Department of Medicine, University of California San Francisco, San Francisco, CA, USA.
Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Patient Educ Couns. 2020 Aug;103(8):1606-1614. doi: 10.1016/j.pec.2020.02.034. Epub 2020 Feb 27.
This study describes the most common cancer-related health information needs among rural cancer survivors and characteristics associated with reporting more information needs.
Rural breast, prostate, and colorectal cancer survivors, two to five years post-diagnosis, identified from an institutional cancer registry, completed a mailed/telephone-administered survey. Respondents were asked about 23 health information needs in eight domains (tests and treatment, side effects and symptoms, health promotion, fertility, interpersonal, occupational, emotional, and insurance). Poisson regression models were used to assess relationships between number of health information needs and demographic and cancer characteristics.
Participants (n = 170) reported an average of four health information needs, with the most common domains being: side effects and symptoms (58 %), health promotion (54 %), and tests and treatment (41 %). Participants who were younger (compared to 5-year increase, rate ratio [RR] = 1.11, 95 % CI = 1.02-1.21), ethnic minority (RR = 1.89, 95 % CI = 1.17-3.06), less educated (RR = 1.49, 95 % CI = 1.00-2.23), and financially stressed (RR = 1.87, 95 % CI = 1.25-2.81) had a greater number of information needs.
Younger, ethnic minority, less educated, and financially strained rural survivors have the greatest need for informational support.
The provision of health information for rural cancer survivors should consider type of cancer, treatments received, and sociocultural differences to tailor information provided.
本研究描述了农村癌症幸存者最常见的与癌症相关的健康信息需求,以及与报告更多信息需求相关的特征。
从机构癌症登记处确定的农村乳腺癌、前列腺癌和结直肠癌幸存者,在诊断后两到五年,完成了邮寄/电话管理的调查。受访者被问及 23 项健康信息需求,涉及八个领域(检查和治疗、副作用和症状、健康促进、生育能力、人际关系、职业、情绪和保险)。使用泊松回归模型评估健康信息需求数量与人口统计学和癌症特征之间的关系。
参与者(n=170)报告了平均 4 项健康信息需求,最常见的领域是:副作用和症状(58%)、健康促进(54%)和检查和治疗(41%)。与 5 岁增加相比,年龄较小(RR=1.11,95%CI=1.02-1.21)、少数民族(RR=1.89,95%CI=1.17-3.06)、受教育程度较低(RR=1.49,95%CI=1.00-2.23)和经济压力较大(RR=1.87,95%CI=1.25-2.81)的参与者有更多的信息需求。
年轻、少数民族、受教育程度较低和经济紧张的农村幸存者对信息支持的需求最大。
为农村癌症幸存者提供健康信息应考虑癌症类型、接受的治疗和社会文化差异,以调整提供的信息。