Li Jiarui, Pang Haiyu, Sun Zhao, Zhao Lin, Bai Chunmei
Department of Medical Oncology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100032, China.
Central Research Laboratory, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China.
Ann Transl Med. 2020 Mar;8(5):183. doi: 10.21037/atm.2020.01.105.
The number of Chinese cancer survivors has increased bolstered by the combined trends of an aging population and improved cancer survival; however, related research on cancer survivorship remains limited. Therefore, this study aimed to provide an overview of the health status of middle-aged and older cancer survivors in China.
We used the cross-sectional self-reported survey data from wave 4 in the China Health and Retirement Longitudinal Study (CHARLS). A total of 354 cancer survivors and 16,664 participants without cancer were identified from CHARLS. Physical and mental health, health behavior, and health care information collected by questionnaire were compared between these two groups.
Compared with the general middle-aged and older population, cancer survivors had more concomitant chronic diseases (2.75 2.00, P<0.001). In addition, cancer survivors were found to be more statistically likely to have difficulties with activity (3.53 2.39, P<0.001) and have depressive symptoms (10.07 8.01, P<0.001) compared with participants without cancer. Also, cancer survivors were less likely to drink compared to those without a cancer diagnosis (OR 0.49; 95% CI, 0.36-0.66, P<0.001), but smoking behavior and physical activity did not show a significant difference. Coexisting chronic diseases and smoking harmed the physical and mental health of middle-aged and older people. We also found that cancer survivors had higher medical care expenses when compared with participants without cancer.
Cancer survivors older than 45 years in China have poorer outcomes in comorbidities and physical and mental health than their age-matched individual counterparts without cancer. Therefore, a higher quality and more cost-effective supportive care for these individuals is needed.
随着人口老龄化和癌症生存率提高这两种趋势的共同作用，中国癌症幸存者的数量有所增加；然而，关于癌症 survivorship 的相关研究仍然有限。因此，本研究旨在概述中国中老年癌症幸存者的健康状况。
我们使用了中国健康与养老追踪调查（CHARLS）第4轮的横断面自我报告调查数据。从 CHARLS 中识别出了总共354名癌症幸存者和16664名无癌症参与者。通过问卷调查收集的这两组人群的身心健康、健康行为和医疗保健信息进行了比较。
与一般中老年人群相比，癌症幸存者有更多的合并慢性病（2.75对2.00，P<0.001）。此外，与无癌症参与者相比，癌症幸存者在统计学上更有可能存在活动困难（3.53对2.39，P<0.001）和有抑郁症状（10.07对8.01，P<0.001）。而且，与未被诊断出癌症的人相比，癌症幸存者饮酒的可能性较小（OR 0.49；95%CI，0.36 - 0.66，P<0.001），但吸烟行为和身体活动没有显著差异。共存的慢性病和吸烟损害了中老年人的身心健康。我们还发现，与无癌症参与者相比，癌症幸存者的医疗费用更高。
中国45岁以上的癌症幸存者在合并症以及身心健康方面的结果比年龄匹配的无癌症个体更差。因此，需要为这些个体提供更高质量、更具成本效益的支持性护理。
