Preventive services use among female survivors of adolescent and young adult cancer

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Abstract

Purpose Examine preventive services utilization among female survivors of adolescent and young adult (AYA) cancer compared with women without cancer in the USA. Methods A total of 1017 women diagnosed with cancer at AYA ages (15–39 years) who were at least 5 years since diagnosis were identified from 2008 to 2012 Medical Expenditure Panel Surveys. A comparison group without cancer was matched on age and other characteristics. General preventive services included dental, medical, blood pressure, and cholesterol checkups, and flu shots in the previous year. Cancer-related services included pap smear and mammography. Preventive services and covariates (demographics, socioeconomics, and health status) were compared between groups using χ2 tests. Ordinal logistic regression identified covariates associated with general preventive services use. Results Female survivors reported dental checkups less often (57.8 vs. 72.4 %, p < 0.001) than the comparison group and checked their blood pressure (90 vs. 86.7 %, p = 0.045) and cholesterol (67.5 vs. 61.7 %, p = 0.045) more often. No differences were found in flu shots, medical checkups, and cancer-related services. Survivors without insurance were less likely to use general preventive services (odds ratio [OR] = 0.2, 95 % confidence interval [CI] 0.12–0.35, p < 0.001). Older survivors (OR = 3.09, 95 % CI 1.69–5.62, p < 0.001)
Original languageEnglish (US)
Pages (from-to)167-174
Number of pages8
JournalJournal of Cancer Survivorship
Volume11
DOIs
StatePublished - 2017

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Survivors
Young Adult
Tooth
Odds Ratio
Confidence Intervals
Blood Pressure
Papanicolaou Test
Neoplasms
Mammography
Insurance
Social Class
Health Status
Logistic Models
Cholesterol
Demography
Surveys and Questionnaires

Keywords

  • cancer survivors
  • preventive health services
  • women's health
  • MEPS

Cite this

@article{7eeab7afb2d146f8b74bbc2154fd6bd5,
title = "Preventive services use among female survivors of adolescent and young adult cancer",
abstract = "Purpose Examine preventive services utilization among female survivors of adolescent and young adult (AYA) cancer compared with women without cancer in the USA. Methods A total of 1017 women diagnosed with cancer at AYA ages (15–39 years) who were at least 5 years since diagnosis were identified from 2008 to 2012 Medical Expenditure Panel Surveys. A comparison group without cancer was matched on age and other characteristics. General preventive services included dental, medical, blood pressure, and cholesterol checkups, and flu shots in the previous year. Cancer-related services included pap smear and mammography. Preventive services and covariates (demographics, socioeconomics, and health status) were compared between groups using χ2 tests. Ordinal logistic regression identified covariates associated with general preventive services use. Results Female survivors reported dental checkups less often (57.8 vs. 72.4 {\%}, p < 0.001) than the comparison group and checked their blood pressure (90 vs. 86.7 {\%}, p = 0.045) and cholesterol (67.5 vs. 61.7 {\%}, p = 0.045) more often. No differences were found in flu shots, medical checkups, and cancer-related services. Survivors without insurance were less likely to use general preventive services (odds ratio [OR] = 0.2, 95 {\%} confidence interval [CI] 0.12–0.35, p < 0.001). Older survivors (OR = 3.09, 95 {\%} CI 1.69–5.62, p < 0.001)",
keywords = "cancer survivors, preventive health services, women's health, MEPS",
author = "Avila, {Jaqueline C.} and Kuo, {Yong Fang} and Rodriguez, {Ana M.} and Rebeca Wong and Sapna Kaul",
year = "2017",
doi = "10.1007/s11764-016-0575-y",
language = "English (US)",
volume = "11",
pages = "167--174",
journal = "Journal of Cancer Survivorship",
issn = "1932-2259",
publisher = "Springer New York",

}

TY - JOUR

T1 - Preventive services use among female survivors of adolescent and young adult cancer

AU - Avila, Jaqueline C.

AU - Kuo, Yong Fang

AU - Rodriguez, Ana M.

AU - Wong, Rebeca

AU - Kaul, Sapna

PY - 2017

Y1 - 2017

N2 - Purpose Examine preventive services utilization among female survivors of adolescent and young adult (AYA) cancer compared with women without cancer in the USA. Methods A total of 1017 women diagnosed with cancer at AYA ages (15–39 years) who were at least 5 years since diagnosis were identified from 2008 to 2012 Medical Expenditure Panel Surveys. A comparison group without cancer was matched on age and other characteristics. General preventive services included dental, medical, blood pressure, and cholesterol checkups, and flu shots in the previous year. Cancer-related services included pap smear and mammography. Preventive services and covariates (demographics, socioeconomics, and health status) were compared between groups using χ2 tests. Ordinal logistic regression identified covariates associated with general preventive services use. Results Female survivors reported dental checkups less often (57.8 vs. 72.4 %, p < 0.001) than the comparison group and checked their blood pressure (90 vs. 86.7 %, p = 0.045) and cholesterol (67.5 vs. 61.7 %, p = 0.045) more often. No differences were found in flu shots, medical checkups, and cancer-related services. Survivors without insurance were less likely to use general preventive services (odds ratio [OR] = 0.2, 95 % confidence interval [CI] 0.12–0.35, p < 0.001). Older survivors (OR = 3.09, 95 % CI 1.69–5.62, p < 0.001)

AB - Purpose Examine preventive services utilization among female survivors of adolescent and young adult (AYA) cancer compared with women without cancer in the USA. Methods A total of 1017 women diagnosed with cancer at AYA ages (15–39 years) who were at least 5 years since diagnosis were identified from 2008 to 2012 Medical Expenditure Panel Surveys. A comparison group without cancer was matched on age and other characteristics. General preventive services included dental, medical, blood pressure, and cholesterol checkups, and flu shots in the previous year. Cancer-related services included pap smear and mammography. Preventive services and covariates (demographics, socioeconomics, and health status) were compared between groups using χ2 tests. Ordinal logistic regression identified covariates associated with general preventive services use. Results Female survivors reported dental checkups less often (57.8 vs. 72.4 %, p < 0.001) than the comparison group and checked their blood pressure (90 vs. 86.7 %, p = 0.045) and cholesterol (67.5 vs. 61.7 %, p = 0.045) more often. No differences were found in flu shots, medical checkups, and cancer-related services. Survivors without insurance were less likely to use general preventive services (odds ratio [OR] = 0.2, 95 % confidence interval [CI] 0.12–0.35, p < 0.001). Older survivors (OR = 3.09, 95 % CI 1.69–5.62, p < 0.001)

KW - cancer survivors

KW - preventive health services

KW - women's health

KW - MEPS

U2 - 10.1007/s11764-016-0575-y

DO - 10.1007/s11764-016-0575-y

M3 - Article

C2 - 27778218

VL - 11

SP - 167

EP - 174

JO - Journal of Cancer Survivorship

JF - Journal of Cancer Survivorship

SN - 1932-2259

ER -