Socioeconomic disparities in health-related quality of life among colorectal cancer survivors.

作者: Jean A. McDougall , Cindy K. Blair , Charles L. Wiggins , Michael B. Goodwin , Vi K. Chiu

DOI: 10.1007/S11764-019-00767-9

关键词:

摘要: Improvements in colorectal cancer (CRC) prevention, early detection, and treatment have resulted substantial gains survival. However, the health-related quality of life (HRQoL) CRC survivors often depends on access to supportive care, which differs by survivors’ socioeconomic characteristics. The purpose this study was investigate relationship between characteristics HRQoL a diverse group survivors. We conducted population-based, cross-sectional examine association factors (household income, health literacy, insurance status) domains pain interference, fatigue, physical function, sleep disturbance, anxiety, depression. PROMIS® Short Forms v.2.0 were used assess HRQoL. Linear regression modeling estimate coefficient representing average domain score its 95% confidence interval (CI). Three hundred one participated survey. Low-income (≤ $30,000) had, average, 4.70-point (95% CI 1.10–8.28) higher interference score, 7.02-point 3.27–10.77) fatigue 5.13-point − 8.56 − 1.71) lower function 4.44-point 1.40–7.49) depression than with an income ≥ $70,000. Survivors Medicaid reported significantly greater worse privately insured low literacy compared high literacy. Substantial disparities observed population Designing care interventions improve among low-income Medicaid-insured is critical for eliminating outcomes.

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