MPC Member Publications

This database contains a listing of population studies publications written by MPC Members. Anyone can add a publication by an MPC student, faculty, or staff member to this database; new citations will be reviewed and approved by MPC administrators.

Full Citation

Title: Medical care in adolescents and young adult cancer survivors: what are the biggest access-related barriers?

Citation Type: Journal Article

Publication Year: 2014

ISSN: 1932-2259

DOI: 10.1007/s11764-013-0332-4

PMID: 24408440

Abstract: PURPOSE Adolescent and young adult (AYA) cancer survivors experience barriers to utilizing healthcare, but the determinants of cancer-related medical care of AYAs has not been fully explored. METHODS We studied factors associated with medical care utilization among 465 AYA cancer survivors in the AYA Health Outcomes and Patient Experience Study, a cohort of 15 to 39 year olds recently diagnosed with germ cell cancer, lymphoma, sarcoma, or acute lymphocytic leukemia. Descriptive statistics and multivariate logistic regression methods were used. RESULTS Most AYA cancer survivors (95%), who were 15-35 months post diagnosis, received medical care in the past 12 months and 17% were undergoing cancer treatment. In multivariate analyses, compared with AYAs with no cancer-related medical visits in the previous year, AYAs receiving cancer-related care were more likely to currently have health insurance (odds ratio (OR) = 4.9; 95% confidence interval (CI) = 1.7-13.8) or have had health insurance in the past year (OR = 4.0; 95% CI = 0.99-16.3). Cancer recurrence, lacking employment, and negative changes in self-reported general health were associated with ongoing cancer treatment versus other cancer-related medical care. Eleven percent of all AYAs and 25% of AYAs who did not receive medical care in the past 12 months lost health insurance between the initial and follow-up surveys. CONCLUSION AYA cancer survivors with health insurance were much more likely to receive cancer-related medical care than those without insurance. IMPLICATIONS FOR CANCER SURVIVORS Despite the need for post-treatment medical care, lacking health insurance is a barrier to receiving any medical care among AYAs.

Url: http://link.springer.com/10.1007/s11764-013-0332-4

User Submitted?: No

Authors: Keegan, Theresa H.M.; Tao, Li; DeRouen, Mindy C.; Wu, Xiao-Cheng; Prasad, Pinki K.; Lynch, Charles F.; Shnorhavorian, Margarett; Zebrack, Bradley J.; Chu, Roland; Harlan, Linda C.; Smith, Ashley Wilder; Parsons, Helen M.

Periodical (Full): Journal of Cancer Survivorship

Issue: 2

Volume: 8

Pages: 282-292

Countries:

IPUMS NHGIS NAPP IHIS ATUS Terrapop