Georgia Prevention Institute, Augusta University, Augusta, Georgia, USA.
Cancer Prevention, Control, & Population Health Program, Georgia Cancer Center, Augusta University, Augusta, Georgia, USA.
Psychooncology. 2024 Sep;33(9):e9314. doi: 10.1002/pon.9314.
We sought to examine the associations between a social needs measure and physical, and mental health among cancer survivors in the United States.
We conducted a cross-sectional analysis using the 2022 Behavioral Risk Factor Surveillance System survey involving 16,930 eligible cancer survivors. The primary outcomes of interest were self-reported physical and mental health in the past 30 days. A social needs measure was our primary exposure of interest. Multivariate logistic regression was used to examine the associations of interest.
Overall, 56% and 73% survivors with several days of poor physical and mental health, respectively, reported having two or more social needs. In multivariate analysis, those having at least one social need were more likely to report several days of poor physical (one need: OR, 1.62; 95% CI, 1.31-2.00, two or more needs: OR, 3.52; 95% CI, 2.84-4.35) and mental health (one need: OR, 3.07; 95% CI, 2.07-4.57, two or more needs: OR, 9.69; 95% CI, 6.83-13.74). Among survivors with two or more social needs, having exercised in the past 30 days were 41% and 59% less likely to experience poor physical and mental health, respectively (p-value < 0.05). However, having at least one chronic disease was associated with several days of poor physical/mental health among those with two or more needs (p-value < 0.05).
Having social needs was associated with self-reporting of several days of poor physical and mental health among cancer survivors. Integrated care should include mental/physical health management addressing cancer survivors' various social needs.
我们旨在研究美国癌症幸存者的社会需求衡量指标与生理和心理健康之间的关联。
我们使用 2022 年行为风险因素监测系统调查进行了一项横断面分析，该调查涉及 16930 名符合条件的癌症幸存者。主要观察指标是过去 30 天内自我报告的生理和心理健康状况。社会需求衡量指标是我们主要关注的暴露因素。采用多变量逻辑回归分析来检验相关关联。
总体而言，分别有 56%和 73%的幸存者有几天身体和心理健康状况较差，他们报告有两个或更多的社会需求。在多变量分析中，有至少一个社会需求的人更有可能报告有几天身体（一个需求：OR，1.62；95%CI，1.31-2.00；两个或更多需求：OR，3.52；95%CI，2.84-4.35）和心理健康状况较差（一个需求：OR，3.07；95%CI，2.07-4.57；两个或更多需求：OR，9.69；95%CI，6.83-13.74）。在有两个或更多社会需求的幸存者中，过去 30 天内锻炼的人分别有 41%和 59%的可能性经历较差的身体和心理健康（p 值<0.05）。然而，有至少一种慢性病与有两个或更多需求的人经历较差的身体/心理健康有关（p 值<0.05）。
社会需求与癌症幸存者自我报告的身体和心理健康状况较差有关。综合护理应包括针对癌症幸存者各种社会需求的身心管理。
