Patterns and Predictors of Healthcare Use among Adolescent and Young Adult Cancer Survivors versus a Community Comparison Group

Healthcare use (HCU) during survivorship can mitigate adolescent and young adult (AYA) cancer survivors’ (aged 15–39 years) risk of medical and psychosocial late effects, but this is understudied. We surveyed 93 Australian AYA post-treatment cancer survivors (<i>M<sub>age</sub><...

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Autores principales:	Ursula M. Sansom-Daly, Claire E. Wakefield, Christina Signorelli, Mark W. Donoghoe, Antoinette Anazodo, Susan M. Sawyer, Michael Osborn, Rosalie Viney, Nicholas Daniell, Kate Faasse, Richard J. Cohn
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	cancer survivorship cancer survivors survivorship healthcare utilization adolescent young adult Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
Acceso en línea:	https://doaj.org/article/ac3c50fd4f034afb8b09ccdd289f9328
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spelling	oai:doaj.org-article:ac3c50fd4f034afb8b09ccdd289f93282021-11-11T15:26:46ZPatterns and Predictors of Healthcare Use among Adolescent and Young Adult Cancer Survivors versus a Community Comparison Group10.3390/cancers132152702072-6694https://doaj.org/article/ac3c50fd4f034afb8b09ccdd289f93282021-10-01T00:00:00Zhttps://www.mdpi.com/2072-6694/13/21/5270https://doaj.org/toc/2072-6694Healthcare use (HCU) during survivorship can mitigate adolescent and young adult (AYA) cancer survivors’ (aged 15–39 years) risk of medical and psychosocial late effects, but this is understudied. We surveyed 93 Australian AYA post-treatment cancer survivors (<i>M<sub>age</sub></i> = 22.0 years, SD = 3.5; 55.9% female) and a comparison sample of 183 non-matched AYAs (<i>M<sub>age</sub></i> = 19.7, SD = 3.2; 70.5% female) on their HCU, medication use, depression/anxiety, and general functioning. Relative to our comparison AYAs, a higher proportion of our survivor group reported medical HCU (community-delivered: 65.6% versus 47.0%, <i>p</i> = 0.003; hospital-delivered: 31.2% versus 20.3%, <i>p</i> = 0.044) and mental HCU (53.8% vs. 23.5%; <i>p</i> < 0.0001) in the past six months. A higher proportion of our survivors reported taking medications within the past six months than our comparison AYAs (61.3% vs. 42.1%, <i>p</i> = 0.003) and taking more types (<i>p</i> < 0.001). Vitamin/supplement use was most common followed by psychotropic medications. Our survivor group reported lower depression (<i>p</i> = 0.001) and anxiety symptoms (<i>p</i> = 0.003), but similar work/study participation (<i>p</i> = 0.767) to our comparison AYAs. Across groups, psychological distress was associated with higher mental HCU (<i>p</i> = 0.001). Among survivors, those who were female, diagnosed with brain/solid tumors and who had finished treatment more recently reported greater HCU. Future research should establish whether this level of HCU meets AYAs’ survivorship needs.Ursula M. Sansom-DalyClaire E. WakefieldChristina SignorelliMark W. DonoghoeAntoinette AnazodoSusan M. SawyerMichael OsbornRosalie VineyNicholas DaniellKate FaasseRichard J. CohnMDPI AGarticlecancer survivorshipcancer survivorssurvivorshiphealthcare utilizationadolescentyoung adultNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCancers, Vol 13, Iss 5270, p 5270 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cancer survivorship cancer survivors survivorship healthcare utilization adolescent young adult Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
spellingShingle	cancer survivorship cancer survivors survivorship healthcare utilization adolescent young adult Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Ursula M. Sansom-Daly Claire E. Wakefield Christina Signorelli Mark W. Donoghoe Antoinette Anazodo Susan M. Sawyer Michael Osborn Rosalie Viney Nicholas Daniell Kate Faasse Richard J. Cohn Patterns and Predictors of Healthcare Use among Adolescent and Young Adult Cancer Survivors versus a Community Comparison Group
description	Healthcare use (HCU) during survivorship can mitigate adolescent and young adult (AYA) cancer survivors’ (aged 15–39 years) risk of medical and psychosocial late effects, but this is understudied. We surveyed 93 Australian AYA post-treatment cancer survivors (<i>M<sub>age</sub></i> = 22.0 years, SD = 3.5; 55.9% female) and a comparison sample of 183 non-matched AYAs (<i>M<sub>age</sub></i> = 19.7, SD = 3.2; 70.5% female) on their HCU, medication use, depression/anxiety, and general functioning. Relative to our comparison AYAs, a higher proportion of our survivor group reported medical HCU (community-delivered: 65.6% versus 47.0%, <i>p</i> = 0.003; hospital-delivered: 31.2% versus 20.3%, <i>p</i> = 0.044) and mental HCU (53.8% vs. 23.5%; <i>p</i> < 0.0001) in the past six months. A higher proportion of our survivors reported taking medications within the past six months than our comparison AYAs (61.3% vs. 42.1%, <i>p</i> = 0.003) and taking more types (<i>p</i> < 0.001). Vitamin/supplement use was most common followed by psychotropic medications. Our survivor group reported lower depression (<i>p</i> = 0.001) and anxiety symptoms (<i>p</i> = 0.003), but similar work/study participation (<i>p</i> = 0.767) to our comparison AYAs. Across groups, psychological distress was associated with higher mental HCU (<i>p</i> = 0.001). Among survivors, those who were female, diagnosed with brain/solid tumors and who had finished treatment more recently reported greater HCU. Future research should establish whether this level of HCU meets AYAs’ survivorship needs.
format	article
author	Ursula M. Sansom-Daly Claire E. Wakefield Christina Signorelli Mark W. Donoghoe Antoinette Anazodo Susan M. Sawyer Michael Osborn Rosalie Viney Nicholas Daniell Kate Faasse Richard J. Cohn
author_facet	Ursula M. Sansom-Daly Claire E. Wakefield Christina Signorelli Mark W. Donoghoe Antoinette Anazodo Susan M. Sawyer Michael Osborn Rosalie Viney Nicholas Daniell Kate Faasse Richard J. Cohn
author_sort	Ursula M. Sansom-Daly
title	Patterns and Predictors of Healthcare Use among Adolescent and Young Adult Cancer Survivors versus a Community Comparison Group
title_short	Patterns and Predictors of Healthcare Use among Adolescent and Young Adult Cancer Survivors versus a Community Comparison Group
title_full	Patterns and Predictors of Healthcare Use among Adolescent and Young Adult Cancer Survivors versus a Community Comparison Group
title_fullStr	Patterns and Predictors of Healthcare Use among Adolescent and Young Adult Cancer Survivors versus a Community Comparison Group
title_full_unstemmed	Patterns and Predictors of Healthcare Use among Adolescent and Young Adult Cancer Survivors versus a Community Comparison Group
title_sort	patterns and predictors of healthcare use among adolescent and young adult cancer survivors versus a community comparison group
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/ac3c50fd4f034afb8b09ccdd289f9328
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Patterns and Predictors of Healthcare Use among Adolescent and Young Adult Cancer Survivors versus a Community Comparison Group

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