全球老年癌症幸存者数量预计在未来几十年内将快速增长。癌症及其治疗可能会给幸存者带来各种挑战，包括对独立和生活质量产生影响的身体变化。这个项目探讨了收入水平与在加拿大的老年癌症幸存者治疗后的身体变化问题和寻求帮助之间的关系。一项加拿大全国范围内的社区居住的癌症幸存者调查探讨了他们在治疗完成后一到三年的幸存者护理经历。一项次级趋势分析研究了收入与老年人关注和寻求关于他们归因于癌症治疗的身体后果的经历之间的关系。总共有7,975名65岁及以上的幸存癌症患者对此次调查做出了回应，其中5,891人（73.9％）表示家庭年收入。前列腺癌（31.3％）、结直肠癌（22.7％）和乳腺癌（21.8％）占大多数受访者。在报告家庭收入数据的人中，超过90％的人提到了治疗后身体变化的影响、他们对这些变化的担忧以及是否寻求有关担忧的帮助。最常见的身体挑战是疲劳（63.7％）。收入低于加元$25,000的老年幸存者报告了对多种身体症状的关注的最高水平。在各个收入水平上，25％或更多的调查受访者报告难以找到有关身体挑战的帮助，特别是在他们的当地社区。癌症的老年幸存者可能会经历多种身体变化，在物理疗法的干预下会有改善，但他们在寻求相关帮助方面也会面临挑战。收入低者受到更严重的影响，即使在全民医疗保健体系中也是如此。建议进行财务评估和量身定制的后续跟进。 ©2023. 作者。

Globally, the number of older adults surviving cancer is anticipated to grow rapidly over the next decades. Cancer and its treatment can leave survivors with a myriad of challenges including physical changes which impact independence and quality of life. This project explored the relationship of income level with concerns and help-seeking for physical changes following treatment in older Canadian survivors of cancer.A Canada-wide survey of community-dwelling survivors of cancer explored their experiences with survivorship care one to three years following completion of treatment. A secondary trend analysis examined the relationship of income with older adults' level of concern and help-seeking experiences regarding physical consequences they attributed to their cancer treatment.In total, 7,975 people aged 65 years and older who survived cancer responded to the survey, of whom 5,891 (73.9%) indicated annual household income. Prostate (31.3%), colorectal (22.7%) and breast (21.8%) cancer accounted for the majority of respondents. Of those who reported household income data, over 90% wrote about the impact of physical changes following treatment, their concerns about the changes, and whether they sought help for their concerns. The most frequently identified physical challenge was fatigue (63.7%). Older survivors with low annual household incomes of less than $CA25,000 reported the highest levels of concern about multiple physical symptoms. 25% or more of the survey respondents across all income levels reported difficulty finding assistance for their concerns about the physical challenges, especially in their local communities.Older survivors of cancer can experience a range of physical changes, amenable to intervention by physical therapy, yet experience challenges obtaining relevant help. Those with low income are more severely affected, even within a universal healthcare system. Financial assessment and tailored follow-up are recommended.© 2023. The Author(s).