A Cross-Sectional Survey Exploring the Impact of the COVID-19 Pandemic on the Cancer Care of Adolescents and Young Adults
Autor: | Alyson L. Mahar, Kaitlyn Howden, Geoff Eaton, Julie M. Deleemans, Andrew R. Hatala, James M. Bolton, Sapna Oberoi, Abha A. Gupta, Karine Chalifour, Ian Scott, Camille Glidden, Sheila N Garland, Razvan G. Romanescu |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Adolescent Cross-sectional study Psychological intervention Logistic regression Article Young Adult virtual care Neoplasms Surveys and Questionnaires Pandemic Health care medicine Humans cancer Young adult Adverse effect Pandemics RC254-282 SARS-CoV-2 business.industry pandemic Cancer COVID-19 Neoplasms. Tumors. Oncology. Including cancer and carcinogens medicine.disease Cross-Sectional Studies Family medicine oncology business adolescents and young adults |
Zdroj: | Current Oncology, Vol 28, Iss 278, Pp 3201-3213 (2021) Current Oncology Volume 28 Issue 4 Pages 278-3213 |
ISSN: | 1198-0052 1718-7729 |
Popis: | We aimed to describe the negative and positive impacts of changes in cancer care delivery due to COVID-19 pandemic for adolescents and young adults (AYAs) in Canada, as well as the correlates of negative impact and their perspectives on optimization of cancer care. We conducted an online, self-administered survey of AYAs with cancer living in Canada between January and February 2021. Multiple logistic regression was used to identify factors associated with a negative impact on cancer care. Of the 805 participants, 173 (21.5%) experienced a negative impact on their cancer care including delays in diagnostic tests (11.9%), cancer treatment (11.4%), and appointments (11.1%). A prior diagnosis of mental or chronic physical health condition, an annual income of < 20,000 CAD, ongoing cancer treatment, and province of residence were independently associated with a negative cancer care impact (p-value < 0.05). The majority (n = 767, 95.2%) stated a positive impact of the changes to cancer care delivery, including the implementation of virtual healthcare visits (n = 601, 74.6%). Pandemic-related changes in cancer care delivery have unfavorably and favorably influenced AYAs with cancer. Interventions to support AYAs who are more vulnerable to the adverse effects of the pandemic, and the thoughtful integration of virtual care into cancer care delivery models is essential. |
Databáze: | OpenAIRE |
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