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 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 20-year cardiovascular outcomes among childhood and young adult cancer survivors.

2015 ◽  
Vol 33 (15_suppl) ◽  
pp. 6548-6548
Author(s):  
Amy M Berkman ◽  
Lee Jones ◽  
Abigail Crocker ◽  
Abenaa M. Brewster ◽  
Susan Gilchrist Lakoski
Keyword(s):  
Young Adult ◽  
Cancer Survivors ◽  
Racial Differences ◽  
Cardiovascular Outcomes ◽  
Young Adult Cancer Survivors ◽  
Adult Cancer Survivors ◽  
Young Adult Cancer

Perceptions of care coordination among older adult cancer survivors: A SEER-CAHPS study.

2020 ◽  
Vol 38 (29_suppl) ◽  
pp. 178-178
Author(s):  
Michelle Mollica ◽  
Susan S Buckenmaier ◽  
Michael T. Halpern ◽  
Timothy S. McNeel ◽  
Sallie J. Weaver ◽  
...  
Keyword(s):  
Cancer Survivors ◽  
Older Adult ◽  
Care Coordination ◽  
Reference Group ◽  
Future Research ◽  
Medicare Beneficiaries ◽  
Personal Doctor ◽  
Adult Cancer Survivors ◽  
Patient Reported ◽  
History Of

178 Background: Care coordination represents deliberate efforts to harmonize and organize patient care activities. This study examined sociodemographic and clinical predictors of patient-reported care coordination among Medicare beneficiaries older than 65 with a history of cancer. Methods: This study utilized the Surveillance, Epidemiology, and End Results-Consumer Assessment of Healthcare Providers and Systems (SEER-CAHPS) linked data, including SEER cancer registry data, Medicare CAHPS patient experience surveys, and Medicare claims. We identified Medicare beneficiaries who completed a CAHPS survey within ten years after their most recent cancer diagnosis and reported visiting a personal doctor within six months before their survey (n = 14,646). Multivariable regression models examined associations between cancer survivor characteristics and care coordination, with higher scores indicating better coordination (scale of 0-100). Results: Residing in a rural area at time of diagnosis (1.2-points greater score than urban; p= 0.04) and reporting > 4 visits with a personal doctor within 6 months (3.0-points greater than 1-2 visits; p< 0.001) were significantly associated with higher care coordination scores. Older age ( p< 0.001) and seeing more specialists ( p= 0.006) were associated with significantly lower care coordination scores. Patients with melanoma (women: 5.2-point difference, p< 0.001; men: 2.8 points, p= 0.01) and breast cancer (women: 2.4 points; p< 0.001) also reported significantly lower care coordination scores than did men with prostate cancer (reference group). Conclusions: Adult cancer survivors who are older, have a history of breast, lung, or melanoma cancers, or see more specialists report worse care coordination. Future research should explore and address the multilevel influences that lead to worse care coordination for older adult cancer survivors.

scholarly journals Racial Differences in Depression Trajectories among Older Women

2011 ◽  
Vol 52 (4) ◽  
pp. 444-459 ◽  
Author(s):  
Naomi J. Spence ◽  
Daniel E. Adkins ◽  
Matthew E. Dupre
Keyword(s):  
Socioeconomic Status ◽  
Depressive Symptoms ◽  
Black Women ◽  
Physical Health ◽  
Racial Differences ◽  
White Women ◽  
Later Life ◽  
Theoretical Frameworks ◽  
Growth Curve Models ◽  
Black And White

Despite recent increases in life course research on mental illness, important questions remain about the social patterning of, and explanations for, depression trajectories among women in later life. The authors investigate competing theoretical frameworks for the age patterning of depressive symptoms and the physical health, socioeconomic, and family mechanisms differentiating black and white women. Using data from the National Longitudinal Survey of Mature Women, the authors use linear mixed (growth curve) models to estimate trajectories of distress for women aged 52 to 81 years ( N = 3,182). The results demonstrate that: (1) there are persistently higher levels of depressive symptoms among black women relative to white women throughout later life; (2) physical health and socioeconomic status account for much of the racial gap in depressive symptoms; and (3) marital status moderates race differences in distress. The findings highlight the importance of physical health, family, and socioeconomic status in racial disparities in mental health.

Sign in / Sign up

Export Citation Format

Share Document