National estimates of mental health service use and unmet needs among adult cancer survivors
Background Cancer survivors are at elevated risk for developing mental health (MH) disorders. This study assessed MH service use and unmet service needs among a nationally representative sample of cancer survivors. Methods Respondents aged 18 to 64 years were identified from the 2015‐2018 National S...
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| Veröffentlicht in: | Cancer 2021-11, Vol.127 (22), p.4296-4305 |
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| creator | Ji, Xu Marchak, Jordan Gilleland Mertens, Ann C. Curseen, Kimberly A. Zarrabi, Ali J. Cummings, Janet R. |
| description | Background
Cancer survivors are at elevated risk for developing mental health (MH) disorders. This study assessed MH service use and unmet service needs among a nationally representative sample of cancer survivors.
Methods
Respondents aged 18 to 64 years were identified from the 2015‐2018 National Survey of Drug Use and Health data. Outcomes assessed past‐year MH service use and self‐reported unmet MH needs. Outcomes were compared between respondents who reported a cancer history (survivors) and those who did not (controls), descriptively and in adjusted analyses controlling for sociodemographic factors and health status. Analyses were stratified by age groups (18‐34, 35‐49, and 50‐64 years).
Results
Comparing 3540 survivors with 149,843 controls, within each age group, a higher proportion of survivors than controls received any MH service (P values |
| doi_str_mv | 10.1002/cncr.33827 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2560298222</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2587996775</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3937-e58b0c2ad310d1c3b930506759deb6a298901e294bf8bf0bd111f26eccbf74843</originalsourceid><addsrcrecordid>eNp9kE1LxDAQQIMo7vpx8QdIwIsI1UnSNslRFr9AFETBg1DSdKqVNtWkXfHfm3VXDx48DTM8HswjZI_BMQPgJ9ZZfyyE4nKNTBlomQBL-TqZAoBKslQ8TshWCK9xlTwTm2QiUiGVAjElTzdmaHpnWophaDozYKB9TTt0Q7y9oGmHFxrQzxuLdAxIjavo6DocqEOsAjVd756pqcZ2oNY4i56GMeLz3ocdslGbNuDuam6Th_Oz-9llcn17cTU7vU6s0EImmKkSLDeVYFAxK0otIINcZrrCMjdcKw0MuU7LWpU1lBVjrOY5WlvWMlWp2CaHS--b79_H-EjRNcFi2xqH_RgKnuUQLZzziB78QV_70cf_F5SSWudSZpE6WlLW9yF4rIs3H-P4z4JBsWheLJoX380jvL9SjmWH1S_6EzkCbAl8NC1-_qMqZjezu6X0CzJ4jDU</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2587996775</pqid></control><display><type>article</type><title>National estimates of mental health service use and unmet needs among adult cancer survivors</title><source>MEDLINE</source><source>Wiley Online Library Free Content</source><source>Access via Wiley Online Library</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>Ji, Xu ; Marchak, Jordan Gilleland ; Mertens, Ann C. ; Curseen, Kimberly A. ; Zarrabi, Ali J. ; Cummings, Janet R.</creator><creatorcontrib>Ji, Xu ; Marchak, Jordan Gilleland ; Mertens, Ann C. ; Curseen, Kimberly A. ; Zarrabi, Ali J. ; Cummings, Janet R.</creatorcontrib><description>Background
Cancer survivors are at elevated risk for developing mental health (MH) disorders. This study assessed MH service use and unmet service needs among a nationally representative sample of cancer survivors.
Methods
Respondents aged 18 to 64 years were identified from the 2015‐2018 National Survey of Drug Use and Health data. Outcomes assessed past‐year MH service use and self‐reported unmet MH needs. Outcomes were compared between respondents who reported a cancer history (survivors) and those who did not (controls), descriptively and in adjusted analyses controlling for sociodemographic factors and health status. Analyses were stratified by age groups (18‐34, 35‐49, and 50‐64 years).
