Physical and mental health status of female adolescent/young adult survivors of breast and gynecological cancer: a national, population-based, case-control study

Purpose Each year, nearly 21,000 adolescents and young adults (AYA) ages 15 to 29 years are diagnosed with cancer. Breast and gynecological cancers account for 25 % of the cancers seen in AYA females. The purpose of this study was to compare the current physical and mental health status of female AY...

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Veröffentlicht in:Supportive care in cancer 2013-06, Vol.21 (6), p.1597-1604
Hauptverfasser: Phillips-Salimi, Celeste R., Andrykowski, Michael A.
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Andrykowski, Michael A.
description Purpose Each year, nearly 21,000 adolescents and young adults (AYA) ages 15 to 29 years are diagnosed with cancer. Breast and gynecological cancers account for 25 % of the cancers seen in AYA females. The purpose of this study was to compare the current physical and mental health status of female AYA cancer survivors with non-cancer female controls. Methods Using data from the population-based 2009 National Health Interview Survey, 100 cases of female AYA survivors of breast and gynecological cancers were identified [female AYA cancer survivor (FCS) group]. FCS cases were matched with 300 female respondents without a history of cancer on age, education, marital status, and minority status [non-cancer control (NCC) group]. The FCS and NCC groups were compared on a range of physical and mental health status indices using analysis of covariance and binary logistic regression. Results FCS group reported significantly poorer physical and mental health status than the matched controls. Relative to the NCC group, FCS survivors had significantly poorer scores on 7 of 8 mental health outcomes and were more likely to meet criteria for serious psychological distress (odds ratio = 4.23, p  ≤ 0.001). FCS group also reported greater lifetime and current prevalence of various medical conditions, more health-related disabilities, and greater functional limitations than the NCC group. Conclusion Diagnosis of breast and gynecological cancer during adolescence and young adulthood is associated with clinically important deficits in physical and mental health status. Given the young age of this cancer survivor cohort, increased attention should be devoted to minimizing these deficits.
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Breast and gynecological cancers account for 25 % of the cancers seen in AYA females. The purpose of this study was to compare the current physical and mental health status of female AYA cancer survivors with non-cancer female controls. Methods Using data from the population-based 2009 National Health Interview Survey, 100 cases of female AYA survivors of breast and gynecological cancers were identified [female AYA cancer survivor (FCS) group]. FCS cases were matched with 300 female respondents without a history of cancer on age, education, marital status, and minority status [non-cancer control (NCC) group]. The FCS and NCC groups were compared on a range of physical and mental health status indices using analysis of covariance and binary logistic regression. Results FCS group reported significantly poorer physical and mental health status than the matched controls. Relative to the NCC group, FCS survivors had significantly poorer scores on 7 of 8 mental health outcomes and were more likely to meet criteria for serious psychological distress (odds ratio = 4.23, p  ≤ 0.001). FCS group also reported greater lifetime and current prevalence of various medical conditions, more health-related disabilities, and greater functional limitations than the NCC group. Conclusion Diagnosis of breast and gynecological cancer during adolescence and young adulthood is associated with clinically important deficits in physical and mental health status. Given the young age of this cancer survivor cohort, increased attention should be devoted to minimizing these deficits.</description><identifier>ISSN: 0941-4355</identifier><identifier>EISSN: 1433-7339</identifier><identifier>DOI: 10.1007/s00520-012-1701-7</identifier><identifier>PMID: 23306935</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adolescent ; Adult ; Analysis ; Breast cancer ; Breast Neoplasms - epidemiology ; Breast Neoplasms - physiopathology ; Breast Neoplasms - psychology ; Cancer ; Case-Control Studies ; Comorbidity ; Data Collection ; Disability Evaluation ; Female ; Females ; Genital Neoplasms, Female - epidemiology ; Genital Neoplasms, Female - physiopathology ; Genital Neoplasms, Female - psychology ; Health Status ; Humans ; Logistic Models ; Medicine ; Medicine &amp; Public Health ; Mental health ; Mental Health - statistics &amp; numerical data ; Middle Aged ; Nursing ; Nursing Research ; Odds Ratio ; Oncology ; Oncology, Experimental ; Original Article ; Pain Medicine ; Prevalence ; Psychological aspects ; Rehabilitation Medicine ; Stress (Psychology) ; Surveys ; Survivors - psychology ; Survivors - statistics &amp; numerical data ; Teenage girls ; Teenagers ; United States - epidemiology ; Young Adult ; Young adults</subject><ispartof>Supportive care in cancer, 2013-06, Vol.21 (6), p.1597-1604</ispartof><rights>Springer-Verlag Berlin Heidelberg 2013</rights><rights>COPYRIGHT 2013 Springer</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c603t-82f61f0cfb93757da6ed8425d354f36bdc0047027f2fed4a92ab04ce5402d1133</citedby><cites>FETCH-LOGICAL-c603t-82f61f0cfb93757da6ed8425d354f36bdc0047027f2fed4a92ab04ce5402d1133</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00520-012-1701-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00520-012-1701-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27903,27904,41467,42536,51298</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23306935$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Phillips-Salimi, Celeste R.