scholarly journals Neighborhood Characteristics and Cancer Survivorship: An Overview of the Current Literature on Neighborhood Landscapes and Cancer Care

Author(s):  
Sima Namin ◽  
Yuhong Zhou ◽  
Joan Neuner ◽  
Kirsten Beyer

There is a growing literature on the association between neighborhood contexts and cancer survivorship. To understand the current trends and the gaps in the literature, we aimed to answer the following questions: To what degree, and how, has cancer survivorship research accounted for neighborhood-level effects? What neighborhood metrics have been used to operationalize neighborhood factors? To what degree do the neighborhood level metrics considered in cancer research reflect neighborhood development as identified in the Leadership for Energy and Environmental Design for Neighborhood Development (LEED-ND) guidelines? We first conducted a review guided by PRISMA extension for scoping review of the extant literature on neighborhood effects and cancer survivorship outcomes from January 2000 to January 2021. Second, we categorized the studied neighborhood metrics under six main themes. Third, we assessed the findings based on the LEED-ND guidelines to identify the most relevant neighborhood metrics in association with areas of focus in cancer survivorship care and research. The search results were scoped to 291 relevant peer-reviewed journal articles. Results show that survivorship disparities, primary care, and weight management are the main themes in the literature. Additionally, most articles rely on neighborhood SES as the primary (or only) examined neighborhood level metric. We argue that the expansion of interdisciplinary research to include neighborhood metrics endorsed by current paradigms in salutogenic urban design can enhance the understanding of the role of socioecological context in survivorship care and outcomes.

Author(s):  
Nerea Elizondo Rodriguez ◽  
Leire Ambrosio ◽  
Virginia La Rosa‐Salas ◽  
Marta Domingo‐Osle ◽  
Cristina Garcia‐Vivar

2015 ◽  
Vol 31 (4) ◽  
pp. 338-347 ◽  
Author(s):  
Stacie Corcoran ◽  
Megan Dunne ◽  
Mary S. McCabe

2011 ◽  
Vol 2 (1) ◽  
pp. 58-63 ◽  
Author(s):  
Christine E. Hill-Kayser ◽  
Carolyn Vachani ◽  
Margaret K. Hampshire ◽  
Gloria A. Di Lullo ◽  
James M. Metz

2020 ◽  
Vol 105 (9) ◽  
pp. e3300-e3306 ◽  
Author(s):  
Archana Radhakrishnan ◽  
David Reyes-Gastelum ◽  
Brittany Gay ◽  
Sarah T Hawley ◽  
Ann S Hamilton ◽  
...  

Abstract Context While prior research has examined how primary care providers (PCPs) can care for breast and colon cancer survivors, little is known about their role in thyroid cancer survivorship. Objective To understand PCP involvement and confidence in thyroid cancer survivorship care. Design/Setting/Participants We surveyed PCPs identified by thyroid cancer patients from the Georgia and LA SEER registries (n = 162, response rate 56%). PCPs reported their involvement in long-term surveillance and confidence in handling survivorship care (role of random thyroglobulin levels and neck ultrasound, and when to end long-term surveillance and refer back to the specialist). We examined: 1) PCP-reported factors associated with involvement using multivariable analyses; and 2) bivariate associations between involvement and confidence in handling survivorship care. Main Outcome Measures PCP involvement (involved vs not involved) and confidence (high vs low). Results Many PCPs (76%) reported being involved in long-term surveillance. Involvement was greater among PCPs who noted clinical guidelines as the most influential source in guiding treatment (OR 4.29; 95% CI, 1.56-11.82). PCPs reporting high confidence in handling survivorship varied by aspects of care: refer patient to specialist (39%), role of neck ultrasound (36%) and random thyroglobulin levels (27%), and end long-term surveillance (14%). PCPs reporting involvement were more likely to report high confidence in discussing the role of random thyroglobulin levels (33.3% vs 7.9% not involved; P < 0.01). Conclusions While PCPs reported being involved in long-term surveillance, gaps remain in their confidence in handling survivorship care. Thyroid cancer survivorship guidelines that delineate PCP roles present one opportunity to increase confidence about their participation.