Results
Comparing 3540 survivors with 149,843 controls, within each age group, a higher proportion of survivors than controls received any MH service (P values < .05); this difference persisted among those aged 35 to 49 years (P = .004) in fully adjusted models. Moreover, a higher proportion of survivors than controls reported an unmet need for MH care; this difference was larger among young adults aged 18 to 34 years (20.8% vs 9.0%; P < .001) than those aged 35 to 49 years (9.4% vs 5.3%; P < .001) and 50 to 64 years (4.8% vs 3.4%; P = .029). In fully adjusted models, the survivor‐control difference in self‐reported unmet MH needs persisted among young adults (24% relative increase; P = .023). Among cancer survivors, young adult survivors had the highest likelihood of reporting unmet MH needs.
Conclusions
This nationally representative study found an increased perception of unmet needs for MH care among cancer survivors, particularly among young adult survivors, compared with the general population without cancer.
This nationally representative study sheds light on the health care burden that the growing population of cancer survivors may place on the US mental health systems in the years to come. The findings also indicate that adequate detection and treatment for mental health problems, especially in young adult cancer survivors, continue to be major unmet needs in the provision of survivorship care.</description><identifier>ISSN: 0008-543X</identifier><identifier>EISSN: 1097-0142</identifier><identifier>DOI: 10.1002/cncr.33827</identifier><identifier>PMID: 34378803</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Adolescent ; Adult ; Adults ; Cancer ; Cancer Survivors - psychology ; cancer survivorship ; Health risks ; Health services ; Health Services Needs and Demand ; Humans ; Mental health ; mental health care ; Mental Health Services ; Middle Aged ; national estimates ; Neoplasms - epidemiology ; Neoplasms - psychology ; Neoplasms - therapy ; Oncology ; Surveys and Questionnaires ; Survival ; Survivors - psychology ; unmet needs ; Young Adult ; young adult survivors ; Young adults</subject><ispartof>Cancer, 2021-11, Vol.127 (22), p.4296-4305</ispartof><rights>2021 American Cancer Society</rights><rights>2021 American Cancer Society.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3937-e58b0c2ad310d1c3b930506759deb6a298901e294bf8bf0bd111f26eccbf74843</citedby><cites>FETCH-LOGICAL-c3937-e58b0c2ad310d1c3b930506759deb6a298901e294bf8bf0bd111f26eccbf74843</cites><orcidid>0000-0002-8747-7375 ; 0000-0003-3025-3984</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fcncr.33827$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fcncr.33827$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,1433,27924,27925,45574,45575,46409,46833</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34378803$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ji, Xu</creatorcontrib><creatorcontrib>Marchak, Jordan Gilleland</creatorcontrib><creatorcontrib>Mertens, Ann C.</creatorcontrib><creatorcontrib>Curseen, Kimberly A.</creatorcontrib><creatorcontrib>Zarrabi, Ali J.</creatorcontrib><creatorcontrib>Cummings, Janet R.</creatorcontrib><title>National estimates of mental health service use and unmet needs among adult cancer survivors</title><title>Cancer</title><addtitle>Cancer</addtitle><description>Background
Cancer survivors are at elevated risk for developing mental health (MH) disorders. This study assessed MH service use and unmet service needs among a nationally representative sample of cancer survivors.
Methods
Respondents aged 18 to 64 years were identified from the 2015‐2018 National Survey of Drug Use and Health data. Outcomes assessed past‐year MH service use and self‐reported unmet MH needs. Outcomes were compared between respondents who reported a cancer history (survivors) and those who did not (controls), descriptively and in adjusted analyses controlling for sociodemographic factors and health status. Analyses were stratified by age groups (18‐34, 35‐49, and 50‐64 years).
