Tariman Joseph D, Gleason Charise, Faiman Beth, Doss Deborah, Catamero Donna, Bishop-Royse Jessica, Katz Mike, Kurtin Sandra, Moran Diane, Lonial Sagar
College of Science and Health, DePaul University, Chicago, IL, USA.
Myeloma Program, Emory University, Atlanta, GA, USA.
Cancer Med. 2016 Jul;5(7):1425-35. doi: 10.1002/cam4.716. Epub 2016 Apr 27.
Health maintenance (HM) practices are essential to prevent illness, promote well-being, and maximize health. Patients with multiple myeloma (MM) are at increased risk for cardiovascular disease and cancers, yet, research on HM practices and preventative care of MM survivors has limited report. The study comprised a descriptive, correlational, and cross-sectional online survey design. Survey of patients with MM was carried out through the International Myeloma Foundation (IMF) and the Association of Cancer Online Resources (ACOR) e-mail list services. The members of the IMF and ACOR e-mail list services were surveyed, of which 237 patients responded. The modified Medical Expenditure Preventive Survey-Preventive Care questionnaire was used; it included items that ask patients regarding their healthcare practices that relate to dental care, cancer prevention, addiction, lifestyles, sensory screening, immunizations, cardiovascular, endocrine, psychosocial, and bone health. Descriptive statistics, Pearson's chi-square, and Spearman's rho correlation coefficient were obtained. In this study, men had statistically significant inferior global health maintenance scores than women (P = 0.002). Being employed (P = 0.054) and married or partnered (P = 0.017) were significantly correlated with better health maintenance patterns among male respondents. In contrast, no statistically significant correlations between sociodemographic factors and health maintenance patterns were found in women. Patients with MM, particularly men, require continued education and close monitoring of health maintenance practices. These findings are consistent with publications looking at gender disparities in healthcare utilization in the United States. Studies show that men, in general, are less likely to seek preventative healthcare screenings. Healthcare providers must incorporate health maintenance promotion during clinic visits.
健康维护（HM）措施对于预防疾病、促进健康和实现健康最大化至关重要。多发性骨髓瘤（MM）患者患心血管疾病和癌症的风险增加，然而，关于MM幸存者的HM措施和预防性护理的研究报告有限。该研究采用了描述性、相关性和横断面在线调查设计。通过国际骨髓瘤基金会（IMF）和癌症在线资源协会（ACOR）的电子邮件列表服务对MM患者进行了调查。对IMF和ACOR电子邮件列表服务的成员进行了调查，其中237名患者做出了回应。使用了经过修改的医疗支出预防调查-预防保健问卷；它包括一些项目，询问患者有关其与牙科护理、癌症预防、成瘾、生活方式、感官筛查、免疫接种、心血管、内分泌、心理社会和骨骼健康相关的医疗保健措施。获得了描述性统计数据、皮尔逊卡方检验和斯皮尔曼等级相关系数。在这项研究中，男性的总体健康维护得分在统计学上显著低于女性（P = 0.002）。就业（P = 0.054）以及已婚或有伴侣（P = 0.017）与男性受访者中更好的健康维护模式显著相关。相比之下，在女性中未发现社会人口统计学因素与健康维护模式之间存在统计学上的显著相关性。MM患者，尤其是男性，需要持续的教育和对健康维护措施的密切监测。这些发现与关注美国医疗保健利用中性别差异的出版物一致。研究表明，一般来说，男性寻求预防性医疗保健筛查的可能性较小。医疗保健提供者必须在门诊就诊期间纳入健康维护促进措施。
