دورية أكاديمية
Excess risk of chronic health conditions in Black adolescent and young adult cancer survivors.
العنوان: | Excess risk of chronic health conditions in Black adolescent and young adult cancer survivors. |
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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.) |
References: | Miller KD, Fidler-Benaoudia M, Keegan TH, Hipp HS, Jemal A, Siegel RL. Cancer statistics for adolescents and young adults, 2020. CA Cancer J Clin. 2020;70(6):443–59. (PMID: 10.3322/caac.2163732940362) Siegel RL, Miller KD, Jemal A. Cancer statistics, 2020. CA Cancer J Clin. 2020;70(1):7–30. (PMID: 10.3322/caac.2159031912902) Moke DJ, Tsai K, Hamilton AS, et al. Emerging cancer survival trends, disparities, and priorities in adolescents and young adults: a California Cancer Registry-Based Study. JNCI Cancer Spectr. 2019;3(2):pkz031. (PMID: 10.1093/jncics/pkz031312760996597054) Chao C, Bhatia S, Xu L, et al. Chronic comorbidities among survivors of adolescent and young adult cancer. J Clin Oncol. 2020;38(27):3161–74. (PMID: 10.1200/JCO.20.00722326731527499612) Keegan THM, Li Q, Steele A, et al. Sociodemographic disparities in the occurrence of medical conditions among adolescent and young adult Hodgkin lymphoma survivors. Cancer Causes Control. 2018;29(6):551–61. (PMID: 10.1007/s10552-018-1025-0296544276422023) Abrahao R, Huynh JC, Benjamin DJ, et al. Chronic medical conditions and late effects after acute myeloid leukaemia in adolescents and young adults: a population-based study. Int J Epidemiol. 2021;50(2):663–74. (PMID: 10.1093/ije/dyaa18434000732) Keegan THM, Kushi LH, Li Q, et al. Cardiovascular disease incidence in adolescent and young adult cancer survivors: a retrospective cohort study. J Cancer Surviv. 2018;12(3):388–97. (PMID: 10.1007/s11764-018-0678-829427203) Quinones AR, Botoseneanu A, Markwardt S, et al. Racial/ethnic differences in multimorbidity development and chronic disease accumulation for middle-aged adults. PLoS One. 2019;14(6):e0218462. (PMID: 10.1371/journal.pone.0218462312065566576751) Odlum M, Moise N, Kronish IM, et al. Trends in poor health indicators among Black and Hispanic middle-aged and older adults in the United States, 1999–2018. JAMA Netw Open. 2020;3(11):e2025134. (PMID: 10.1001/jamanetworkopen.2020.25134331751777658737) Liu Q, Leisenring WM, Ness KK, et al. Racial/ethnic differences in adverse outcomes among childhood cancer survivors: the Childhood Cancer Survivor Study. J Clin Oncol. 2016;34(14):1634–43. (PMID: 10.1200/JCO.2015.66.3567270015694872321) National Center for Health Statistics. About the National Health Interview Survey. Centers for Disease Control and Prevention. https://www.cdc.gov/nchs/nhis/about_nhis.htm Accessed 9 Sept 2022. World Population Review. Average Family Income by State 2022. World Population Review. https://worldpopulationreview.com/state-rankings/average-family-income . Published 2022. Accessed 17 Oct 2022. Prevention CfDCa. Variance Estimation Guidance, NHIS 6017-2017. Centers for Disease Control and Prevention. https://www.cdc.gov/nchs/data/nhis/2016var.pdf . Published 2018. Accessed 2 Oct 2022. Sohn H. Racial and ethnic disparities in health insurance coverage: dynamics of gaining and losing coverage over the life-course. Popul Res Policy Rev. 2017;36(2):181–201. (PMID: 10.1007/s11113-016-9416-y28366968) US Department of The Treasury. Racial inequality in the United States. https://home.treasury.gov/news/featured-stories/racial-inequality-in-the-united-states#:~:text=In%20addition%2C%20Black%20and%20Hispanic,as%20shown%20in%20Figure%204 . Published 2022. Accessed. Raley RK, Sweeney MM, Wondra D. The growing racial and ethnic divide in U.S. marriage patterns. Future Child. 2015;25(2):89–109. (PMID: 10.1353/foc.2015.0014271345124850739) Cohen AK, Ryan S, Smith LH, et al. Educational attainment past the traditional age of completion for two cohorts of US adults: inequalities by gender and race/ethnicity. Race Soc Problem. 2021;14:208–22. (PMID: 10.1007/s12552-021-09352-1) Salsman JM, Bingen K, Barr RD, Freyer DR. Understanding, measuring, and addressing the financial impact of cancer on adolescents and young adults. Pediatr Blood Cancer. 2019;66(7):e27660. (PMID: 10.1002/pbc.27660307564846777708) Smith GL, Banegas MP, Acquati C, et al. Navigating financial toxicity in patients with cancer: a multidisciplinary management approach. CA Cancer J Clin. 2022;72(5):437–53. (PMID: 10.3322/caac.2173035584404) Tai E, Buchanan N, Townsend J, Fairley T, Moore A, Richardson LC. Health status of adolescent and young adult cancer survivors. Cancer. 2012;118(19):4884–91. (PMID: 10.1002/cncr.2744522688896) Kaul S, Veeranki SP, Rodriguez AM, Kuo YF. Cigarette smoking, comorbidity, and general health among survivors of adolescent and young adult cancer. Cancer. 