Socioeconomic Factors and Adherence to Health Care Recommendations in Adolescent and Young Adult Cancer Survivors

• DOI: 10.1089/jayao.2022.0109
• Publication Date: 2023-02-13T15:59:21Z
• Authors: Anurekha G. Hall; Karen L. Syrjala; Tyler G. Ketterl; Patricia A. Ganz; Linda A. Jacobs; Steven C. Palmer; Ann Partridge; Emily Jo Rajotte; Beth A. Mueller; K. Scott Baker
• Keywords: Marital status; Cross-sectional study; Medical record

Purpose: The majority of adolescent and young adult (AYA) cancer survivors do not receive recommended health care surveillance after therapy. We used cross-sectional survey data to evaluate the impact income, education, marital status, insurance on adherence among AYA survivors. Methods: Eligible were 18–39 years at diagnosis with invasive malignancy, 1–5 from therapy completion. Online surveys assessed sociodemographic factors self-report completion services. Diagnosis treatment abstracted medical records. Multivariable logistic regression calculated odds ratios (ORs) 95% confidence intervals (CIs) for in relation socioeconomic status support. Results: Of 344 participants, 36% adherent least 80% recommendations. Adherence varied by type: 34% breast cancer, 52% leukemia/lymphoma, 23% other tumors. rates similar White, Asian, Hispanic/Latinx patients. Lower was associated lower education (OR: 0.43; CI: 0.23–0.80 <4-year college degree) annual income 0.51; 0.28–0.95 $41,000–$80,000; OR: 0.40; 0.19–0.86 ≤$40,000). decreased decreasing levels those who 1 less than 3 0.25; 0.07–0.93 $81,000–$120,000; 0.24; 0.07–0.84 0.13; 0.03–0.60 Conclusion: Risk nonadherence guidelines Identification these risks related barriers will inform interventions designed meet needs high-risk groups, particularly during first diagnosis. Trial Registration: NCT02192333.