Hay Jennifer L, Baser Raymond E, Westerman Joy S, Ford Jennifer S
Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 641 Lexington Avenue, 7th floor, New York, NY, 10022, USA.
Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Int J Behav Med. 2018 Oct;25(5):569-578. doi: 10.1007/s12529-018-9730-3.
Cancer survivors undergo lifelong surveillance regimens that involve repeated diagnostic medical imaging. As many of these diagnostic tests use ionizing radiation, which may modestly increase cancer risks, they may present a source of worry for survivors. The aims of this paper are to describe cancer survivors' level of worry about medical imaging radiation (MIR) and to identify patterns of MIR worry across subgroups defined by cancer type, other medical and demographic factors, and physician trust.
This cross-sectional study used the 2012-2013 Health Information National Trends Survey of US adults conducted by the National Cancer Institute. The analysis focused on the 452 respondents identifying as cancer survivors. Weighted logistic regression analysis was used to evaluate factors associated with higher MIR worry (reporting "some" or "a lot" of MIR worry).
Nearly half (42%) of the sample reported higher worry about MIR. Unadjusted and adjusted logistic regressions indicated higher rates of MIR worry among those with lower incomes, those who self-reported poorer health, and those who completed cancer treatment within the past 10 years. Receipt of radiation treatment was associated with higher MIR worry in unadjusted analysis.
Worries about MIR are relatively common among cancer survivors. An accurate assessment of the rates and patterns of worry could aid efforts to improve these individuals' survivorship care and education.
癌症幸存者需接受终身监测方案，其中包括反复进行诊断性医学成像检查。由于许多此类诊断测试使用电离辐射，这可能会适度增加患癌风险，因此可能会让幸存者感到担忧。本文旨在描述癌症幸存者对医学成像辐射（MIR）的担忧程度，并确定在按癌症类型、其他医学和人口统计学因素以及对医生的信任度定义的亚组中MIR担忧的模式。
这项横断面研究使用了美国国家癌症研究所进行的2012 - 2013年美国成年人健康信息全国趋势调查。分析聚焦于452名自认为是癌症幸存者的受访者。加权逻辑回归分析用于评估与较高MIR担忧（报告“有些”或“非常”担心MIR）相关的因素。
近一半（42%）的样本报告对MIR有较高担忧。未调整和调整后的逻辑回归表明，收入较低者、自我报告健康状况较差者以及在过去10年内完成癌症治疗者中，MIR担忧率较高。在未调整分析中，接受放射治疗与较高的MIR担忧相关。
癌症幸存者对MIR的担忧较为常见。准确评估担忧的发生率和模式有助于努力改善这些人的生存护理和教育。
