Physical and Mental Health Status and Health Behaviors of Survivors of Multiple Cancers: a National, Population-Based Study

Burris, Jessica L.; Andrykowski, Michael A.

doi:10.1007/s12160-011-9290-0

Cited by 28 publications

(39 citation statements)

References 39 publications

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“…In addition, our finding regarding the lower risk for poor mental health among survivors with multiple cancers contrasts with recent population studies reporting worse physical and mental health outcomes for survivors of multiple cancers, compared to survivors with a single primary cancer (32, 33). This difference may be due to the specific outcomes examined (HRQOL vs mental distress, comorbidities, and disability) or the analytic strategy used for describing the effect.…”

Section: Discussioncontrasting

confidence: 99%

“…This difference may be due to the specific outcomes examined (HRQOL vs mental distress, comorbidities, and disability) or the analytic strategy used for describing the effect. Burris & Andrykowski (32, 33) treated multiple cancers as a distinct group, comparing them to both single primary survivors and no-cancer controls. In contrast, we used single/multiple cancers as a covariate in multiple regression models that also controlled for site of most recent cancer diagnosis.…”

Section: Discussionmentioning

confidence: 99%

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Mental and Physical Health–Related Quality of Life among U.S. Cancer Survivors: Population Estimates from the 2010 National Health Interview Survey

Weaver

Forsythe

Reeve

et al. 2012

Cancer Epidemiology, Biomarkers &Amp; Prevention

329

247

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Background Despite extensive data on health-related quality of life (HRQOL) among cancer survivors, we do not yet have an estimate of the percent of survivors with poor mental and physical HRQOL compared to population norms. HRQOL population means for adult-onset cancer survivors of all ages and across the survivorship trajectory also have not been published. Methods Survivors (n=1,822) and adults with no cancer history (n=24,804) were identified from the 2010 National Health Interview Survey. The PROMIS® Global Health Scale was used to assess HRQOL. Poor HRQOL was defined as one standard deviation or more below the PROMIS population norm. Results Poor physical and mental HRQOL were reported by 24.5% and 10.1% of survivors, respectively, compared to 10.2% and 5.9% of adults without cancer (both p<.0001). This represents a population of approximately 3.3 million and 1.4 million US survivors with poor physical and mental HRQOL. Adjusted mean mental and physical HRQOL scores were similar for breast, prostate, and melanoma survivors compared to adults without cancer. Survivors of cervical, colorectal, hematologic, short-survival, and other cancers had worse physical HRQOL; cervical and short-survival cancer survivors reported worse mental HRQOL. Conclusion These data elucidate the burden of cancer diagnosis and treatment among US survivors and can be used to monitor the impact of national efforts to improve survivorship care and outcomes. Impact We present novel data on the number of US survivors with poor HRQOL. Interventions for high-risk groups that can be easily implemented are needed to improve survivor health at a population level.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Mental and Physical Health–Related Quality of Life among U.S. Cancer Survivors: Population Estimates from the 2010 National Health Interview Survey

Weaver

Forsythe

Reeve

et al. 2012

Cancer Epidemiology, Biomarkers &Amp; Prevention

329

247

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“…Study limitations are acknowledged. While the survey response rate was lower than expected and could have introduced bias, we were adequately powered to conduct analyses, our participants were similar to those in previously recruited national MPC samples (ie, age, gender, and partner status), and study participants were similar to all potentially eligible nonparticipants on all examined characteristics. We also recruited a sample with high variability in educational attainment, which was identified as a predictor of self‐management behaviors.…”

