Abstract LB080: Evaluation of disparities in perceived health status among female cancer survivors in the United States

2021 ◽  
Author(s):  
Kate E. Dibble ◽  
Maneet Kaur ◽  
Avonne E. Connor
Keyword(s):  
United States ◽  
Health Status ◽  
Cancer Survivors ◽  
Perceived Health ◽  
The United States ◽  
Perceived Health Status ◽  
Female Cancer Survivors

scholarly journals Evaluation of Health Perceptions And Healthcare Utilization Among Population-Based Female Cancer Survivors And Cancer-Free Women

2021 ◽  
Author(s):  
Kate E Dibble ◽  
Maneet Kaur ◽  
Junrui Lyu ◽  
Avonne E Connor
Keyword(s):  
Health Status ◽  
Cancer Survivors ◽  
Healthcare Utilization ◽  
Perceived Health ◽  
Mental Health Provider ◽  
Perceived Health Status ◽  
History Of ◽  
Race Ethnicity ◽  
Female Cancer Survivors ◽  
History Of Cancer

Abstract Purpose. Cancer survivors are more likely to report having a poor health status when compared to the general population; however, few studies have focused on the impact of cancer on perceived health status, in combination with other healthcare utilization and access outcomes, among women from disadvantaged health populations.Methods. 25,741 women with and without a history of cancer from the National Health and Nutrition Examination Survey (NHANES) from 1999 to 2016 contributed data. Adjusted odds ratios (aORs) and 95% confidence intervals (CIs) were estimated using multivariable logistic regression models for the associations between cancer status and healthcare utilization and access outcomes. Models were stratified by race/ethnicity, federal poverty level (FPL), education, and comorbidities. Results. A total of 2,415 (9.4%) women had a history of cancer with breast cancer as the most common site (n=704, 29.2%). While most survivors were non-Hispanic white (68.4%), 15.2% were Hispanic, 12.1% were non-Hispanic Black, and 4.3% were additional racial/ethnic groups. Survivors were 1.28 times more likely to report fair/poor perceived health status (95% CI, 1.09-1.50), 1.61 times more likely to report hospitalizations in the last year (95% CI, 1.40-1.86), and 1.37 times more likely to see a mental health provider within the last year (95% CI, 1.12-1.66) compared to controls. Race/ethnicity and FPL were the only significant effect modifiers.Conclusion. Our study identifies disparities in health status and healthcare utilization among female cancer survivors and recognizes the importance of evaluating these associations among disadvantaged health populations. These findings could inform future cancer survivorship care.

The future state of patient engagement? Personal health information use, attitudes towards health, and health behavior

2019 ◽  
Vol 32 (4) ◽  
pp. 199-208
Author(s):  
Kristine R Hearld ◽  
Larry R Hearld ◽  
Henna Budhwani ◽  
Deirdre McCaughey ◽  
Leandra Y Celaya ◽  
...  
Keyword(s):  
Health Status ◽  
Health Behaviors ◽  
Health Information ◽  
Perceived Health ◽  
The United States ◽  
Personal Health Information ◽  
Personal Health ◽  
Perceived Health Status ◽  
Preventative Health ◽  
Patient Confidence

The past decade has given rise to interest in the effects of health care information on personal well-being. However, investigations to-date typically centered on mass communication programs in health rather than on individuals’ psychosocial characteristics, agency, and behaviors associated with their engagement with this information. Considering this gap, we examined whether the availability of personal health information is associated with health prevention behaviors in the United States. Using multivariable path analysis and data from the 2017 Health Information National Trends Survey, we investigate whether the use of personal health information is associated with positive, preventative health behaviors (healthy eating, tobacco smoking, and exercise), and if this relationship is mediated by patient confidence in their ability to care for themselves and by their self-perceived health status. Findings indicate that the use of health information, at low levels, is important for improving patient attitudes regarding their health status and confidence in caring for themselves. Perceived health-status and patient confidence, in turn, are associated with preventative health behaviors. Notably, too much information does not necessarily result in positive health behaviors among patients. Organizations may wish to critically assess how much information they make readily available to the populations they serve.

