Factors Associated with Adherence to Preventive Care Practices among Hematopoietic Cell Transplantation Survivors
Factors Associated with Adherence to Preventive Care Practices among Hematopoietic Cell Transplantation Survivors
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DOI：
10.1016/j.bbmt.2010.10.023
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发表时间：
2011-07-01
影响因子：
4.3
通讯作者：
Lee, Stephanie J.
中科院分区：
文献类型：
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作者：
Khera, Nandita;Chow, Eric J.;Lee, Stephanie J.
可为造血细胞移植 (HCT) 幸存者提供预防保健指南。我们评估了对这些指南的遵守情况，并检查了与较低遵守情况相关的因素。我们向成年 HCT 幸存者邮寄了一份调查问卷，以收集有关幸存者健康、遵守推荐指南和财务问题的信息。多变量模型确定了与较低依从性相关的患者和移植特征。在 HCT 后 2 年以上的 3066 名幸存者中，1549 名 (51%) 做出了回应。受访者的中位年龄为 54.5 岁，对基于年龄和性别特定建议的预防性护理的中位遵守率为 75%。较低的依从性与自体 HCT、对医疗费用的担忧、非白种人、男性、身体机能较低、无慢性移植物抗宿主病、HCT 后时间较长以及对推荐测试的了解不足有关。尽管98%的受访者有医疗保险，但26%的受访者对医疗费用表示担忧，并表示正在努力限制医疗费用。对医疗费用的担忧与女性性别、年龄有关
Preventive care guidelines are available for hematopoietic cell transplantation (HCT) survivors. We assessed adherence to these guidelines and examined factors associated with lower adherence. A questionnaire was mailed to adult HCT survivors to collect information regarding survivor health, adherence to recommended guidelines, and financial concerns. Multivariate models identified patient and transplant characteristics associated with lower adherence. Of the 3066 survivors at >2 years after HCT, 1549 (51%) responded. The median age of the respondents was 54.5 years, and the median adherence to recommended preventive care based on age- and sex-specific recommendations was 75%. Lower adherence was associated with autologous HCT, concerns about medical costs, non-white race, male sex, lower physical functioning, absence of chronic graft-versus-host disease, longer time since HCT, and poor knowledge of recommended tests. Although 98% of the respondents had medical insurance, 26% expressed concerns about medical costs and reported efforts to limit medical costs. A concern about medical costs was associated with female sex, age