Rural cancer survivors' health information needs post-treatment

被引:33
|
作者
Palmer, Nynikka R. [1 ]
Avis, Nancy E. [2 ]
Fino, Nora F. [3 ]
Tooze, Janet A. [3 ]
Weaver, Kathryn E. [2 ]
机构
[1] Univ Calif San Francisco, Dept Med, San Francisco, CA 94143 USA
[2] Wake Forest Sch Med, Dept Social Sci & Hlth Policy, Winston Salem, NC 27101 USA
[3] Wake Forest Sch Med, Dept Biostat Sci, Winston Salem, NC 27101 USA
基金
美国国家卫生研究院;
关键词
Cancer survivorship; Rural; Health information needs; Post-treatment; QUALITY-OF-LIFE; SUPPORTIVE CARE NEEDS; BREAST-CANCER; PROSTATE-CANCER; URBAN DIFFERENCES; DISPARITIES; KNOWLEDGE; POPULATION; LITERACY; APPALACHIA;
D O I
10.1016/j.pec.2020.02.034
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: This study describes the most common cancer -related health information needs among rural cancer survivors and characteristics associated with reporting more information needs. Methods: Rural breast, prostate, and colorectal cancer survivors, two to five years post -diagnosis, identi fied 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. Results: 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. Conclusions: Younger, ethnic minority, less educated, and financially strained rural survivors have the greatest need for informational support. Practice Implications: The provision of health information for rural cancer survivors should consider type of cancer, treatments received, and sociocultural differences to tailor information provided.
引用
收藏
页码:1606 / 1614
页数:9
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