Examining COVID-19 Preventive Behaviors among Cancer Survivors in the United States: An Analysis of the COVID-19 Impact Survey
Examining COVID-19 Preventive Behaviors among Cancer Survivors in the United States: An Analysis of the COVID-19 Impact Survey
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DOI：
10.1158/1055-9965.epi-20-0801
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发表时间：
2020-12-01
影响因子：
3.8
通讯作者：
Vidot, Denise C.
中科院分区：
文献类型：
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作者：
Islam, Jessica Y.;Camacho-Rivera, Marlene;Vidot, Denise C.
背景：COVID-19 大流行影响了患有慢性病的成年人及其医疗保健服务。癌症幸存者采取的与 COVID-19 相关的预防行为模式尚不清楚，包括与取消医生预约相关的做法。我们评估了美国癌症幸存者中与 COVID-19 相关的预防行为。方法：我们使用了来自 COVID-19 影响调查的 10,760 名美国成年人的全国代表性数据。我们将癌症幸存者定义为自我报告诊断为癌症的人（n = 854，7.6%）。我们提出频率和 chi(2) 测试来评估癌症幸存者中与 COVID-19 相关的预防行为。我们使用泊松回归模型估计了癌症幸存者取消医生预约的决定因素。结果：与未患癌症的成年人相比，癌症幸存者更有可能采取预防行为，包括保持社交距离（93%，chi(2) P < 0.001）、戴口罩（93%，chi(2) P < 0.001）和避免前往拥挤区域（84%，chi(2) P < 0.001）。癌症幸存者更有可能取消医生预约 (41%, chi(2) P < 0.001)，而他们不太可能取消其他社交活动，例如工作 (19%, chi(2) P < 0.001) 和学校相关活动 (13%, chi(2) P < 0.001)。对协变量进行调整后，虽然与非西班牙裔 (NH) 白人癌症幸存者相比，非西班牙裔 (NH) 黑人癌症幸存者取消医生预约的可能性较小，但年龄在 18 至 29 岁、女性且患有至少一种合并症的癌症幸存者的可能性更大。结论：癌症幸存者坚持建议的预防行为。癌症幸存者的护理连续性可能会受到 COVID-19 的影响，特别是年轻人、女性和患有现有合并症的人。影响：深入了解可能受 COVID-19 影响最大的癌症幸存者的护理，对于美国癌症幸存者的监测和生存至关重要。
Background: The COVID-19 pandemic has impacted adults with chronic diseases, and their health care delivery. Patterns of COVID-19-related preventive behaviors practiced by cancer survivors are unknown, including practices related to canceling doctor's appointments. We evaluated COVID-19-related preventive behaviors among cancer survivors in the United States.Methods: We used nationally representative data of 10,760 U.S. adults from the COVID-19 Impact Survey. We defined cancer survivors as those with a self-reported diagnosis of cancer (n = 854, 7.6%). We present frequencies and chi(2) tests to evaluate COVID-19-related preventive behaviors among cancer survivors. We estimated determinants of canceling doctor's appointments among cancer survivors using Poisson regression models.Results: Cancer survivors were more likely to practice preventive behaviors, including social distancing (93%, chi(2) P < 0.001), wearing a face mask (93%, chi(2) P < 0.001), and avoiding crowded areas (84%, chi(2) P < 0.001) compared with adults without cancer. Cancer survivors were more likely to cancel doctor's appointments (41%, chi(2) P < 0.001), whereas they were less likely to cancel other social activities such as work (19%, chi(2) P < 0.001) and school-related (13%, chi(2) P < 0.001) activities. After adjustment for covariates, while non-Hispanic (NH)-Black cancer survivors were less likely to cancel a doctor's appointment compared with NH-White cancer survivors, cancer survivors aged 18 to 29, who were female, and who had least one comorbid condition were more likely.Conclusions: Cancer survivors are adhering to recommended preventive behaviors. Cancer survivor's continuity of care may be impacted by COVID-19, specifically young adults, females, and those with existing comorbid conditions. Impact: Insights into cancer survivors whose care may be most impacted by COVID-19 will be valuable toward surveillance and survivorship of U.S. cancer survivors.