2016;122(18):2895–905. (PMID: 10.1002/cncr.3008627286172) Suh E, Stratton KL, Leisenring WM, et al. Late mortality and chronic health conditions in long-term survivors of early-adolescent and young adult cancers: a retrospective cohort analysis from the Childhood Cancer Survivor Study. Lancet Oncol. 2020;21(3):421–35. (PMID: 10.1016/S1470-2045(19)30800-9320665437392388) Kim EJ, Kim T, Conigliaro J, Liebschutz JM, Paasche-Orlow MK, Hanchate AD. Racial and ethnic disparities in diagnosis of chronic medical conditions in the USA. J Gen Intern Med. 2018;33(7):1116–23. (PMID: 10.1007/s11606-018-4471-1297367556025658) Javed Z, HaisumMaqsood M, Yahya T, et al. Race, racism, and cardiovascular health: applying a social determinants of health framework to racial/ethnic disparities in cardiovascular disease. Circ Cardiovasc Qual Outcomes. 2022;15(1):e007917. (PMID: 10.1161/CIRCOUTCOMES.121.00791735041484) Nicholas SB, Kalantar-Zadeh K, Norris KC. Racial disparities in kidney disease outcomes. Semin Nephrol. 2013;33(5):409–15. (PMID: 10.1016/j.semnephrol.2013.07.002241198463983362) Kardashian A, Serper M, Terrault N, Nephew LD. Health disparities in chronic liver disease. Hepatology. 2022 Sep 4. Wong MD, Shapiro MF, Boscardin WJ, Ettner SL. Contribution of major diseases to disparities in mortality. N Engl J Med. 2002;347(20):1585–92. (PMID: 10.1056/NEJMsa01297912432046) Ojinnaka CO, Bruening M. Black-White racial disparities in health care utilization and self-reported health among cancer survivors: the role of food insecurity. Cancer. 2021;127(24):4620–7. (PMID: 10.1002/cncr.3387134415573) Pinheiro LC, Soroka O, Kern LM, Higgason N, Leonard JP, Safford MM. Racial disparities in diabetes care among incident breast, prostate, and colorectal cancer survivors: a SEER Medicare study. J Cancer Surviv. 2022;16(1):52–60. (PMID: 10.1007/s11764-021-01003-z33661509) Weaver KE, Rowland JH, Bellizzi KM, Aziz NM. Forgoing medical care because of cost: assessing disparities in healthcare access among cancer survivors living in the United States. Cancer. 2010;116(14):3493–504. (PMID: 10.1002/cncr.2520920549763) Ahern TP, Lash TL, Thwin SS, Silliman RA. Impact of acquired comorbidities on all-cause mortality rates among older breast cancer survivors. Med Care. 2009;47(1):73–9. (PMID: 10.1097/MLR.0b013e318180913c191067342933563) Armenian SH, Gibson CJ, Rockne RC, Ness KK. Premature aging in young cancer survivors. J Natl Cancer Inst. 2019;111(3):226–32. (PMID: 10.1093/jnci/djy22930715446) Abdelhadi OA, Joseph J, Pollock BH, Keegan THM. Additional medical costs of chronic conditions among adolescent and young adult cancer survivors. J Cancer Surviv. 2022;16(3):487–96. (PMID: 10.1007/s11764-021-01044-433899161) Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/objectives-and-data/data-sources-and-methods . Accessed 13 Sept 2021, 2021. Lu AD, Zheng Z, Han X, et al. Medical financial hardship in survivors of adolescent and young adult cancer in the United States. J Natl Cancer Inst. 2021;113(8):997–1004. (PMID: 10.1093/jnci/djab013338397868328985) Kaul S, Avila JC, Mutambudzi M, Russell H, Kirchhoff AC, Schwartz CL. Mental distress and health care use among survivors of adolescent and young adult cancer: a cross-sectional analysis of the National Health Interview Survey. Cancer. 2017;123(5):869–78. (PMID: 10.1002/cncr.3041727859009) National Cancer Institute. Surveillance, epidemiology, and end results program. Cancer Stat Facts: Cancer Among Adolescents and Young Adults (AYAs) (Ages 15–39). https://seer.cancer.gov/statfacts/html/aya.html . Published 2022. Accessed Oct 30, 2022. American Association for Cancer Research. Disparities in Cancer Survivorship. AACR. https://cancerprogressreport.aacr.org/disparities/cdpr22-contents/cdpr22-disparities-in-cancer-survivorship/ . Published 2022. Accessed 10/13/22. Perez M, Sefko JA, Ksiazek D, et al. A novel intervention using interactive technology and personal narratives to reduce cancer disparities: African American breast cancer survivor stories. J Cancer Surviv. 2014;8(1):21–30. (PMID: 10.1007/s11764-013-0308-424030573) Allicock M, Kendzor D, Sedory A, et al. A pilot and feasibility mobile health intervention to support healthy behaviors in African American breast cancer survivors. J Racial Ethn Health Disparities. 2021;8(1):157–65. (PMID: 10.1007/s40615-020-00767-x32385847) Sheppard VB, Hicks J, Makambi K, Hurtado-de-Mendoza A, Demark-Wahnefried W, Adams-Campbell L. The feasibility and acceptability of a diet and exercise trial in overweight and obese black breast cancer survivors: the Stepping STONE study. Contemp Clin Trials. 2016;46:106–13. (PMID: 10.1016/j.cct.2015.12.00526655430) |
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 |
تدمد: | 1932-2267 |
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DOI: | 10.1007/s11764-023-01433-x |