scholarly journals Predictors of Racial Differences in Depression and Affect among Older adult, Long-term Cancer Survivors

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 692-692
Author(s):  
Gary Deimling ◽  
Dyanna Burnham ◽  
Gabrielle Beck
Keyword(s):  
Negative Affect ◽  
Cancer Survivors ◽  
Racial Differences ◽  
Older Adult ◽  
Mood State ◽  
Treatment Center ◽  
Cancer Symptoms ◽  
Age Related ◽  
Adult Cancer Survivors

Abstract Research has long documented the psycho-social sequelae experienced by those who have been treated for and survived cancer. Depression, affect and other indicators of mood state have been an important focus of that research However, there is little research on racial differences in depression and affect outcomes or the specific cancer and age-related factors that predict them. The research to be presented is based on a 10 year, six wave NCI funded study of 471 older adult (age 60+), long-term cancer survivors randomly selected from the tumor registry of a comprehensive cancer treatment center. Key outcome measures were depression (CES-D) scale) and both positive and negative affect (PANAS). Covariance analyses and nested OLS Regression were used to identify Black-white differences these outcomes and the relative importance of both cancer and non-cancer predictors. Blacks reported lower levels of depression and negative affect when compared to whites. In a separate regression analysis of the black sub-sample, continuing cancer-related symptoms were by far the strongest predictors (beta =.16) of negative affect. In the white sub-sample, while cancer-related symptoms continued to be a significant predictor (beta=.16), non-cancer symptoms were substantially more important (beta=. 22). These results will hopefully help practitioners to have a better understanding of the nuanced racialized experiences and mental health among cancer survivors, and how these may impact after-care for older adult cancer survivors.

Racial Differences in the Health of Older-Adult Long-Term Cancer Survivors

2003 ◽  
Vol 20 (4) ◽  
pp. 71-94 ◽  
Author(s):  
Gary T. Deimling ◽  
Michael L. Schaefer ◽  
Boaz Kahana ◽  
Karen F. Bowman ◽  
Judy Reardon
Keyword(s):  
Cancer Survivors ◽  
Racial Differences ◽  
Older Adult

scholarly journals Geriatric Assessment Predicts Hospitalization Frequency and Long-Term Care Use in Older Adult Cancer Survivors

2019 ◽  
Vol 15 (5) ◽  
pp. e399-e409 ◽  
Author(s):  
Grant R. Williams ◽  
Lisette Dunham ◽  
YunKyung Chang ◽  
Allison M. Deal ◽  
Mackenzi Pergolotti ◽  
...  
Keyword(s):  
Health Care ◽  
Cancer Survivors ◽  
Older Adult ◽  
Daily Living ◽  
Long Term Care ◽  
Health Care Use ◽  
Term Care ◽  
Adult Cancer Survivors ◽  
Climbing Stairs

PURPOSE: The association between geriatric assessment (GA)–identified impairments and long-term health care use in older cancer survivors remains unknown. Our objective was to evaluate whether a GA performed at cancer diagnosis was predictive of hospitalizations and long-term care (LTC) use in older adult cancer survivors. METHODS: Older adults with GA performed between 3 months before through 6 months after diagnosis were included (N = 125). Patients with Medicare Parts A and B coverage and no managed care were identified. Hospitalizations and LTC use (skilled nursing or assisted living) were assessed up to 5 years postdiagnosis. GA risk measures were evaluated in separate Poisson models estimating the relative risk (RR) for hospital and LTC visits, adjusting for age and Charlson comorbidity score. RESULTS: The mean age of patients was 74 years, and the majority were female (80%) and white (90%). Breast cancer (64%) and early-stage disease (stages 0 to III, 77%) were common. Prefrail/frail status (RR, 2.5; P < .001), instrumental activities of daily living impairment (RR, 5.47; P < .001), and limitations in climbing stairs (RR, 2.94; P < .001) were associated with increased hospitalizations. Prefrail/frail status (RR, 1.86; P < .007), instrumental activities of daily living impairment (RR, 4.58; P < .001), presence of falls (RR, 6.73; P < .001), prolonged Timed Up and Go (RR, 5.45; P < .001), and limitations in climbing stairs (RR, 1.89; P < .005) were associated with LTC use. CONCLUSION: GA-identified impairments were associated with increased hospitalizations and LTC use among older adults with cancer. GA-focused interventions should be targeted toward high-risk patients to reduce long-term adverse health care use in this vulnerable population.

Geriatric assessment to predict hospitalization frequency and long-term care utilization in older adult cancer survivors.

