Office of Cancer Survivorship, Division of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of Health, Department of Health and Human Services, Bethesda, Maryland, USA.
Cancer. 2010 Sep 15;116(18):4395-401. doi: 10.1002/cncr.25368.
Cancer diagnosis and treatment of a parent has considerable impact on the lives of their minor children, family caregivers, and patients themselves. Understanding the number and characteristics of the population of cancer survivors with children younger than 18 years of age would help to better target services for these survivors and their children and to stimulate and inform research on these understudied families.
This study identified adults with a history of cancer (n = 13,385) who participated in the United States National Health Interview Survey (NHIS) between 2000 and 2007. The authors examined the prevalence and characteristics of survivors residing with their minor children, both in the total sample and among survivors diagnosed within the last 2 years.
Among these adult survivors, 18.3% (95%CI, 16.3-20.5) of those recently diagnosed and 14.0% (95%CI 13.3-14.8) of the total sample reported living with a minor child. Most of these survivors were female (78.9%), married (69.8%), and younger than age 50 years (85.8%). Of the 3193 identified children of survivors, 30.5% were younger than age 6 years at the time of their parent's cancer diagnosis; 33.4% were born after the diagnosis. By using population-based weights, the authors estimated that 1.58 million US cancer survivors reside with their minor children, representing 2.85 million children. Furthermore, an estimated 562,000 US minor children are living with a parent in the early phases of cancer treatment and recovery.
There is a large population of families for whom cancer may pose special challenges and for whom assessment of needs and referral to resources are essential.
父母的癌症诊断和治疗对其未成年子女、家庭照顾者和患者本人的生活都有很大影响。了解癌症幸存者中子女未满 18 岁的人群数量和特征,有助于更好地为这些幸存者及其子女提供服务,并为这些研究不足的家庭的研究提供刺激和信息。
本研究确定了在 2000 年至 2007 年间参加美国国家健康访谈调查(NHIS)的患有癌症的成年人(n=13385)。作者检查了居住在未成年子女身边的幸存者的流行率和特征,包括总样本和最近两年内被诊断为癌症的幸存者。
在这些成年幸存者中,最近被诊断出癌症的幸存者中有 18.3%(95%CI,16.3-20.5),总样本中有 14.0%(95%CI,13.3-14.8)报告与未成年子女一起生活。这些幸存者大多数是女性(78.9%)、已婚(69.8%)且年龄小于 50 岁(85.8%)。在确定的 3193 名幸存者子女中,有 30.5%的子女在其父母被诊断出癌症时年龄小于 6 岁;33.4%的子女是在诊断后出生的。使用基于人群的权重,作者估计有 158 万美国癌症幸存者与他们的未成年子女居住在一起,代表着 285 万儿童。此外,估计有 56.2 万美国未成年儿童与正在接受癌症治疗和康复的父母生活在一起。
有很大一部分家庭可能面临特殊的癌症挑战,因此需要评估其需求并向其提供资源。