Division of Pediatric Hematology Oncology, The Hospital for Sick Children, University of Toronto, Canada.
Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, Canada.
Cancer Epidemiol. 2022 Apr;77:102098. doi: 10.1016/j.canep.2022.102098. Epub 2022 Jan 6.
The COVID-19 pandemic has greatly altered the behavior of adolescents and young adults (AYAs) with cancer. No data exists on how gender influences the adherence of individuals with cancer to COVID-19 related public health guidelines and their preferred methods of receiving COVID-19 related information.
We conducted a cross-sectional survey of adolescents and young adults with cancer. Data were summarized using descriptive statistics. Multiple logistic regression was used to assess differences in adherence to COVID-19 preventative behaviors, and differences in preferred information sources of COVID-19 related information between men and women.
Among 633 participants, adherence to key COVID-19 preventative measures was 44.9-58.8% for males and 53.4-68.1% for females. After adjusting for key confounding variables in multivariable analysis, males were less likely to adhere to frequent hand washing (AOR [adjusted odds ratio] 1.45, 95% CI [confidence interval] 1.03-2.03), not touching face (AOR 1.82, 95% CI 1.29-2.56) and social distancing (AOR 1.93, 95% CI 1.37-2.71) than females. Both genders preferred to receive information from their cancer institutes and social media.
Gender-specific interventions are needed to improve the adherence of males to COVID-19 precautionary measures. Information should be disseminated via cancer institutes and social media as these are the preferred sources of COVID-19 related information among AYAs with cancer.
COVID-19 大流行极大地改变了青少年和青年癌症患者的行为。目前尚无数据表明性别如何影响癌症患者对 COVID-19 相关公共卫生指南的遵守情况,以及他们对 COVID-19 相关信息的首选接收方式。
我们对青少年和青年癌症患者进行了横断面调查。使用描述性统计方法总结数据。使用多因素逻辑回归评估男性和女性在 COVID-19 预防行为的遵守情况以及对 COVID-19 相关信息的首选信息来源方面的差异。
在 633 名参与者中,男性遵守关键 COVID-19 预防措施的比例为 44.9-58.8%,女性为 53.4-68.1%。在多变量分析中调整关键混杂变量后,男性更不可能经常洗手(调整后的优势比 [AOR] 1.45,95%置信区间 [CI] 1.03-2.03)、不触摸脸部(AOR 1.82,95% CI 1.29-2.56)和保持社交距离(AOR 1.93,95% CI 1.37-2.71)比女性。两种性别都更喜欢从癌症研究所和社交媒体获取信息。
需要针对男性制定特定于性别的干预措施,以提高其对 COVID-19 预防措施的遵守率。应通过癌症研究所和社交媒体传播信息,因为这些是青少年癌症患者首选的 COVID-19 相关信息来源。