Section: Discussionmentioning

confidence: 94%

Psychobehavioral risk factors for financial hardship and poor functional outcomes in survivors of multiple primary cancers

et al. 2019

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Objective Survivors of multiple primary cancers (MPC) are at increased risk for poor health outcomes compared with survivors of single cancers. Using an adapted psychobehavioral stress‐response model, the study purpose was to identify pathways and individual risk factors associated with poor health outcomes in adults with MPC. Methods Adult MPC survivors (N = 211) with first cancers (stages I‐III) diagnosed within 1 to 10 years were recruited via tumor registry. Employing a cross‐sectional design, established questionnaires were used to operationalize patient characteristics and theoretical constructs including perceived stress, psychological and behavioral responses, financial hardship, social role function, and physical health. Disease and treatment data were obtained via registry and medical records. Structural equation modeling (SEM) was performed to fit, test, and modify the hypothesized psychobehavioral model. Results Following measurement model refinement, an SEM linking self‐management behaviors, distress, financial hardship, and functional health demonstrated a good fit: χ2 (200, N = 206) = 332.06, P < .01; Tucker‐Lewis index (TLI) = .95, comparative fit index (CFI) = .96, standardized root mean residual (SRMR) = .06, root‐mean‐square error of approximation (RMSEA) = .06. Less use of self‐management behaviors predicted higher distress which, in turn, predicted higher financial hardship; higher distress and financial hardship predicted poorer functional health. Several sociodemographic and personal factors predicted self‐management behaviors and distress. Conclusions The hypothesized stress‐response model was partially supported. Data supported pathways among self‐management behaviors, distress, financial hardship, and functional health. Self‐management and distress may represent modifiable intervention targets for MPC survivors. High body mass index (BMI), less education, greater neuroticism, and lower social support were associated with less use of self‐management behaviors and higher distress and should be further evaluated as potential markers of vulnerability.

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“…Furthermore, second (or more) primary cancer diagnoses represent about 16% of all incident cancer diagnoses in the United States 4. Despite this large and growing number of survivors of multiple cancers, only 2 studies have examined the current physical and mental health status of these individuals 5, 6. In a study limited to Hawaii residents, survivors of multiple primary cancer diagnoses reported poorer global quality of life, less vitality, greater cancer‐specific distress, and poorer existential well‐being than matched survivors of a single primary cancer diagnosis 6.…”

Section: Introductionmentioning

confidence: 99%

Physical and mental health status of survivors of multiple cancer diagnoses

Andrykowski

2011

Cancer

Self Cite

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BACKGROUND: Little research has identified the physical and mental health status of survivors of multiple primary cancer diagnoses. METHODS: By using data from the population‐based 2009 National Health Information Survey, 154 survivors of multiple primary cancer diagnoses, 1427 survivors of a single cancer diagnosis, and 25,004 individuals without a history of cancer diagnosis were identified. The multiple cancer group was compared with the single cancer and no cancer groups with regard to physical and mental health status using analysis of covariance and binary logistic regression. RESULTS: Relative to the no cancer group, the multiple cancer group reported significantly poorer mental health status, greater lifetime, recent, and current prevalence of a variety of medical conditions and comorbidities, and more health‐related disability. Although observed group differences between the multiple cancer and single cancer groups were less pronounced than those between the multiple cancer and no cancer groups, a consistent pattern was also evident; the multiple cancer group reported significantly poorer status relative to the single cancer group across a range of mental and physical health and illness‐related disability indices. CONCLUSIONS: Diagnosis of 2 or more primary cancers (excluding nonmelanoma skin cancers) is associated with increased risk for poorer physical and mental health status over and above that associated with diagnosis of a single primary cancer. Survivors of multiple and single primary cancer diagnoses should be considered as distinct subgroups, and increased attention should be devoted to the unique status and needs of survivors of multiple primary cancer diagnoses. Cancer 2012;3645–3653. © 2011 American Cancer Society.

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Physical and Mental Health Status and Health Behaviors of Survivors of Multiple Cancers: a National, Population-Based Study

Cited by 28 publications

References 39 publications

Mental and Physical Health–Related Quality of Life among U.S. Cancer Survivors: Population Estimates from the 2010 National Health Interview Survey

Mental and Physical Health–Related Quality of Life among U.S. Cancer Survivors: Population Estimates from the 2010 National Health Interview Survey

Psychobehavioral risk factors for financial hardship and poor functional outcomes in survivors of multiple primary cancers

Physical and mental health status of survivors of multiple cancer diagnoses

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