دورية أكاديمية
Loneliness and Crowded Living Predicted Poor Health in a Sample of Cancer Patients During COVID-19 Pandemic.
| العنوان: | Loneliness and Crowded Living Predicted Poor Health in a Sample of Cancer Patients During COVID-19 Pandemic. |
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| المؤلفون: | Zhang A; Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA., Koroukian S; Case Western Reserve University School of Medicine, Cleveland, OH, USA., Owusu C; Case Western Reserve University School of Medicine, Cleveland, OH, USA., Moore SE; Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA., Momotaz H; Case Western Reserve University School of Medicine, Cleveland, OH, USA., Albert JM; Case Western Reserve University School of Medicine, Cleveland, OH, USA. |
| المصدر: | Clinical nursing research [Clin Nurs Res] 2024 Jun; Vol. 33 (5), pp. 370-383. Date of Electronic Publication: 2024 May 21. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Sage Periodicals Press Country of Publication: United States NLM ID: 9208508 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-3799 (Electronic) Linking ISSN: 10547738 NLM ISO Abbreviation: Clin Nurs Res Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Newbury Park, CA : Sage Periodicals Press, c1992- |
| مواضيع طبية MeSH: | COVID-19*/psychology , COVID-19*/epidemiology , Loneliness*/psychology , Neoplasms*/psychology, Humans ; Male ; Female ; Middle Aged ; Surveys and Questionnaires ; Ohio ; Social Determinants of Health ; Aged ; Adult ; Depression/epidemiology ; SARS-CoV-2 ; Pandemics ; Health Behavior ; Health Status |
| مستخلص: | We investigated the influence of social determinants of health (SDOH), healthcare services, and health behaviors on mental and physical health outcomes of cancer patients between the first winter and the following post-vaccine summer of the COVID-19 pandemic. A three-wave online survey of individuals diagnosed with incident cancer between January 2019 and January 2020 was conducted between November of 2020 and August of 2021 in northeast Ohio. Descriptive analysis and mixed-effect regression analyses were performed. A total of 322 newly diagnosed cancer patients, with 40 African Americans and 282 Whites (215 from metropolitan areas and 67 nonmetropolitan) responded to the survey questions. In Wave 3 ending in August 2021, the survey respondents reported significantly reduced depression ( p = .019) on the Hamilton Depression Rating Scale and improved global health ( p = .036) on PROMIS. With age, comorbidity, and other demographic and medical variables controlled in the analyses, the feeling of loneliness ( p < .001) and crowded living space ( p = .001, p = .015) were the two most prominent factors associated with depression, irritability, and poor global health at baseline, with the lowest p values and persistent effect. Self-efficacy of taking preventive measures was associated with reduced depression ( p = .001) and improved global health ( p = .029). Increasing access to medicine ( p < .01) and satisfaction with telehealth appointments ( p < .01) were significantly associated with better global health and reduced irritability. Respondents who had private health insurance reported better health than those that had Medicare coverage only ( p < .05). This longitudinal, observational study demonstrated the impact of SDOH on health outcomes of cancer patients. Substandard living conditions resulting in loneliness and crowdedness, quality of medical care (e.g., quality telehealth and access to medicine), and personal behaviors (e.g., self-efficacy) were significantly associated with health outcomes in newly diagnosed cancer patients during the pandemic and should be given adequate consideration for the purpose of improving clinical care. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| فهرسة مساهمة: | Keywords: COVID-19; SDOH; cancer; clinical research areas; depression; health outcome; syndromes |
| تواريخ الأحداث: | Date Created: 20240522 Date Completed: 20240619 Latest Revision: 20240619 |
| رمز التحديث: | 20240619 |
| DOI: | 10.1177/10547738241252889 |
| PMID: | 38773912 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1552-3799 |
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| DOI: | 10.1177/10547738241252889 |