</creatorcontrib><creatorcontrib>Andrykowski, Michael A.</creatorcontrib><title>Physical and mental health status of female adolescent/young adult survivors of breast and gynecological cancer: a national, population-based, case-control study</title><title>Supportive care in cancer</title><addtitle>Support Care Cancer</addtitle><addtitle>Support Care Cancer</addtitle><description>Purpose Each year, nearly 21,000 adolescents and young adults (AYA) ages 15 to 29 years are diagnosed with cancer. Breast and gynecological cancers account for 25 % of the cancers seen in AYA females. The purpose of this study was to compare the current physical and mental health status of female AYA cancer survivors with non-cancer female controls. Methods Using data from the population-based 2009 National Health Interview Survey, 100 cases of female AYA survivors of breast and gynecological cancers were identified [female AYA cancer survivor (FCS) group]. FCS cases were matched with 300 female respondents without a history of cancer on age, education, marital status, and minority status [non-cancer control (NCC) group]. The FCS and NCC groups were compared on a range of physical and mental health status indices using analysis of covariance and binary logistic regression. Results FCS group reported significantly poorer physical and mental health status than the matched controls. Relative to the NCC group, FCS survivors had significantly poorer scores on 7 of 8 mental health outcomes and were more likely to meet criteria for serious psychological distress (odds ratio = 4.23, p  ≤ 0.001). FCS group also reported greater lifetime and current prevalence of various medical conditions, more health-related disabilities, and greater functional limitations than the NCC group. Conclusion Diagnosis of breast and gynecological cancer during adolescence and young adulthood is associated with clinically important deficits in physical and mental health status. 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Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Supportive care in cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Phillips-Salimi, Celeste R.</au><au>Andrykowski, Michael A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Physical and mental health status of female adolescent/young adult survivors of breast and gynecological cancer: a national, population-based, case-control study</atitle><jtitle>Supportive care in cancer</jtitle><stitle>Support Care Cancer</stitle><addtitle>Support Care Cancer</addtitle><date>2013-06-01</date><risdate>2013</risdate><volume>21</volume><issue>6</issue><spage>1597</spage><epage>1604</epage><pages>1597-1604</pages><issn>0941-4355</issn><eissn>1433-7339</eissn><abstract>Purpose Each year, nearly 21,000 adolescents and young adults (AYA) ages 15 to 29 years are diagnosed with cancer. Breast and gynecological cancers account for 25 % of the cancers seen in AYA females. The purpose of this study was to compare the current physical and mental health status of female AYA cancer survivors with non-cancer female controls. Methods Using data from the population-based 2009 National Health Interview Survey, 100 cases of female AYA survivors of breast and gynecological cancers were identified [female AYA cancer survivor (FCS) group]. FCS cases were matched with 300 female respondents without a history of cancer on age, education, marital status, and minority status [non-cancer control (NCC) group]. The FCS and NCC groups were compared on a range of physical and mental health status indices using analysis of covariance and binary logistic regression. Results FCS group reported significantly poorer physical and mental health status than the matched controls. Relative to the NCC group, FCS survivors had significantly poorer scores on 7 of 8 mental health outcomes and were more likely to meet criteria for serious psychological distress (odds ratio = 4.23, p  ≤ 0.001). FCS group also reported greater lifetime and current prevalence of various medical conditions, more health-related disabilities, and greater functional limitations than the NCC group. Conclusion Diagnosis of breast and gynecological cancer during adolescence and young adulthood is associated with clinically important deficits in physical and mental health status. Given the young age of this cancer survivor cohort, increased attention should be devoted to minimizing these deficits.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>23306935</pmid><doi>10.1007/s00520-012-1701-7</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Analysis
Breast cancer
Breast Neoplasms - epidemiology
Breast Neoplasms - physiopathology
Breast Neoplasms - psychology
Cancer
Case-Control Studies
Comorbidity
Data Collection
Disability Evaluation
Female
Females
Genital Neoplasms, Female - epidemiology
Genital Neoplasms, Female - physiopathology
Genital Neoplasms, Female - psychology
Health Status
Humans
Logistic Models
Medicine
Medicine & Public Health
Mental health
Mental Health - statistics & numerical data
Middle Aged
Nursing
Nursing Research
Odds Ratio
Oncology
Oncology, Experimental
Original Article
Pain Medicine
Prevalence
Psychological aspects
Rehabilitation Medicine
Stress (Psychology)
Surveys
Survivors - psychology
Survivors - statistics & numerical data
Teenage girls
Teenagers
United States - epidemiology
Young Adult
Young adults
title Physical and mental health status of female adolescent/young adult survivors of breast and gynecological cancer: a national, population-based, case-control study
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