Results
Comparing 3540 survivors with 149,843 controls, within each age group, a higher proportion of survivors than controls received any MH service (P values < .05); this difference persisted among those aged 35 to 49 years (P = .004) in fully adjusted models. Moreover, a higher proportion of survivors than controls reported an unmet need for MH care; this difference was larger among young adults aged 18 to 34 years (20.8% vs 9.0%; P < .001) than those aged 35 to 49 years (9.4% vs 5.3%; P < .001) and 50 to 64 years (4.8% vs 3.4%; P = .029). In fully adjusted models, the survivor‐control difference in self‐reported unmet MH needs persisted among young adults (24% relative increase; P = .023). Among cancer survivors, young adult survivors had the highest likelihood of reporting unmet MH needs.
Conclusions
This nationally representative study found an increased perception of unmet needs for MH care among cancer survivors, particularly among young adult survivors, compared with the general population without cancer.
This nationally representative study sheds light on the health care burden that the growing population of cancer survivors may place on the US mental health systems in the years to come. The findings also indicate that adequate detection and treatment for mental health problems, especially in young adult cancer survivors, continue to be major unmet needs in the provision of survivorship care.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adults</subject><subject>Cancer</subject><subject>Cancer Survivors - psychology</subject><subject>cancer survivorship</subject><subject>Health risks</subject><subject>Health services</subject><subject>Health Services Needs and Demand</subject><subject>Humans</subject><subject>Mental health</subject><subject>mental health care</subject><subject>Mental Health Services</subject><subject>Middle Aged</subject><subject>national estimates</subject><subject>Neoplasms - epidemiology</subject><subject>Neoplasms - psychology</subject><subject>Neoplasms - therapy</subject><subject>Oncology</subject><subject>Surveys and Questionnaires</subject><subject>Survival</subject><subject>Survivors - psychology</subject><subject>unmet needs</subject><subject>Young Adult</subject><subject>young adult survivors</subject><subject>Young adults</subject><issn>0008-543X</issn><issn>1097-0142</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LxDAQQIMo7vpx8QdIwIsI1UnSNslRFr9AFETBg1DSdKqVNtWkXfHfm3VXDx48DTM8HswjZI_BMQPgJ9ZZfyyE4nKNTBlomQBL-TqZAoBKslQ8TshWCK9xlTwTm2QiUiGVAjElTzdmaHpnWophaDozYKB9TTt0Q7y9oGmHFxrQzxuLdAxIjavo6DocqEOsAjVd756pqcZ2oNY4i56GMeLz3ocdslGbNuDuam6Th_Oz-9llcn17cTU7vU6s0EImmKkSLDeVYFAxK0otIINcZrrCMjdcKw0MuU7LWpU1lBVjrOY5WlvWMlWp2CaHS--b79_H-EjRNcFi2xqH_RgKnuUQLZzziB78QV_70cf_F5SSWudSZpE6WlLW9yF4rIs3H-P4z4JBsWheLJoX380jvL9SjmWH1S_6EzkCbAl8NC1-_qMqZjezu6X0CzJ4jDU</recordid><startdate>20211115</startdate><enddate>20211115</enddate><creator>Ji, Xu</creator><creator>Marchak, Jordan Gilleland</creator><creator>Mertens, Ann C.</creator><creator>Curseen, Kimberly A.</creator><creator>Zarrabi, Ali J.</creator><creator>Cummings, Janet R.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TO</scope><scope>7U7</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8747-7375</orcidid><orcidid>https://orcid.org/0000-0003-3025-3984</orcidid></search><sort><creationdate>20211115</creationdate><title>National estimates of mental health service use and unmet needs among adult cancer survivors</title><author>Ji, Xu ; Marchak, Jordan Gilleland ; Mertens, Ann C. ; Curseen, Kimberly A. ; Zarrabi, Ali J. ; Cummings, Janet R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3937-e58b0c2ad310d1c3b930506759deb6a298901e294bf8bf0bd111f26eccbf74843</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Adults</topic><topic>Cancer</topic><topic>Cancer Survivors - psychology</topic><topic>cancer survivorship</topic><topic>Health risks</topic><topic>Health services</topic><topic>Health Services Needs and Demand</topic><topic>Humans</topic><topic>Mental health</topic><topic>mental health care</topic><topic>Mental Health Services</topic><topic>Middle Aged</topic><topic>national estimates</topic><topic>Neoplasms - epidemiology</topic><topic>Neoplasms - psychology</topic><topic>Neoplasms - therapy</topic><topic>Oncology</topic><topic>Surveys and Questionnaires</topic><topic>Survival</topic><topic>Survivors - psychology</topic><topic>unmet needs</topic><topic>Young Adult</topic><topic>young adult survivors</topic><topic>Young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ji, Xu</creatorcontrib><creatorcontrib>Marchak, Jordan Gilleland</creatorcontrib><creatorcontrib>Mertens, Ann C.