scholarly journals Deported Mexican migrants: health status and access to care

2014 ◽  
Vol 48 (3) ◽  
pp. 478-485 ◽  
Author(s):  
Julián Alfredo Fernández-Niño ◽  
Carlos Jacobo Ramírez-Valdés ◽  
Diego Cerecero-Garcia ◽  
Ietza Bojorquez-Chapela
Keyword(s):  
United States ◽  
Health Status ◽  
Regression Model ◽  
Access To Care ◽  
Secondary Data ◽  
Perceived Health ◽  
The United States ◽  
Return Migrants ◽  
Mexican Migrants ◽  
Northern Border

OBJECTIVE To describe the health status and access to care of forced-return Mexican migrants deported through the Mexico-United States border and to compare it with the situation of voluntary-return migrants. METHODS Secondary data analysis from the Survey on Migration in Mexico’s Northern Border from 2012. This is a continuous survey, designed to describe migration flows between Mexico and the United States, with a mobile-population sampling design. We analyzed indicators of health and access to care among deported migrants, and compare them with voluntary-return migrants. Our analysis sample included 2,680 voluntary-return migrants, and 6,862 deportees. We employ an ordinal multiple logistic regression model, to compare the adjusted odds of having worst self-reported health between the studied groups. RESULTS As compared to voluntary-return migrants, deportees were less likely to have medical insurance in the United States (OR = 0.05; 95%CI 0.04;0.06). In the regression model a poorer self-perceived health was found to be associated with having been deported (OR = 1.71, 95%CI 1.52;1.92), as well as age (OR = 1.03, 95%CI 1.02;1.03) and years of education (OR = 0.94 95%CI 0.93;0.95). CONCLUSIONS According to our results, deportees had less access to care while in the United States, as compared with voluntary-return migrants. Our results also showed an independent and statistically significant association between deportation and having poorer self-perceived health. To promote the health and access to care of deported Mexican migrants coming back from the United States, new health and social policies are required.

Self‐assessment of health status among lesbian, gay, and bisexual cancer survivors in the United States

Cancer ◽  
2021 ◽  
Author(s):  
Yannan Li ◽  
Nicholas Theodoropoulos ◽  
Yu Fujiwara ◽  
Hui Xie ◽  
Qian Wang
Keyword(s):  
United States ◽  
Health Status ◽  
Cancer Survivors ◽  
The United States ◽  
Self Assessment ◽  
And Bisexual

scholarly journals Psychological Distress Prior to Surgery Is Related to Symptom Burden and Health Status in Lung Cancer Survivors.

2021 ◽  
Author(s):  
Marta Linares-Moya ◽  
Janet Rodríguez-Torres ◽  
Alejandro Heredia-Ciuró ◽  
María Granados-Santiago ◽  
Laura López-López ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Psychological Distress ◽  
Health Status ◽  
Sleep Quality ◽  
Cancer Survivors ◽  
Lung Resection ◽  
Symptom Burden ◽  
Perceived Health ◽  
Perceived Health Status ◽  
One Year

Abstract Purpose Patients with lung cancer experience a variety of distressing symptoms which could adversely quality of life. The aim of this study was to determine whether psychological distress prior to surgery is associated with health status and symptom burden in lung cancer survivors. Methods A longitudinal observational study with one-year follow‐up was carried out. Health status was measured by the WHO Disability Assessment Scale (WHO-DAS 2.0), the Euroqol-5 dimensions (EQ-5D) and the Pittsburgh Sleep Quality Index (PSQI). Symptoms severity included dyspnoea (Multidimensional Profile of Dyspnoea); pain (Brief Pain Inventory); fatigue (Fatigue Severity Scale) and cough (Leicester Cough Questionnaire). Results 174 lung cancer patients were included. Patients in the group with psychological distress presented a worse self-perceived health status, functionality and sleep quality. The group with psychological distress also presented higher dyspnea, fatigue and pain. Conclusion Patients with psychological distress prior surgery present a greater symptom burden and a poorer self-perceived health status, lower functionality and sleep quality, than patients without distress one year after the lung resection.

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