Psychological distress and mental health care utilization among Hispanic/Latino survivors of adolescent and young adult cancer.

Autor: Choi E; Department of Nursing, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA., Berkman AM; Department of Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA., Cheung CK; University of Maryland School of Social Work, Baltimore, Maryland, USA., Betts AC; Department of Health Promotion and Behavioral Sciences, University of Texas Health Science Center at Houston, School of Public Health, Houston, Texas, USA., Salsman JM; Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Wake Forest Baptist Comprehensive Cancer Center, Winston-Salem, North Carolina, USA., Andersen CR; Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA., Ochoa-Dominguez CY; Department of Radiation Medicine and Applied Sciences, University of California San Diego, San Diego, California, USA.; Center for Health Equity Education and Research, University of California San Diego, La Jolla, California, USA., Miller K; Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, California, USA., Milam J; Department of Epidemiology & Biostatistics, University of California, Irvine, California, USA., Shah A; School of Medicine, The University of Texas Southwestern Medical Center, Dallas, Texas, USA., Peterson SK; Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA., Lu Q; Department of Health Disparities Research, Division of Cancer Prevention and Population Sciences, The University of Texas MD Anderson Cancer Institute, Houston, Texas, USA., Livingston JA; Department of Sarcoma Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA., Hildebrandt MAT; Department of Lymphoma and Myeloma, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA., Parsons SK; Institute for Clinical Research and Health Policy Studies and the Division of Hematology/Oncology, Tufts Medical Center, Tufts University School of Medicine, Boston, Massachusetts, USA., Freyer D; Keck School of Medicine, University of Southern California, Los Angeles, California, USA., Roth ME; Division of Pediatrics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Jazyk: angličtina
Zdroj: Psycho-oncology [Psychooncology] 2023 Dec; Vol. 32 (12), pp. 1918-1929. Date of Electronic Publication: 2023 Nov 13.
DOI: 10.1002/pon.6248
Abstrakt: Purpose: Survivors of adolescent and young adult (AYA) cancer experience psychological distress and insufficient access to mental health care. Few studies have investigated racial/ethnic disparities in psychological health outcomes in this population. This study compared psychological distress, mental health care use, and inability to afford mental health care between Hispanic/Latino survivors of AYA cancer and Hispanic/Latino controls.
Methods: The National Health Interview Survey data (2010-2018) were analyzed to identify Hispanic/Latino survivors of AYA cancer and Hispanic/Latino age- and sex-matched non-cancer controls. Sociodemographic, chronic health, modifiable factors, and psychological outcomes were compared using chi-square tests. Logistic regression models with survey weights were used to assess the log-odds of psychological distress in relation to covariates, along with the cancer group. Interactions were evaluated between each variable and cancer group.
Results: The study included 370 Hispanic/Latino survivors of AYA cancer (mean time since diagnosis = 12.34 years) and 3700 Hispanic/Latino controls. Compared to controls, survivors were more likely to report moderate/severe distress (OR = 2.23, p < 0.001), use of mental health care (OR = 2.11, p < 0.001) and inability to afford mental health care (OR = 3.05, p < 0.001). Forty-one percent of survivors reported moderate/severe distress and only 16% utilized mental health care. Among survivors, having more than two chronic health conditions and public insurance (compared to private insurance) were associated with the presence of moderate/severe distress. Among survivors experiencing moderate/severe distress, lack of insurance was associated with decreased utilization of mental health care.
Conclusions: Having cancer as an AYA may exacerbate disparities in psychological health within the Hispanic/Latino population.
(© 2023 John Wiley & Sons Ltd.)
Databáze: MEDLINE
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