Experiences of adolescent and young adult cancer survivors during the COVID-19 pandemic.

Autor: Yan A; Division of Pediatric Hematology Oncology, The Hospital for Sick Children, University of Toronto, Toronto, Canada.; Dana-Farber/Boston Children's Blood and Cancer Disorder Center, Boston, MA, USA.; Harvard Medical School, Boston, MA, USA., Howden K; Department of Pediatrics and Child Health, CancerCare Manitoba, University of Manitoba, 75 McDermot Ave, Winnipeg, MB, ON-2015R3E 0V9, Canada., Mahar AL; Department of Community Health Sciences, Max Rady College of Medicine, University of Manitoba, Winnipeg, Canada.; Research Institute in Oncology and Hematology, CancerCare Manitoba, Winnipeg, Canada., Scott I; Department of Psychosocial Oncology, CancerCare Manitoba, Winnipeg, Canada., Glidden C; Department of Psychiatry, University of Manitoba, Winnipeg, Canada., Deleemans J; Department of Psychosocial Oncology, University of Calgary Cumming School of Medicine, Calgary, AB, Canada., Chalifour K; Young Adult Cancer Canada, St. John's, Newfoundland and Labrador, Canada., Eaton G; Young Adult Cancer Canada, St. John's, Newfoundland and Labrador, Canada., Gupta A; Division of Pediatric Hematology Oncology, The Hospital for Sick Children, University of Toronto, Toronto, Canada.; Princess Margaret Cancer Care Research Institute, Toronto, ON, Canada., Bolton JM; Department of Community Health Sciences, Max Rady College of Medicine, University of Manitoba, Winnipeg, Canada.; Manitoba Centre for Health Policy, University of Manitoba, Winnipeg, Canada., Garland SN; Department of Psychology, Memorial University, St. John's, Newfoundland and Labrador, Canada., Oberoi S; Department of Pediatrics and Child Health, CancerCare Manitoba, University of Manitoba, 75 McDermot Ave, Winnipeg, MB, ON-2015R3E 0V9, Canada. soberoi@cancercare.mb.ca.; Department of Pediatric Hematology-Oncology, CancerCare Manitoba, Winnipeg, Canada. soberoi@cancercare.mb.ca.; CancerCare Manitoba Research Institute, CancerCare Manitoba, Winnipeg, MB, R3E0V9, Canada. soberoi@cancercare.mb.ca.
Jazyk: angličtina
Zdroj: Journal of cancer survivorship : research and practice [J Cancer Surviv] 2023 Apr; Vol. 17 (2), pp. 370-383. Date of Electronic Publication: 2022 Jan 31.
DOI: 10.1007/s11764-021-01158-9
Abstrakt: Purpose: This study aimed to evaluate the impact of the COVID-19 pandemic on adolescent and young adult (AYA) cancer survivors.
Methods: We conducted a cross-sectional survey of AYAs aged 18-49 with cancer in Canada between January and February 2021. Data from survivors, defined as AYAs more than one year off cancer treatment, were analysed. Multiple logistic regression was used to identify factors associated with psychological distress, loneliness and insomnia.
Results: The analysis included 384 survivors. Moderate-to-severe psychological distress was reported by 257 (68.9%) survivors and was associated with an income ≥ $60,000 (adjusted odds ratio [AOR] 2.15, 95% CI 1.11-4.17) and the presence of a pre-existing chronic physical health condition (AOR 2.05, 95% CI 1.18-3.56). Loneliness was reported by 204 (54.0%) survivors and was associated with being unemployed (AOR 2.26 95%CI 1.18-4.31), pandemic causing finances to be worse (AOR 1.82, 95%CI 1.08-3.06) and the presence of a pre-pandemic mental health condition (AOR 1.88, 95% CI 1.03-3.42). Clinical insomnia was reported by 74 (19.5%) survivors and was associated with employment status as a student (AOR 3.00, 95% CI 1.08-8.29) or unemployed (AOR 3.97, 95% CI 1.46-10.83), earning $60,000 or more in the year 2020 (AOR 4.36, 95% CI 1.43-13.32), having haematologic cancer (AOR 2.21, 95% CI 1.05-4.70) and being single (AOR 2.52, 95% CI 1.08-5.91). Pandemic negatively affected employment, finances, physical activity, cancer care and substance use for 73.9%, 66.5%, 32.5%, 21.8% and 19.2% of survivors, respectively. Worries about finances, contracting COVID-19, cancer treatment increasing the risk of COVID-19 infection, and having poor health outcomes from contracting COVID-19 were reported by 46.0%, 45.6%, 55.0% and 47.3% of survivors, respectively.
Conclusions: The COVID-19 pandemic has had a significant impact on AYA cancer survivors, and these individuals report high levels of psychological distress, insomnia and loneliness.
Implications for Cancer Survivors: Cancer survivors are at risk for worsening mental and physical health outcomes during the COVID-19 pandemic. Targeted interventions and support programs are urgently needed to support the mental health of AYA cancer survivors and optimize their health outcomes.
(© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
Externí odkaz: