The health and welfare of rural and urban cancer survivors in Missouri.
The health and welfare of rural and urban cancer survivors in Missouri.
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DOI：
10.5888/pcd10.130052
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发表时间：
2013-09-12
影响因子：
5.5
通讯作者：
Yun S
中科院分区：
文献类型：
--
作者：
Schootman M;Homan S;Weaver KE;Jeffe DB;Yun S
估计有280万癌症幸存者居住在美国的农村地区。我们比较了密苏里州农村和城市癌症幸存者的风险行为、心理社会因素、健康结果、生活质量和随访护理。我们使用2009-2010年密苏里州行为风险因素监测系统的数据来检查农村和城市癌症幸存者以及各自没有癌症病史的农村和城市癌症幸存者的各种健康结果、行为和心理社会因素。癌症幸存者还被问及收到幸存者护理计划的内容。社会人口因素、医疗保健的可及性和慢性疾病作为四组差异的潜在解释因素进行了研究。据估计，密苏里州18岁及以上的农村人口中有9.4%，城市人口中有7.9%报告有癌症病史。农村幸存者自我报告的健康状况不佳、身体痛苦和活动受限的比例最高；然而，农村和城市幸存者之间的差异主要归因于社会人口差异。农村和城市的癌症幸存者都比没有癌症病史的人更疲劳。农村幸存者也不太可能达到疾病控制和预防中心建议的身体活动，而不是农村的对照组。农村幸存者的吸烟率高于城市幸存者。只有62%的农村幸存者和78%的城市幸存者报告接受了关于癌症后续护理的建议。农村癌症幸存者面临许多健康挑战。改善生活质量和健康行为的干预措施应适应农村癌症幸存者的需要。
An estimated 2.8 million cancer survivors reside in rural areas in the United States. We compared the risk behaviors, psychosocial factors, health outcomes, quality of life, and follow-up care of rural and urban cancer survivors in Missouri. We used 2009–2010 Missouri Behavioral Risk Factor Surveillance System data to examine various health outcomes, behaviors, and psychosocial factors among rural and urban cancer survivors and their respective rural and urban counterparts without a cancer history. Cancer survivors also were asked about receipt of survivorship care plan components. Sociodemographic factors, access to medical care, and chronic conditions were examined as potential explanatory factors for differences among the 4 groups. An estimated 9.4% of rural and 7.9% of urban Missourians aged 18 years or older reported a cancer history. Rural survivors reported the highest rates of poor self-reported health, physical distress, and activity limitation; however differences between rural and urban survivors were attributable largely to sociodemographic differences. Both rural and urban cancer survivors reported more fatigue than their respective counterparts without a cancer history. Rural survivors also were less likely to meet Centers for Disease Control and Prevention recommendations for physical activity than their rural controls. The prevalence of smoking among rural survivors was higher than among urban survivors. Only 62% of rural survivors versus 78% of urban survivors reported receiving advice about cancer follow-up care. Rural cancer survivors face many health challenges. Interventions to improve quality of life and health behaviors should be adapted to meet the needs of rural cancer survivors.
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DOI：
10.1111/j.1532-5415.2005.00507.x
发表时间：
2005-12-01
影响因子：
6.3
作者：
Keating, NL;Norredam, M;Meara, E
通讯作者：
Meara, E
DOI：
10.1093/jncimonographs/lgq002
发表时间：
2010-01-01
期刊：
Journal of the National Cancer Institute Monographs
影响因子：
--
作者：
Grunfeld, Eva;Earle, Craig C.
通讯作者：
Earle, Craig C.
早期肺癌诊断后戒烟对预后的影响：荟萃分析的观察性研究系统评价。
DOI：
10.1136/bmj.b5569
发表时间：
2010-01-21
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Parsons A;Daley A;Begh R;Aveyard P
通讯作者：
Aveyard P
影响因子：
2.3
作者：
Schootman, Mario;Deshpande, Anjali D.;Pruitt, Sandi L.;Aft, Rebecca;Jeffe, Donna B.
通讯作者：
Jeffe, Donna B.
影响因子：
6.2
作者：
Gerber, Lynn H.;Stout, Nicole L.;Stricker, Carrie T.
通讯作者：
Stricker, Carrie T.