Your browser doesn't support javascript.
loading
Health Disparities in Young Adults: A Direct Comparison of Distress and Unmet Needs Across Cancer Centers.
Markwardt, Haley S; Taghavi, Sarah E; Shear, Deborah Z; McDuffee, Peyton R; Smith, Emily J; Dunker, Alexandra M; Wilson, Mary M; Russell, Janae A; Shi, Molin; Hall, Brittany C.
Afiliación
  • Markwardt HS; University of Texas Southwestern Medical Center Moncrief Cancer Institute, Fort Worth, TX.
  • Taghavi SE; Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX.
  • Shear DZ; University of Texas Southwestern Medical Center Moncrief Cancer Institute, Fort Worth, TX.
  • McDuffee PR; Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX.
  • Smith EJ; Fort Worth Adolescent and Young Adult Oncology Coalition, Fort Worth, TX.
  • Dunker AM; University of Texas Southwestern Medical Center Moncrief Cancer Institute, Fort Worth, TX.
  • Wilson MM; Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX.
  • Russell JA; Fort Worth Adolescent and Young Adult Oncology Coalition, Fort Worth, TX.
  • Shi M; University of Texas Southwestern Medical Center Moncrief Cancer Institute, Fort Worth, TX.
  • Hall BC; University of Texas Southwestern Medical Center Moncrief Cancer Institute, Fort Worth, TX.
JCO Clin Cancer Inform ; 8: e2300218, 2024 Mar.
Article en En | MEDLINE | ID: mdl-38478834
ABSTRACT

PURPOSE:

Information on concerns that young adults (YAs) with cancer face when receiving care outside of specialized treatment centers is needed to increase equitable care to YAs at greater risk of marginalization by the health care system. The current study compared distress and unmet needs at the time of clinic visit between YAs receiving care from three different cancer clinics (1) a National Cancer Institute-designated center, (2) a community-based clinic, and (3) a county hospital outpatient clinic.

METHODS:

The Adolescent and Young Adult Psycho-Oncology Screening Tool (AYA-POST) was administered to measure distress and cancer-related concerns of YAs in active treatment. A one-way analysis of variance (ANOVA) compared distress scores by treatment site. A Fisher's exact test compared the number of participants endorsing each item on the Needs Assessment Checklist from each site. A simple linear regression determined the association between distress and number of items endorsed on the Needs Assessment Checklist.

RESULTS:

Ninety-seven participants completed the AYA-POST, endorsing, on average, 11 concerns. Fisher's exact test showed significant differences between sites in the proportion of participants endorsing eight items boredom (P < .001), eating/appetite (P < .001), nausea/vomiting (P < .001), financial concern (P = .002), hopelessness/helplessness (P = .03), confidentiality (P = .04), sibling concern (P = .04), and insurance (P = .05). The simple linear regression model was significant (F(1, 94) = 39.772, P < .001, R2 = 0.297), indicating the number of unmet needs accounted for almost 30% of the variance in distress. The one-way ANOVA was not significant (F(2, 93) = 1.34, P = .267).

CONCLUSION:

Social determinants of health can influence the number and type of unmet needs experienced, affecting distress and other outcomes and underscoring the importance of timely, effective, age-appropriate screening and intervention for distress and unmet needs in YAs with cancer.
Asunto(s)
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Límite: Adolescent / Adult / Humans Idioma: En Revista: JCO Clin Cancer Inform Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Límite: Adolescent / Adult / Humans Idioma: En Revista: JCO Clin Cancer Inform Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos