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Perceived Health among Adolescent and Young Adult Survivors of Childhood Cancer

Survivors of childhood cancer (SCCs) are at increased risk of late effects, which are cancer- and treatment-related side-effects that are experienced months to years post-treatment and encapsulate a range of physical, cognitive and emotional problems including secondary malignancies. Perceived healt...

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Autores principales: Young-Speirs, Morgan, Forbes, Caitlin, Patton, Michaela, Russell, K. Brooke, Stokoe, Mehak, Reynolds, Kathleen, Schulte, Fiona
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7985790/
https://www.ncbi.nlm.nih.gov/pubmed/33562251
http://dx.doi.org/10.3390/curroncol28010080
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author Young-Speirs, Morgan
Forbes, Caitlin
Patton, Michaela
Russell, K. Brooke
Stokoe, Mehak
Reynolds, Kathleen
Schulte, Fiona
author_facet Young-Speirs, Morgan
Forbes, Caitlin
Patton, Michaela
Russell, K. Brooke
Stokoe, Mehak
Reynolds, Kathleen
Schulte, Fiona
author_sort Young-Speirs, Morgan
collection PubMed
description Survivors of childhood cancer (SCCs) are at increased risk of late effects, which are cancer- and treatment-related side-effects that are experienced months to years post-treatment and encapsulate a range of physical, cognitive and emotional problems including secondary malignancies. Perceived health can serve as an indicator of overall health. This study aims to (1) understand how a patient reported outcome (PRO) of perceived health of SCCs compares to controls who have not had a cancer diagnosis and (2) examine the relationships between perceived health and demographic and clinical variables, and health behavior. A total of 209 SCCs (n = 113 (54.10%) males; median age at diagnosis = 6.50 years; median time off treatment = 11.10 years; mean age at study = 19.00 years) were included. SCCs completed annual assessments as part of Long-Term Survivor Clinic appointments, including a question on perceived health answered on a five-point Likert scale. Data were collected retrospectively from medical charts. Perceived health of SCCs was compared to a control group (n = 836) using data from the 2014 Canadian Community Health Survey. Most SCCs (67%) reported excellent or very good health. The mean perceived health of SCCs (2.15 ± 0.91) was not statistically different from population controls (2.10 ± 0.87). Pain (B = 0.35; p < 0.001), physical activity (B = −0.39; p = 0.013) and concerns related to health resources (B = 0.59; p = 0.002) were significant predictors of perceived health. Factors shown to influence SCCs’ perceived health may inform interventions. Exploration into how SCCs develop their conception of health may be warranted.
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spelling pubmed-79857902021-03-24 Perceived Health among Adolescent and Young Adult Survivors of Childhood Cancer Young-Speirs, Morgan Forbes, Caitlin Patton, Michaela Russell, K. Brooke Stokoe, Mehak Reynolds, Kathleen Schulte, Fiona Curr Oncol Article Survivors of childhood cancer (SCCs) are at increased risk of late effects, which are cancer- and treatment-related side-effects that are experienced months to years post-treatment and encapsulate a range of physical, cognitive and emotional problems including secondary malignancies. Perceived health can serve as an indicator of overall health. This study aims to (1) understand how a patient reported outcome (PRO) of perceived health of SCCs compares to controls who have not had a cancer diagnosis and (2) examine the relationships between perceived health and demographic and clinical variables, and health behavior. A total of 209 SCCs (n = 113 (54.10%) males; median age at diagnosis = 6.50 years; median time off treatment = 11.10 years; mean age at study = 19.00 years) were included. SCCs completed annual assessments as part of Long-Term Survivor Clinic appointments, including a question on perceived health answered on a five-point Likert scale. Data were collected retrospectively from medical charts. Perceived health of SCCs was compared to a control group (n = 836) using data from the 2014 Canadian Community Health Survey. Most SCCs (67%) reported excellent or very good health. The mean perceived health of SCCs (2.15 ± 0.91) was not statistically different from population controls (2.10 ± 0.87). Pain (B = 0.35; p < 0.001), physical activity (B = −0.39; p = 0.013) and concerns related to health resources (B = 0.59; p = 0.002) were significant predictors of perceived health. Factors shown to influence SCCs’ perceived health may inform interventions. Exploration into how SCCs develop their conception of health may be warranted. MDPI 2021-02-07 /pmc/articles/PMC7985790/ /pubmed/33562251 http://dx.doi.org/10.3390/curroncol28010080 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Young-Speirs, Morgan
Forbes, Caitlin
Patton, Michaela
Russell, K. Brooke
Stokoe, Mehak
Reynolds, Kathleen
Schulte, Fiona
Perceived Health among Adolescent and Young Adult Survivors of Childhood Cancer
title Perceived Health among Adolescent and Young Adult Survivors of Childhood Cancer
title_full Perceived Health among Adolescent and Young Adult Survivors of Childhood Cancer
title_fullStr Perceived Health among Adolescent and Young Adult Survivors of Childhood Cancer
title_full_unstemmed Perceived Health among Adolescent and Young Adult Survivors of Childhood Cancer
title_short Perceived Health among Adolescent and Young Adult Survivors of Childhood Cancer
title_sort perceived health among adolescent and young adult survivors of childhood cancer
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7985790/
https://www.ncbi.nlm.nih.gov/pubmed/33562251
http://dx.doi.org/10.3390/curroncol28010080
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