Cancer recurrence worry, risk perception, and informational-coping styles among Appalachian cancer survivors.
Cancer recurrence worry, risk perception, and informational-coping styles among Appalachian cancer survivors.
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DOI：
10.1080/07347332.2011.534014
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发表时间：
2011
影响因子：
2.1
通讯作者：
Andrykowski M
中科院分区：
文献类型：
--
作者：
Kelly KM;Shedlosky-Shoemaker R;Porter K;Desimone P;Andrykowski M
尽管关于癌症复发威胁的心理社会影响的文献越来越多，但对服务不足的人群，如来自阿巴拉契亚地区的人群，研究不足。为了研究癌症幸存者的担忧和感知风险，对一所大学医院肿瘤门诊的癌症患者进行了调查。阿巴拉契亚人的担忧程度明显高于非阿巴拉契亚人。癌症类型和较低的认知需求与更大的担忧有关。缺少感知风险数据的人通常年龄较大，受教育程度较低，监测、钝化和健康素养较低。需要额外的资源来帮助阿巴拉契亚人和那些预后不良的癌症患者应对与癌症复发相关的担忧。更多地关注癌症预防，对于改善服务不足、癌症风险更高的人群的生活质量至关重要。
Despite a growing literature on the psychosocial impact of the threat of cancer recurrence, underserved populations, such as those from the Appalachian region, have been understudied. To examine worry and perceived risk in cancer survivors, cancer patients at an ambulatory oncology clinic in a university hospital were surveyed. Appalachians had significantly higher worry than non-Appalachians. Cancer type and lower need for cognition were associated with greater worry. Those with missing perceived risk data were generally older, less educated, and lower in monitoring, blunting, and health literacy. Additional resources are needed to assist Appalachians and those with cancers with poor prognoses to cope with worry associated with cancer recurrence. More attention to prevention of cancer is critical to improve quality of life in underserved populations where risk of cancer is greater.
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