Abstract | BACKGROUND:
Follow-up care is critical for childhood cancer survivors (CCS), who are at high risk for comorbidities and late effects of cancer treatments. Understanding the factors associated with maintaining follow-up care is needed, especially for Hispanic CCS, who have been under-represented in previous studies. METHODS: Risk factors and protective factors for receiving cancer-related follow-up care were examined among 193 Los Angeles County CCS diagnosed between 2000 and 2007 (54% Hispanic; mean ± standard deviation age, 19.9 ± 2.8 years; age at diagnosis, 12.1 ± 3.0 years; time since diagnosis, 7.8 ± 2.0 years). Self-report surveys were used to assess follow-up care, insurance status, demographics, clinical factors, and psychosocial risk (eg, depression) and protective (eg, self-efficacy [SE]) factors. Multivariable logistic regression was used to identify factors associated with the previous receipt of cancer-related follow-up care (in prior 2 years) and the intent to seek future cancer-related follow-up care. RESULTS: Seventy-three percent of CCS reported a cancer follow-up visit in the previous 2 years, which was positively associated (P < .05) with having health insurance, white ethnicity (vs Hispanic), younger age, and greater treatment intensity. Sixty-nine percent reported an intent to receive follow-up care in the next 2 years, which was positively associated (P < .05) with having health insurance and greater SE. CONCLUSIONS: Hispanics and older CCS were more likely to lack previous follow-up care. Because health insurance was strongly associated with both previous follow-up care and the intent to seek care, the current results indicate that recent changes in health coverage may improve follow-up among CCS. Interventions targeting improved SE may help increase intent to receive follow-up care for this population.
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Authors | Joel E Milam, Kathleen Meeske, Rhona I Slaughter, Sandra Sherman-Bien, Anamara Ritt-Olson, Aura Kuperberg, David R Freyer, Ann S Hamilton |
Journal | Cancer
(Cancer)
Vol. 121
Issue 4
Pg. 605-13
(Feb 15 2015)
ISSN: 1097-0142 [Electronic] United States |
PMID | 25345867
(Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
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Copyright | © 2014 American Cancer Society. |
Topics |
- Adolescent
- Adult
- Child
- Depression
(epidemiology)
- Female
- Follow-Up Studies
- Hispanic or Latino
(statistics & numerical data)
- Humans
- Insurance Coverage
- Insurance, Health
- Logistic Models
- Male
- Neoplasms
(economics, ethnology, psychology)
- Personality Development
- Self Efficacy
- Self Report
- Survivors
(statistics & numerical data)
- White People
(statistics & numerical data)
- Young Adult
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