</creatorcontrib><creatorcontrib>Curseen, Kimberly A.</creatorcontrib><creatorcontrib>Zarrabi, Ali J.</creatorcontrib><creatorcontrib>Cummings, Janet R.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ji, Xu</au><au>Marchak, Jordan Gilleland</au><au>Mertens, Ann C.</au><au>Curseen, Kimberly A.</au><au>Zarrabi, Ali J.</au><au>Cummings, Janet R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>National estimates of mental health service use and unmet needs among adult cancer survivors</atitle><jtitle>Cancer</jtitle><addtitle>Cancer</addtitle><date>2021-11-15</date><risdate>2021</risdate><volume>127</volume><issue>22</issue><spage>4296</spage><epage>4305</epage><pages>4296-4305</pages><issn>0008-543X</issn><eissn>1097-0142</eissn><abstract>Background
Cancer survivors are at elevated risk for developing mental health (MH) disorders. This study assessed MH service use and unmet service needs among a nationally representative sample of cancer survivors.
Methods
Respondents aged 18 to 64 years were identified from the 2015‐2018 National Survey of Drug Use and Health data. Outcomes assessed past‐year MH service use and self‐reported unmet MH needs. Outcomes were compared between respondents who reported a cancer history (survivors) and those who did not (controls), descriptively and in adjusted analyses controlling for sociodemographic factors and health status. Analyses were stratified by age groups (18‐34, 35‐49, and 50‐64 years).
Results
Comparing 3540 survivors with 149,843 controls, within each age group, a higher proportion of survivors than controls received any MH service (P values < .05); this difference persisted among those aged 35 to 49 years (P = .004) in fully adjusted models. Moreover, a higher proportion of survivors than controls reported an unmet need for MH care; this difference was larger among young adults aged 18 to 34 years (20.8% vs 9.0%; P < .001) than those aged 35 to 49 years (9.4% vs 5.3%; P < .001) and 50 to 64 years (4.8% vs 3.4%; P = .029). In fully adjusted models, the survivor‐control difference in self‐reported unmet MH needs persisted among young adults (24% relative increase; P = .023). Among cancer survivors, young adult survivors had the highest likelihood of reporting unmet MH needs.
Conclusions
This nationally representative study found an increased perception of unmet needs for MH care among cancer survivors, particularly among young adult survivors, compared with the general population without cancer.
This nationally representative study sheds light on the health care burden that the growing population of cancer survivors may place on the US mental health systems in the years to come. The findings also indicate that adequate detection and treatment for mental health problems, especially in young adult cancer survivors, continue to be major unmet needs in the provision of survivorship care.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>34378803</pmid><doi>10.1002/cncr.33827</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-8747-7375</orcidid><orcidid>https://orcid.org/0000-0003-3025-3984</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Adults Cancer Cancer Survivors - psychology cancer survivorship Health risks Health services Health Services Needs and Demand Humans Mental health mental health care Mental Health Services Middle Aged national estimates Neoplasms - epidemiology Neoplasms - psychology Neoplasms - therapy Oncology Surveys and Questionnaires Survival Survivors - psychology unmet needs Young Adult young adult survivors Young adults |
| title | National estimates of mental health service use and unmet needs among adult cancer survivors |
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