2018 ◽  
Vol 36 (15_suppl) ◽  
pp. 10036-10036 ◽  
Author(s):  
Grant Richard Williams ◽  
Lisette Dunham ◽  
YunKyung Chang ◽  
Allison Mary Deal ◽  
Mackenzi Pergolotti ◽  
...  
Keyword(s):  
Cancer Survivors ◽  
Older Adult ◽  
Geriatric Assessment ◽  
Long Term Care ◽  
Care Utilization ◽  
Term Care ◽  
Adult Cancer Survivors

The Landscape of Perception: Racial Differences in How Disability Is Viewed Among Older-Adult Cancer Survivors

2021 ◽  
pp. 009141502110241
Author(s):  
Spencier Ciaralli ◽  
Gary T. Deimling ◽  
Dyanna L. Burnham
Keyword(s):  
Cancer Survivors ◽  
Racial Differences ◽  
Older Adult ◽  
Strong Relationship ◽  
Later Life ◽  
Related Factors ◽  
Tumor Registry ◽  
Black And White ◽  
Models Of Disability ◽  
Adult Cancer Survivors

This paper compares disability perceptions of Black with white older cancer survivors’ to document racial disparities in these perceptions and the factors that contribute to them. The data are from a randomly selected tumor registry sample of 321 older adult cancer survivors from an NCI funded study. OLS regression models of disability perceptions, nested by race, examined the effects cancer and non-cancer health factors along with important covariates. Black older adult cancer survivors perceived themselves to be more disabled than did white survivors. Multivariate analyses showed a strong relationship between functional difficulties and disability perceptions for both Black and white survivors. However cancer-related factors such as continuing symptoms of the illness or treatment were relatively more important for Blacks. The findings suggest that race and cancer are both important factors in our understanding of disability in later life. These findings can then inform clinical best practices among minority older adults.

scholarly journals Physical Comorbidities and Depression in Recent and Long-Term Adult Cancer Survivors: NHANES 2007–2018

Cancers ◽  
2021 ◽  
Vol 13 (13) ◽  
pp. 3368
Author(s):  
Dafina Petrova ◽  
Andrés Catena ◽  
Miguel Rodríguez-Barranco ◽  
Daniel Redondo-Sánchez ◽  
Eloísa Bayo-Lozano ◽  
...  
Keyword(s):  
Cancer Survivors ◽  
Cancer Patients ◽  
Cancer Diagnosis ◽  
Depression Symptoms ◽  
Depression Risk ◽  
Adult Cancer Survivors ◽  
Before And After ◽  
Nationally Representative ◽  
Risk Of Cancer

Many adult cancer patients present one or more physical comorbidities. Besides interfering with treatment and prognosis, physical comorbidities could also increase the already heightened psychological risk of cancer patients. To test this possibility, we investigated the relationship between physical comorbidities with depression symptoms in a sample of 2073 adult cancer survivors drawn from the nationally representative National Health and Nutrition Examination Survey (NHANES) (2007–2018) in the U.S. Based on information regarding 16 chronic conditions, the number of comorbidities diagnosed before and after the cancer diagnosis was calculated. The number of comorbidities present at the moment of cancer diagnosis was significantly related to depression risk in recent but not in long-term survivors. Recent survivors who suffered multimorbidity had 3.48 (95% CI 1.26–9.55) times the odds of reporting significant depressive symptoms up to 5 years after the cancer diagnosis. The effect of comorbidities was strongest among survivors of breast cancer. The comorbidities with strongest influence on depression risk were stroke, kidney disease, hypertension, obesity, asthma, and arthritis. Information about comorbidities is usually readily available and could be useful in streamlining depression screening or targeting prevention efforts in cancer patients and survivors. A multidimensional model of the interaction between cancer and other physical comorbidities on mental health is proposed.

scholarly journals Postdiagnosis Physical Activity: Association With Long-Term Fatigue and Sleep Disturbance in Older Adult Breast Cancer Survivors

2020 ◽  
Vol 24 (4) ◽  
pp. 381-391
Author(s):  
Alexi Vasbinder ◽  
Kerryn Reding ◽  
Di Wang ◽  
Claire Han ◽  
Oleg Zaslavsky ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Physical Activity ◽  
Cancer Survivors ◽  
Sleep Disturbance ◽  
Older Adult ◽  
Breast Cancer Survivors

scholarly journals Understanding the Workplace Interactions of Young Adult Cancer Survivors With Occupational and Environmental Health Professionals

2019 ◽  
Vol 67 (4) ◽  
pp. 179-188 ◽  
Author(s):  
Dawn S. Stone ◽  
Carol L. Pavlish ◽  
Patricia A. Ganz ◽  
Elizabeth Anne Thomas ◽  
Jacqueline N. Casillas ◽  
...  
Keyword(s):  
Young Adult ◽  
Cancer Survivors ◽  
Environmental Health ◽  
Work Ability ◽  
Health Professionals ◽  
Cancer Surveillance ◽  
Young Adult Cancer Survivors ◽  
Adult Cancer Survivors ◽  
Young Adult Cancer

Work provides satisfaction and stability to young adult cancer survivors. However, progressive health changes because of cancer may compromise safety and diminish functional ability. The purpose of this study was to describe long-term young adult cancer survivors’ work experiences and describe their interactions with occupational and environmental health professionals (OEHPs) within the workplace. Cancer survivors were recruited from the Los Angeles County Cancer Surveillance Program. Professional organizations provided access to OEHPs. Constructivist grounded theory guided individual semi-structured interviews during data collection and analysis. Processes of interaction between cancer survivors and OEHPs found to influence work included revealing the survivor-self, sustaining work ability, gatekeeping (employment opportunities, return to work), and accessing support. OEHPs appeared to facilitate survivors’ work ability in the long term if services were available, services were known to survivors, and survivors revealed needs. Educating workers about OEHP services throughout cancer experiences and survivorship could ultimately improve interactivity and provide supportive work environments.

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