School of Psychology, The University of Adelaide, South Australia.
Nutrition and Health Program, Health & Biosecurity, CSIRO.
Aust N Z J Public Health. 2019 Jun;43(3):261-266. doi: 10.1111/1753-6405.12885. Epub 2019 Mar 4.
Parental cancer is a significant problem for adolescent and young adult offspring. To understand the extent of the problem of parental cancer for Australian offspring, data regarding those impacted are required. The aim of this study was to enumerate and describe the characteristics of Western Australian adolescent and young adult offspring (12-24 years) and their parents with cancer using linked population data.
A retrospective cohort study was conducted using data from the Western Australia Data Linkage System, which provided results generalisable at a national level.
Between 1982 and 2015, 57,708 offspring were impacted by 34,600 parents' incident malignant cancer diagnoses. The most common diagnosis was breast cancer. Of the 36.4% of parents who died, this was mostly a result of cancer. Most families resided in regional areas and were of high or middle socioeconomic status. Significant predictors of earlier parent death included low socioeconomic status, remoteness, age, having more children and having older children.
A considerable number of adolescent and young adult offspring are impacted by parental cancer at a potentially vulnerable age. This research provides knowledge to better understand who is affected by parental cancer in Australia. Implications for public health: These results may be useful for planning and implementation of Australian supportive services.
父母患癌是青少年和青年成年子女面临的一个重大问题。为了了解父母患癌对澳大利亚子女的影响程度，需要了解受影响人群的数据。本研究旨在利用西澳大利亚州人口数据，对患有癌症的青少年和青年成年子女（12-24 岁）及其父母的特征进行计数和描述。
采用回顾性队列研究方法，利用西澳大利亚州数据链接系统的数据进行研究，该系统提供了具有全国通用性的结果。
1982 年至 2015 年期间，有 57708 名子女受到 34600 名父母新发恶性癌症诊断的影响。最常见的诊断是乳腺癌。在 36.4%的死亡父母中，这主要是癌症导致的。大多数家庭居住在地区，社会经济地位较高或中等。父母早逝的显著预测因素包括社会经济地位低、偏远地区、年龄、子女多和子女年龄大。
相当数量的青少年和青年成年子女在潜在脆弱的年龄受到父母癌症的影响。这项研究提供了更好地了解澳大利亚哪些人受到父母癌症影响的知识。对公共卫生的影响：这些结果可能有助于规划和实施澳大利亚的支持性服务。
