Influence of social and behavioral determinants on health-related quality of life among cancer survivors in the USA.
Influence of social and behavioral determinants on health-related quality of life among cancer survivors in the USA.
复制标题
社会和行为决定因素对美国癌症幸存者健康相关生活质量的影响。
DOI：
10.1007/s00520-022-07534-0
复制
发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Veldheer,Susan
中科院分区：
文献类型：
--
作者：
Burse,NatashaRenee;Weng,Xingran;Wang,Li;Cuffee,YendelelaL;Veldheer,Susan
癌症幸存者的健康相关生活质量（HRQoL）比非癌症幸存者差。然而，目前尚不完全清楚是否健康的社会决定因素（SDOH）和健康行为显着相关的癌症幸存者的HRQoL。本研究的目的是探讨影响SDOH和健康行为对HRQoL癌症survivors.MethodsWe确定成人（18岁或以上）癌症幸存者（n= 5784）在2017年和2019年的行为风险因素监测系统。主要结局（HRQoL）定义为癌症幸存者是否报告精神或身体健康状况不佳（例如，14天或更长的精神或身体不健康的日子）。未经调整和调整的logistic回归计算的优势比和95% CI的因素与穷人HRQoL癌症survivors.ResultsMore的一半以上的癌症幸存者是非西班牙裔白色，女性，65岁或以上。在调整后的多变量logistic回归模型中，身体活动和没有因为费用而避免护理的癌症幸存者的精神和身体健康状况较差的风险较低。目前的吸烟者更有可能报告身体健康状况不佳。房主不太可能报告心理健康状况不佳。每日水果和蔬菜的消费和医疗保健覆盖率不与穷人HRQoL.ConclusionsSome SDOH（医疗保健服务，经济稳定，邻里和建筑环境）和健康行为（体力活动）与癌症幸存者的心理和/或身体健康状况不佳的可能性较低。研究结果可用于针对经历次优HRQoL的幸存者，并为研究，公共卫生政策和/或计划提供信息。
PurposeCancer survivors experience a worse health-related quality of life (HRQoL) than non-cancer survivors. However, it is not fully understood whether social determinants of health (SDOH) and health behaviors are significantly associated with HRQoL among cancer survivors. The purpose of this study was to investigate the influence of SDOH and health behaviors on HRQoL among cancer survivors.MethodsWe identified adult (18 years or older) cancer survivors (n= 5784) in the 2017 and 2019 Behavioral Risk Factor Surveillance System. The primary outcome (HRQoL) was defined as whether cancer survivors reported having poor mental or physical health (e.g., 14 or more mentally or physically unhealthy days). Unadjusted and adjusted logistic regression was used to compute the odds ratios and 95% CIs of factors associated with poor HRQoL among the cancer survivors.ResultsMore than half of the cancer survivors were non-Hispanic White, female, and 65 years or older. In the adjusted multivariable logistic regression models, cancer survivors who were physically active and who did not avoid care because of costs had a lower risk of poor mental and physical health. Current smokers were more likely to report poor physical health. Homeowners were less likely to report poor mental health. Daily fruit and vegetable consumption and healthcare coverage were not associated with poor HRQoL.ConclusionsSome SDOH (healthcare access, economic stability, and the neighborhood and built environment) and health behavior (physical activity) are associated with lower likelihood of experiencing poor mental and/or physical health in the cancer survivors. The study findings can be used to target survivors who experience suboptimal HRQoL and to inform research, public health policies, and/or programs.