Cancer Survivorship in Rural and Urban Adults: A Descriptive and Mixed Methods Study

摘要: Purpose Rural-dwelling cancer survivors (CSs) are at risk for decrements in health and well-being due to decreased access care support resources. This study compares the impact of rural- urban-dwelling adult CSs living 2 regions Pacific Northwest. Methods A convenience sample posttreatment (N = 132) completed Impact Cancer version (IOCv2) Memorial Symptom Assessment Scale-short form. High low scorers on IOCv2 participated an in-depth interview (n 19). Findings The was predominantly middle-aged (mean age 58) female (84%). Mean time since treatment completion 6.7 years. diagnoses represented included breast (56%), gynecologic (9%), lymphoma (8%), head neck (6%), colorectal (5%). Comparisons across geographic show statistically significant differences body concerns, worry, negative impact, employment concerns. Rural-urban from data include care, coordination, connecting/community, thinking about death dying, public/private journey, advocacy. Conclusion The insights into similarities between rural urban challenge prevalent assumptions rural-dwelling their outcomes. A common theme findings community. Access may not be driver survivorship experience. Findings can influence providers program development, building strengths both engagement