIH HHS
فهرسة مساهمة: Keywords: AYA; Adolescent and young adult; Cancer survivors; Chronic conditions; Disparities
تواريخ الأحداث: Date Created: 20230814 Latest Revision: 20230814
رمز التحديث: 20240628
DOI: 10.1007/s11764-023-01433-x
PMID: 37578615
قاعدة البيانات: MEDLINE
الوصف
تدمد:1932-2267
DOI:10.1007/s11764-023-01433-x