Social isolation and social connectedness among young adult cancer survivors: A systematic review.

Autor: Fox RS; University of Arizona College of Nursing, Tucson, Arizona, USA.; University of Arizona Cancer Center, Tucson, Arizona, USA.; Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA., Armstrong GE; Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.; The Chicago School of Professional Psychology, Chicago, Illinois, USA., Gaumond JS; Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA., Vigoureux TFD; University of North Florida, Jacksonville, Florida, USA., Miller CH; Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA., Sanford SD; Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.; Robert H. Lurie Comprehensive Cancer Center, Chicago, Illinois, USA., Salsman JM; Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.; Wake Forest Baptist Comprehensive Cancer Center, Winston-Salem, North Carolina, USA., Katsanis E; University of Arizona Cancer Center, Tucson, Arizona, USA.; University of Arizona College of Medicine, Tucson, Arizona, USA., Badger TA; University of Arizona College of Nursing, Tucson, Arizona, USA.; University of Arizona Cancer Center, Tucson, Arizona, USA., Reed DR; Moffitt Cancer Center, Tampa, Florida, USA., Gonzalez BD; Moffitt Cancer Center, Tampa, Florida, USA., Jim HSL; Moffitt Cancer Center, Tampa, Florida, USA., Warner EL; University of Utah College of Nursing, Salt Lake City, Utah, USA.; Huntsman Cancer Institute, Salt Lake City, Utah, USA., Victorson DE; Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.; Robert H. Lurie Comprehensive Cancer Center, Chicago, Illinois, USA., Oswald LB; Moffitt Cancer Center, Tampa, Florida, USA.
Jazyk: angličtina
Zdroj: Cancer [Cancer] 2023 Oct 01; Vol. 129 (19), pp. 2946-2965. Date of Electronic Publication: 2023 Jul 25.
DOI: 10.1002/cncr.34934
Abstrakt: Background: Social isolation and connectedness are social determinants of health that have demonstrated effects on cancer-related outcomes. These constructs have been systematically evaluated among pediatric and older adult cancer populations. In this review, the authors evaluated the prevalence, correlates, and psychosocial implications of social isolation and connectedness among young adult (YA) cancer survivors aged 18-39 years.
Methods: Peer-reviewed articles published in English before June 2021 were identified from database searches and included articles' reference lists according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Included articles described studies that assessed social isolation and/or connectedness among YA cancer survivors.
Results: In total, 5094 unique records were identified; 4143 were excluded after title/abstract screening, and 907 were excluded after full-text review. Forty-four articles were included. Few studies used validated measures or directly assessed social isolation or connectedness. Social isolation was similarly prevalent among YAs and older cancer survivors and noncancer populations. Demographic, clinical, and behavioral risk and protective factors for social isolation were identified. Social isolation was related to worse psychological well-being, whereas social connectedness was often, but not always, related to better psychological well-being.
Conclusions: This growing literature underscores the relevance of social isolation and connectedness as important health determinants among YA cancer survivors. The identified risk and protective factors can identify YAs who especially may benefit from screening for social isolation. Future studies are needed that directly, reliably, and validly evaluate social isolation and connectedness to inform the development of interventions to decrease isolation and increase connectedness.
(© 2023 The Authors. Cancer published by Wiley Periodicals LLC on behalf of American Cancer Society.)
Databáze: MEDLINE
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