Exploring the Relationship between Self-Rated Health and Unmet Cancer Needs among Sexual and Gender Minority Adolescents and Young Adults with Cancer.
Exploring the Relationship between Self-Rated Health and Unmet Cancer Needs among Sexual and Gender Minority Adolescents and Young Adults with Cancer.
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DOI：
10.3390/curroncol30100671
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发表时间：
2023-10-20
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影响因子：
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这项研究通过比较性和性别少数（SGM）青少年和年轻成人（AYA）癌症幸存者的SGM AYA自测健康（SRH）评分与非SGM（即，顺性别/异性恋）对应物。癌症需求量表-年轻人（CNQ-YP）和自测健康指标被用来评估在过去十年中被诊断患有癌症的15-39岁的AYA（n = 342）未满足的需求。参与者是从国家癌症研究所（NCI）综合癌症中心注册处使用修改后的Dillman方法招募的。收集自我报告的性取向和性别认同（SO/GI）数据。独立t检验用于检验未满足需求的组间差异，Pearson卡方检验用于确定SGM和非SGM AYA癌症幸存者之间SRH评分的差异。SGM AYA癌症幸存者在所有六个领域的平均需求均高于非SGM癌症幸存者，并且在感觉和关系领域，t（314）=-2.111，p = 0.036，信息和活动领域，t（314）=-2.594，p = 0.009，以及教育领域，t（207）=-3.289，p < 0.001。SGM与非SGM SRH评分存在显著差异，表明与非SGM相比，SGM AYA报告健康状况较差/一般的百分比较高。未满足的生活和活动需求与AYA癌症幸存者的SRH呈负相关，而未满足的工作需求与AYA癌症幸存者的SRH呈正相关。AYA的性别认同（SGM与非SGM）不是调节因素。SGM AYA是已经脆弱的患者人群中的一个研究不足的群体。未得到满足的心理社会需求与一个人的感情和关系，信息和活动的需要值得进一步研究，以制定量身定制的干预措施，反映SGM AYA的经验。
This study evaluates the unmet needs of sexual and gender minority (SGM) adolescent and young adult (AYA) cancer survivors by comparing SGM AYA self-rated health (SRH) scores to their non-SGM (i.e., cisgender/heterosexual) counterparts. The Cancer Needs Questionnaire—Young People (CNQ-YP) and self-rated health measures were used to assess unmet needs in AYAs aged 15–39 who had been diagnosed with cancer in the previous ten years (n = 342). Participants were recruited from a National Cancer Institute (NCI) Comprehensive Cancer Center registry using the modified Dillman’s method. Self-reported sexual orientation and gender identity (SO/GI) data were collected. Independent t-tests were used to test between-group differences in unmet needs and Pearson’s chi-square test was used to determine the difference in SRH scores between SGM and non-SGM AYA cancer survivors. SGM AYA cancer survivors reported greater mean needs than their non-SGM counterparts across all six domains and reported significantly greater needs in the domains of Feelings and Relationships, t(314) = −2.111, p = 0.036, Information and Activities, t(314) = −2.594, p = 0.009, and Education, t(207) = −3.289, p < 0.001. SGM versus non-SGM SRH scores were significantly different, indicating that a higher percentage of SGM AYAs reported poor/fair health compared to those who were non-SGM. Unmet life and activities needs were negatively associated with AYA cancer survivors’ SRH, whereas unmet work needs were positively associated with AYA cancer survivors’ SRH. An AYA’s gender identity (SGM versus non-SGM) was not a moderator. SGM AYAs are an understudied group within an already vulnerable patient population. Unmet psychosocial needs related to one’s feelings and relationships, and information and activity needs merit further research to develop tailored interventions that reflect the experiences of SGM AYAs.
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DOI：
10.3122/jabfm.2010.03.090215
发表时间：
2010-05
期刊：
Journal of the American Board of Family Medicine : JABFM
影响因子：
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作者：
Schwartz LA;Mao JJ;Derosa BW;Ginsberg JP;Hobbie WL;Carlson CA;Mougianis ID;Ogle SK;Kazak AE
通讯作者：
Kazak AE
影响因子：
3.9
作者：
Kaal SEJ;Lidington EK;Prins JB;Jansen R;Manten-Horst E;Servaes P;van der Graaf WTA;Husson O
通讯作者：
Husson O
影响因子：
4.8
作者：
Kamen C;Palesh O;Gerry AA;Andrykowski MA;Heckler C;Mohile S;Morrow GR;Bowen D;Mustian K
通讯作者：
Mustian K
DOI：
10.3390/ijerph15061136
发表时间：
2018-06-01
影响因子：
--
作者：
Gonzales G;Ehrenfeld JM
通讯作者：
Ehrenfeld JM
DOI：
10.1093/geronj/46.2.s55
发表时间：
1991-03-01
期刊：
JOURNALS OF GERONTOLOGY
影响因子：
--
作者：
IDLER, EL;KASL, S
通讯作者：
KASL, S