CCSG Supplement: Impact of COVID-19 on Cancer-related Health Behaviors in Rural Cancer Patients and Cancer Survivors.

CCSG 增刊：COVID-19 对农村癌症患者和癌症幸存者癌症相关健康行为的影响。

• 批准号: 10159682
• 负责人: Thomas James Lynch
• 金额: $ 17.63万
• 依托单位: FRED HUTCHINSON CANCER RESEARCH CENTER
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-08-31 至 2020-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10159682
• 关键词: Adherence; Affect; Alabama; Alcohol consumption; Behavior; Behavior Therapy; COVID-19; COVID-19 pandemic; Cancer Center; Cancer Center Support Grant; Cancer Patient; Cancer Survivor; Cancer Survivorship; Caring; Categories; Classification; Code; Collaborations; Communities; Cross-Sectional Studies; Development; Ensure; Funding; Future; Health; Health Policy; Health Professional; Health behavior; Hispanics; Information Dissemination; Literature; Malignant Neoplasms; Measures; Modeling; Outcome; Participant; Patient Self-Report; Patients; Physical activity; Policy Maker; Population; Public Health; Reporting; Rural; Rural Community; Services; Social Distance; Surveys; Survivors; Tobacco use; United States; Universities; Variant; Virus; Vulnerable Populations; Washington; base; cancer care; cancer therapy; care systems; good diet; health belief; nutrition; pandemic disease; programs; public health emergency; survivorship; telehealth; transmission process; treatment adherence; willingness

The COVID-19 global pandemic has had an unprecedented impact on the lives of almost every resident of the United States. The subsequent public health mitigation strategies, including social distancing measures, are effectively reducing transmission of the COVID-19 virus, but may have negative impact on behaviors important for cancer patients and cancer survivors (e.g. adhering to cancer treatment or cancer surveillance, physical activity, healthy diet, or alcohol consumption). Because rural cancer patients and rural cancer survivors already have significant barriers to accessing cancer care and engaging in healthy behaviors, the impact of COVID-19 social distancing measures may be even more pronounced in these settings. The purpose of this study is to conduct a cross-sectional survey of 800 (400 rural, 400 non-rural) cancer patients and cancer survivors to measure non-adherence to cancer care. We will also explore the degree to which COVID-19 social distancing measures are associated with non-adherence to cancer care and unhealthy cancer-related health behaviors for rural and non-rural participants. Survey items will be drawn from core items developed by a collaboration with more than 15 other NCI-funded Cancer Centers (University of Alabama Coordinating Center) studying the impact of COVID-19 on health behaviors in various settings and populations. Additional items to identify cancer patients and survivors will be drawn from the literature or developed based on the Health Belief Model, informing overall survey development. We will compare proportions of cancer patients who report non-adherence to cancer care (either missed or delayed cancer treatment or surveillance) in rural and non-rural settings using the four category Rural Urban Community Access (RUCA) classification based on zip code. Our unique reach across Washington State, which includes significant Hispanic/Latino populations in rural communities, and focus exclusively on cancer patients and cancer survivors, is an essential contribution to this larger effort. The results of this study will be critical in helping understand the potentially negative health impact of COVID-19 for rural cancer patients (a particularly vulnerable group) and provide guidance to public health professionals and policy makers to develop strategies to reduce the negative health impact.

新冠肺炎全球大流行对几乎所有人的生活都产生了前所未有的影响 美国居民。随后的公共卫生缓解战略，包括 社交疏远措施有效地减少了新冠肺炎病毒的传播，但 可能会对癌症患者和癌症幸存者的重要行为产生负面影响(例如 坚持癌症治疗或癌症监测、体育锻炼、健康饮食或饮酒 消费)。因为农村癌症患者和农村癌症幸存者已经有了显著的 获得癌症护理和从事健康行为的障碍，新冠肺炎的影响 在这些环境中，社交距离测量可能会更加明显。目的 本研究旨在对800例(农村400例，非农村400例)癌症患者进行横断面调查 患者和癌症幸存者衡量不遵守癌症护理的情况。我们还将探索 新冠肺炎社交疏远措施与不遵守 农村和非农村参与者的癌症护理和不健康的癌症相关健康行为。 调查项目将从15个以上的合作伙伴开发的核心项目中抽取 其他由NCI资助的癌症中心(阿拉巴马大学协调中心)研究 新冠肺炎对不同环境和人群健康行为的影响其他项目 以确定癌症患者和幸存者将从文献中提取或开发基于 关于健康信念模式，通知全面调查的发展。我们会比较一下 报告未坚持癌症护理的癌症患者的比例(错过或 延缓癌症治疗或监测)在农村和非农村环境中使用四类 基于邮政编码的农村和城市社区接入(RUCA)分类。我们独特的触角 整个华盛顿州，其中包括农村地区大量的西班牙裔/拉美裔人口 社区，并只关注癌症患者和癌症幸存者，是必不可少的 为这一更大的努力做出贡献。这项研究的结果将对帮助理解 新冠肺炎对农村癌症患者的潜在负面健康影响(特别是 弱势群体)，并指导公共卫生专业人员和政策制定者 制定战略，减少对健康的负面影响。