关键词: Cancer survivors Disability Older adults

来  源:   DOI:10.1007/s11764-023-01446-6

Abstract:
OBJECTIVE: The objective of this study is to evaluate whether the presence of a cancer history constitutes a risk for encountering unfavourable health outcomes and functional limitations. Moreover, the study also aims to identify specific attributes of cancer survivors that are associated with an increased risk of experiencing poor health and disability.
METHODS: This study has utilized data from Longitudinal Ageing Study in India (LASI) conducted in 2017-18. The analytical sample size for this study was 65,562 older individuals of age 45 years and above. We have focused on individuals diagnosed with cancer, i.e., cancer survivors, and compared their health outcomes to those of a similar group (without a cancer history) with similar socioeconomic and demographic features. Descriptive statistics and logistic regression models were used to assess the adjusted effect of explanatory variables on cancer survivors.
RESULTS: The result shows that the overall number of cancer survivors is 673 per 100.000 older adults and is higher in Urban areas (874 per 100.000) than in rural areas (535 per 100.000). 43.7% of the survivors reported poor self-rated health, and around 34.0% of cancer survivors reported depression, while this prevalence was much lower among older adults without a cancer history. Individuals who were diagnosed with cancer a long time ago have a significantly lower likelihood of experiencing poor SRH, depression, and diminished life satisfaction in comparison to those diagnosed more recently.
CONCLUSIONS: The study highlights the importance of factors such as time since diagnosis and the number of cancer sites in influencing health outcomes among survivors. Additionally, socioeconomic factors, such as wealth and access to health insurance, appear to play a role in the health status of cancer survivors.
CONCLUSIONS: Healthcare policies should recognize the long-term impact of cancer and prioritize the provision of long-term survivorship care. This may involve establishing survivorship clinics or dedicated healthcare centres that provide specialized care for cancer survivors, addressing their unique needs throughout the survivorship continuum.
摘要:
目的:本研究的目的是评估癌症病史的存在是否构成遭遇不利的健康结果和功能限制的风险。此外,该研究还旨在确定癌症幸存者的特定特征,这些特征与健康状况不佳和残疾的风险增加有关。
方法:本研究利用了2017-18年印度纵向老龄化研究(LASI)的数据。这项研究的分析样本量为65,562名年龄在45岁及以上的老年人。我们专注于被诊断患有癌症的人,即,癌症幸存者,并将他们的健康结果与具有相似社会经济和人口统计学特征的相似组(没有癌症病史)的健康结果进行了比较。描述性统计和逻辑回归模型用于评估解释变量对癌症幸存者的调整效果。
结果:结果显示,癌症幸存者的总人数为673/100.000老年人,城市地区(874/100.000)高于农村地区(535/100.000)。43.7%的幸存者报告自评健康状况差,大约34.0%的癌症幸存者报告抑郁症,而在没有癌症病史的老年人中,这种患病率要低得多。很久以前被诊断患有癌症的人经历不良SRH的可能性大大降低,抑郁症,与最近诊断的患者相比,生活满意度降低。
结论:该研究强调了自诊断以来的时间和癌症部位数量等因素在影响幸存者健康结果中的重要性。此外,社会经济因素,比如财富和医疗保险,似乎在癌症幸存者的健康状况中发挥作用。
结论:医疗保健政策应认识到癌症的长期影响,并优先提供长期生存护理。这可能涉及建立生存诊所或专门的医疗中心,为癌症幸存者提供专门的护理。在整个生存过程中满足他们的独特需求。
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