Health related quality of life in adult cancer survivors: Importance of social and emotional support.

Autor: Gudina AT; Division of Cancer Control and Survivorship, University of Rochester Medical Center, Rochester, NY, USA; University of Rochester Cancer Center NCI Community Oncology Research Program (NCORP), USA., Cheruvu VK; Dvision of Biostatistics, Environmental Health Sciences, and Epidemiology, College of Public Health, Kent State University, Kent, OH, USA. Electronic address: vcheruvu@kent.edu., Gilmore NJ; Division of Cancer Control and Survivorship, University of Rochester Medical Center, Rochester, NY, USA; University of Rochester Cancer Center NCI Community Oncology Research Program (NCORP), USA., Kleckner AS; Division of Cancer Control and Survivorship, University of Rochester Medical Center, Rochester, NY, USA; University of Rochester Cancer Center NCI Community Oncology Research Program (NCORP), USA., Arana-Chicas E; Division of Cancer Control and Survivorship, University of Rochester Medical Center, Rochester, NY, USA; University of Rochester Cancer Center NCI Community Oncology Research Program (NCORP), USA., Kehoe LA; Division of Cancer Control and Survivorship, University of Rochester Medical Center, Rochester, NY, USA; University of Rochester Cancer Center NCI Community Oncology Research Program (NCORP), USA., Belcher EK; Division of Cancer Control and Survivorship, University of Rochester Medical Center, Rochester, NY, USA; University of Rochester Cancer Center NCI Community Oncology Research Program (NCORP), USA., Cupertino AP; Division of Cancer Control and Survivorship, University of Rochester Medical Center, Rochester, NY, USA; University of Rochester Cancer Center NCI Community Oncology Research Program (NCORP), USA.
Jazyk: angličtina
Zdroj: Cancer epidemiology [Cancer Epidemiol] 2021 Oct; Vol. 74, pp. 101996. Date of Electronic Publication: 2021 Jul 29.
DOI: 10.1016/j.canep.2021.101996
Abstrakt: Background: Adult cancer survivors (ACS) are at increased risk for developing various comorbid conditions and having poor health-related quality of life (HRQOL) when compared to adults with no history of cancer. The effect of social and emotional support on HRQOL among ACS is not fully elucidated. The purpose of this study was to understand the role of social and emotional support on HRQOL in ACS and to examine if the association between social and emotional support and HRQOL is modified by gender, time since cancer diagnosis, or marital status.
Methods: Data for this study were obtained from the 2009 Behavioral Risk Factor Surveillance System. Statistical analysis was based on ACS with complete data (n = 23,939) on all variables considered. Multivariable logistic regression models were used to model the association between social and emotional support and indicators of HRQOL (i.e., general health, physical health, mental health, and activity limitation). To examine if gender, marital status, or the number of years since cancer diagnosis modify the association, separate stratified analyses were conducted.
Results: When compared to ACS who reported that they Rarely/Never received social and emotional support, those who reported that they Always received were 32 % less likely to report Fair/Poor General health, 23 % less likely to report frequent unhealthy days of Physical health, 73 % less likely to report frequent unhealthy days of Mental health and 38 % less likely to report frequent unhealthy days of Activity limitation. Social and emotional support was positively associated with all four domains of HRQOL among ACS who were female, unmarried, or greater than 5 years since cancer diagnosis, while this positive association was evident only with one or two domains of HRQOL among their corresponding counterparts (i.e., male, married, less than 5 years since diagnosis).
Conclusions: Social and emotional support is an important factor directly related to a better HRQOL, but it is modified by gender, marital status, and time since diagnosis. Findings from this study should inform health care providers about the importance of a support system for ACS in improving their overall quality of life.
(Copyright © 2021 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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