Examining COVID-19 Preventive Behaviors among Cancer Survivors in the United States : An Analysis of the COVID-19 Impact Survey
©2020 American Association for Cancer Research..
BACKGROUND: The COVID-19 pandemic has impacted adults with chronic diseases, and their health care delivery. Patterns of COVID-19-related preventive behaviors practiced by cancer survivors are unknown, including practices related to canceling doctor's appointments. We evaluated COVID-19-related preventive behaviors among cancer survivors in the United States.
METHODS: We used nationally representative data of 10,760 U.S. adults from the COVID-19 Impact Survey. We defined cancer survivors as those with a self-reported diagnosis of cancer (n = 854, 7.6%). We present frequencies and χ2 tests to evaluate COVID-19-related preventive behaviors among cancer survivors. We estimated determinants of canceling doctor's appointments among cancer survivors using Poisson regression models.
RESULTS: Cancer survivors were more likely to practice preventive behaviors, including social distancing (93%, χ2 P < 0.001), wearing a face mask (93%, χ2 P < 0.001), and avoiding crowded areas (84%, χ2 P < 0.001) compared with adults without cancer. Cancer survivors were more likely to cancel doctor's appointments (41%, χ2 P < 0.001), whereas they were less likely to cancel other social activities such as work (19%, χ2 P < 0.001) and school-related (13%, χ2 P < 0.001) activities. After adjustment for covariates, while non-Hispanic (NH)-Black cancer survivors were less likely to cancel a doctor's appointment compared with NH-White cancer survivors, cancer survivors aged 18 to 29, who were female, and who had least one comorbid condition were more likely.
CONCLUSIONS: Cancer survivors are adhering to recommended preventive behaviors. Cancer survivor's continuity of care may be impacted by COVID-19, specifically young adults, females, and those with existing comorbid conditions.
IMPACT: Insights into cancer survivors whose care may be most impacted by COVID-19 will be valuable toward surveillance and survivorship of U.S. cancer survivors.
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
2020 |
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Erschienen: |
2020 |
Enthalten in: |
Zur Gesamtaufnahme - volume:29 |
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Enthalten in: |
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology - 29(2020), 12 vom: 15. Dez., Seite 2583-2590 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Islam, Jessica Y [VerfasserIn] |
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Links: |
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Themen: |
Journal Article |
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Anmerkungen: |
Date Completed 10.12.2020 Date Revised 11.02.2021 published: Print-Electronic Citation Status MEDLINE |
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doi: |
10.1158/1055-9965.EPI-20-0801 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM315489251 |
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520 | |a ©2020 American Association for Cancer Research. | ||
520 | |a BACKGROUND: The COVID-19 pandemic has impacted adults with chronic diseases, and their health care delivery. Patterns of COVID-19-related preventive behaviors practiced by cancer survivors are unknown, including practices related to canceling doctor's appointments. We evaluated COVID-19-related preventive behaviors among cancer survivors in the United States | ||
520 | |a METHODS: We used nationally representative data of 10,760 U.S. adults from the COVID-19 Impact Survey. We defined cancer survivors as those with a self-reported diagnosis of cancer (n = 854, 7.6%). We present frequencies and χ2 tests to evaluate COVID-19-related preventive behaviors among cancer survivors. We estimated determinants of canceling doctor's appointments among cancer survivors using Poisson regression models | ||
520 | |a RESULTS: Cancer survivors were more likely to practice preventive behaviors, including social distancing (93%, χ2 P < 0.001), wearing a face mask (93%, χ2 P < 0.001), and avoiding crowded areas (84%, χ2 P < 0.001) compared with adults without cancer. Cancer survivors were more likely to cancel doctor's appointments (41%, χ2 P < 0.001), whereas they were less likely to cancel other social activities such as work (19%, χ2 P < 0.001) and school-related (13%, χ2 P < 0.001) activities. After adjustment for covariates, while non-Hispanic (NH)-Black cancer survivors were less likely to cancel a doctor's appointment compared with NH-White cancer survivors, cancer survivors aged 18 to 29, who were female, and who had least one comorbid condition were more likely | ||
520 | |a CONCLUSIONS: Cancer survivors are adhering to recommended preventive behaviors. Cancer survivor's continuity of care may be impacted by COVID-19, specifically young adults, females, and those with existing comorbid conditions | ||
520 | |a IMPACT: Insights into cancer survivors whose care may be most impacted by COVID-19 will be valuable toward surveillance and survivorship of U.S. cancer survivors | ||
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