Department of Social Policy, Sociology and Social Research, Centre for Health Services Studies, University of Kent, Canterbury, UK.
Department of Social Policy, Sociology and Social Research, Personal Social Services Research Unit, University of Kent, Canterbury, UK.
Psychooncology. 2021 Jun;30(6):874-881. doi: 10.1002/pon.5656. Epub 2021 Feb 25.
This study estimates the prevalence of unmet social care needs of people over 50 living in England with cancer and the effect of cancer on unmet needs.
We used data from the English Longitudinal Study of Ageing. We estimated the mean, standard deviation and 95% CI of the prevalence of unmet social care needs among people with cancer. Logistic regression analysis with individual random effects was used to estimate the effect of cancer on unmet needs controlling for other determinants. Pain measures were included stepwise in the regression to estimate their mediating effect.
The prevalence rate of unmet social care needs among people living with cancer is 9% (SD = 0.29; 95% CI: 8.3-10) compared to 6% (SD = 0.24; 95% CI: 6.1-6.5) among people without cancer. People with cancer have significantly higher odds of having unmet needs by a factor of 1.44 (95% CI: 1.20-1.72), after controlling for the effect of other characteristics. Adding pain measures reduces the effect of cancer to a factor of 1.36 (95% CI: 1.14-1.64) in the odds of unmet needs but still remains statistically significant.
A more integrated approach to cancer care is more likely to address the high level of unmet needs and consequent adverse implications.
本研究旨在估计英国 50 岁以上癌症患者的社会护理未满足需求的流行率，以及癌症对未满足需求的影响。
我们使用了英国老龄化纵向研究的数据。我们估计了癌症患者中未满足的社会护理需求的流行率的平均值、标准差和 95%置信区间。使用个体随机效应的逻辑回归分析来估计在控制其他决定因素的情况下，癌症对未满足需求的影响。逐步纳入疼痛测量值以估计其中介效应。
与没有癌症的人相比，患有癌症的人未满足社会护理需求的流行率为 9%（标准差=0.29；95%置信区间：8.3-10），而没有癌症的人未满足社会护理需求的流行率为 6%（标准差=0.24；95%置信区间：6.1-6.5）。在控制其他特征的影响后，患有癌症的人未满足需求的可能性显著高出 1.44 倍（95%置信区间：1.20-1.72）。但在纳入疼痛测量值后，癌症对未满足需求的可能性的影响降低至 1.36 倍（95%置信区间：1.14-1.64），但仍具有统计学意义。
更综合的癌症护理方法更有可能解决高未满足需求水平和随之而来的不利影响。