2018 ◽  
Vol 24 (5) ◽  
pp. 710-719 ◽  
Author(s):  
Christina Signorelli ◽  
Claire E. Wakefield ◽  
Joanna E. Fardell ◽  
Tali Foreman ◽  
Karen A. Johnston ◽  
...  

2019 ◽  
Vol 49 (3) ◽  
pp. 479-501
Author(s):  
Megan E. Gilster ◽  
Cristian L. Meier ◽  
Jaime M. Booth

Neighborhoods may be important for formal volunteering because they vary in the extent to which they have institutions that support participation and problems that motivate participation. According to social heterogeneity and ethnic community theories, we should expect that living in ethnic enclaves, neighborhoods where residents are predominantly of the same ethnic group, would promote formal volunteering. Latino ethnic enclaves may also have more institutions and problems. However, no studies have examined neighborhood effects on formal volunteering among U.S.- and foreign-born Latinos. We investigated neighborhood-level predictors of formal volunteering among Latinos, and Mexican descent residents more specifically, using secondary data from Chicago, a Latino immigrant destination. We tested the effects of ethnic enclaves, neighborhood organizational resources, and neighborhood needs on formal volunteering. We found that Latinos in Chicago were less likely to participate in formal volunteering in ethnic enclaves when controlling for enclaves’ greater neighborhood needs, which positively influenced formal volunteering.


2009 ◽  
Vol 24 (S2) ◽  
pp. 495-500 ◽  
Author(s):  
Susan Hong ◽  
Larissa Nekhlyudov ◽  
Aarati Didwania ◽  
Olufunmilayo Olopade ◽  
Pamela Ganschow

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e14028-e14028
Author(s):  
Archana Radhakrishnan ◽  
David Reyes-Gastelum ◽  
Sarah T. Hawley ◽  
Ann S. Hamilton ◽  
Kevin C. Ward ◽  
...  

e14028 Background: While prior research has examined how primary care providers (PCPs) can help care for breast and colon cancer survivors, little is known about the role of PCPs in thyroid cancer survivorship. We surveyed PCPs to understand their involvement and confidence in providing several aspects of thyroid cancer survivorship care. Methods: Thyroid cancer patients (N = 2632) diagnosed in 2014-2015 and identified from the Georgia and LA SEER registries, were surveyed, and identified their PCPs, who then were also surveyed (N = 162, 56% response rate). PCPs were asked to report their: 1) involvement in thyroid cancer long-term surveillance (not involved: never/rarely vs. involved: sometimes/often/almost always involved); and 2) confidence in handling four aspects of thyroid cancer survivorship care (low: not at all/a little/somewhat vs. high: quite/very confident). We examined PCP factors (individual, practice, attitudes and beliefs) associated with PCP involvement in long-term surveillance using multivariable logistic regression. We then examined associations between PCP involvement in long-term surveillance and PCP confidence in handling the four aspects of thyroid cancer survivorship care using Chi-squared tests. Results: The majority of PCPs (76%) reported involvement in long-term surveillance. Adjusted odds of PCPs reporting involvement was greater among PCPs who somewhat/strongly believed that PCPs have the skills necessary to provide survivorship care (OR 4.33; 95% CI 1.38-15.37), and PCPs who noted clinical guidelines as being the most influential in guiding treatment (OR 4.48; 95% CI 1.67-13.07). PCP reports of high confidence in handling the four aspects of survivorship care were consistently less than 50%: when to refer patient to specialist (40%), role of neck ultrasound (36%), role of random thyroglobulin levels (27%), and when to end long-term surveillance (14%). PCPs who reported involvement in long-term surveillance were more likely to report high confidence in discussing the role of random thyroglobulin levels (33.3% vs. 7.9% for those not involved, p < 0.01) but not the other aspects of survivorship care. Conclusions: Though many PCPs reported they were involved in thyroid cancer long-term surveillance, gaps remain in their confidence in handling several aspects of thyroid cancer survivorship care. Guidelines were noted as important in influencing management; therefore, developing guidelines that specifically delineate PCP roles in thyroid cancer survivorship may present one opportunity to increase PCPs’ confidence about their participation.


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