研究动态
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亚洲青少年和年轻成年癌症幸存者的社会经济地位与慢性健康状况。

Socioeconomic Status and Chronic Health Conditions in Asian Survivors of Adolescent and Young Adult Cancers.

发表日期:2023 Aug 18
作者: Amy M Berkman, Eunju Choi, Christabel K Cheung, John M Salsman, Susan K Peterson, Clark R Andersen, Qian Lu, J Andrew Livingston, Michelle A T Hildebrandt, Susan K Parsons, Michael E Roth
来源: MEDICINE & SCIENCE IN SPORTS & EXERCISE

摘要:

目的:尽管种族和族群中少数族裔青少年和年轻成年(AYA;15-39岁)癌症幸存者与白人幸存者之间在社会经济地位(SES)和健康结果方面存在已知的差异,但亚洲幸存者人群的结果研究不足。为了更好地了解AYA癌症诊断与少数民族人群内的SES和健康结果之间的关联,本研究比较了在同一种族或族群中有无AYA癌症病史的个体之间的差异。 方法:从国家健康访谈调查(2009-2020年)的自我报告数据中确定了非西班牙裔亚洲AYA癌症幸存者和非西班牙裔亚洲年龄和性别匹配的对照组。使用卡方检验比较了两组之间的慢性健康状况和社会经济因素的患病率。使用 logistic 回归方法在幸存者和对照组之间以及内部确定了由SES因素导致的慢性疾病的几率。 结果:包括131名幸存者和1310名对照。与对照组相比,幸存者结婚的可能性较低,其他SES因素的差异未见。与对照组相比,幸存者患有至少一种慢性疾病的诊断几率更高(比值比=4.17,P <0.001)。在评估的慢性疾病中,幸存者患有关节炎,肺部疾病和高血压的几率更高。 结论:亚洲AYA癌症幸存者与无癌症病史的亚洲个体相比,患有慢性健康状况的风险更高。需要进行文化适应的有针对性干预措施以改善该人群的健康结果。
Purpose: While there are known disparities in socioeconomic status (SES) and health outcomes among racially and ethnically minoritized adolescent and young adult (AYA; ages 15-39 years at diagnosis) cancer survivors compared with White survivors, outcomes in the Asian survivor population are understudied. To better understand the association of an AYA cancer diagnosis with SES and health outcomes within a minoritized population, the current study makes comparisons between individuals of the same race or ethnicity with and without a history of AYA cancer. Methods: Non-Hispanic, Asian AYA cancer survivors and non-Hispanic, Asian age- and sex-matched controls were identified from self-reported data in the National Health Interview Survey (2009-2020). Prevalence of chronic health conditions and socioeconomic factors were compared between groups using chi-square tests. Odds of chronic conditions by SES factors were determined within and between survivors and controls using logistic regression methods. Results: One hundred and thirty-one survivors and 1310 controls were included. Survivors were less likely to be married compared with controls; however, there were no differences in other SES factors examined. Survivors had higher odds of at least one chronic condition diagnosis (odds ratio = 4.17, p < 0.001) compared with controls. Of the chronic conditions assessed, survivors had higher odds of arthritis, pulmonary disease, and hypertension compared with controls. Conclusions: Asian AYA cancer survivors are at increased risk of chronic health conditions compared with Asian individuals without a cancer history. Culturally adapted targeted interventions are needed to improve health outcomes for this population.