Abstract：
BACKGROUND: Adults with cancer have higher rates of comorbidity compared to those without cancer, with excess burden in people from lower socioeconomic status (SES). Social deprivation, based on geographic indices, broadens the focus of SES to include the importance of \"place\" and its association with health. Further, social support is a modifiable resource found to have direct and indirect effects on health in adults with cancer, with less known about its impact on comorbidity.
OBJECTIVE: We prospectively examined associations between social deprivation and comorbidity burden and the potential buffering role of social support.
METHODS: Our longitudinal sample of 420 adults (Mage = 59.6, SD = 11.6; 75% Non-Hispanic White) diagnosed with cancer completed measures at baseline (~6 months post-diagnosis) and four subsequent 3-month intervals for 1 year.
RESULTS: Adjusting for age, cancer type, and race/ethnicity, we found a statistically significant interaction between social support and the effect of social deprivation on comorbidity burden (β = -0.11, p = 0.012), such that greater social support buffered the negative effect of social deprivation on comorbidity burden.
CONCLUSIONS: Implementing routine screening for social deprivation in cancer care settings can help identify patients at risk of excess comorbidity burden. Clinician recognition of these findings could trigger a referral to social support resources for individuals high on social deprivation.
This study examines the complex interplay among neighborhood-level deprivation, social support, and comorbidity burden in adults diagnosed with cancer. We know that individuals with cancer often face health challenges, especially those from lower socioeconomic backgrounds. This research expands the scope beyond just income or education level to include the impact of “place” or social deprivation on health outcomes. The study followed 420 adults diagnosed with cancer over the course of a year, examining how social deprivation and social support influenced their comorbidity burden. Interestingly, findings suggest that social support can act as a buffer against the negative effects of social deprivation on comorbidity burden. These results highlight the importance of considering not only just medical treatment but also the social context in which patients live when managing cancer care. Identifying patients at risk of increased comorbidity burden due to social deprivation and providing them with appropriate social support resources could significantly improve their overall health.
OBJECTIVE: We prospectively examined associations between social deprivation and comorbidity burden and the potential buffering role of social support.
METHODS: Our longitudinal sample of 420 adults (Mage = 59.6, SD = 11.6; 75% Non-Hispanic White) diagnosed with cancer completed measures at baseline (~6 months post-diagnosis) and four subsequent 3-month intervals for 1 year.
RESULTS: Adjusting for age, cancer type, and race/ethnicity, we found a statistically significant interaction between social support and the effect of social deprivation on comorbidity burden (β = -0.11, p = 0.012), such that greater social support buffered the negative effect of social deprivation on comorbidity burden.
CONCLUSIONS: Implementing routine screening for social deprivation in cancer care settings can help identify patients at risk of excess comorbidity burden. Clinician recognition of these findings could trigger a referral to social support resources for individuals high on social deprivation.
This study examines the complex interplay among neighborhood-level deprivation, social support, and comorbidity burden in adults diagnosed with cancer. We know that individuals with cancer often face health challenges, especially those from lower socioeconomic backgrounds. This research expands the scope beyond just income or education level to include the impact of “place” or social deprivation on health outcomes. The study followed 420 adults diagnosed with cancer over the course of a year, examining how social deprivation and social support influenced their comorbidity burden. Interestingly, findings suggest that social support can act as a buffer against the negative effects of social deprivation on comorbidity burden. These results highlight the importance of considering not only just medical treatment but also the social context in which patients live when managing cancer care. Identifying patients at risk of increased comorbidity burden due to social deprivation and providing them with appropriate social support resources could significantly improve their overall health.
摘要：
背景：与没有癌症的成年人相比，患有癌症的成年人有更高的合并症，社会经济地位较低(SES)的人负担过重。社会剥夺,基于地理指数，扩大SES的重点，包括“场所”的重要性及其与健康的关联。Further,社会支持是一种可改变的资源，对癌症成年人的健康有直接和间接的影响，对其对合并症的影响知之甚少。
目的：我们前瞻性研究了社会剥夺与共病负担之间的关联以及社会支持的潜在缓冲作用。
方法：我们对420名被诊断患有癌症的成年人（Mage=59.6，SD=11.6；75％非西班牙裔白人）的纵向样本在基线（诊断后约6个月）和随后的4个3个月间隔1年完成了测量。
结果：调整年龄，癌症类型,和种族/民族，我们发现社会支持和社会剥夺对共病负担的影响之间存在统计学上显著的相互作用(β=-0.11，p=0.012)，这样，更大的社会支持缓冲了社会剥夺对共病负担的负面影响。
结论：在癌症护理机构中实施常规的社会剥夺筛查可以帮助识别有过度共病负担风险的患者。临床医生对这些发现的认可可能会引发对社会贫困程度高的个人的社会支持资源的转诊。
这项研究考察了邻里级剥夺之间复杂的相互作用，社会支持,以及被诊断患有癌症的成年人的合并症负担。我们知道癌症患者经常面临健康挑战，尤其是那些社会经济背景较低的人。这项研究将范围扩大到不仅仅是收入或教育水平，还包括“地点”或社会剥夺对健康结果的影响。这项研究追踪了420名被诊断患有癌症的成年人，在一年的时间里，研究社会剥夺和社会支持如何影响他们的共病负担。有趣的是,研究结果表明，社会支持可以缓冲社会剥夺对共病负担的负面影响。这些结果强调了在管理癌症护理时不仅要考虑药物治疗，还要考虑患者生活的社会背景的重要性。确定由于社会剥夺而面临合并症负担增加风险的患者并为他们提供适当的社会支持资源可以显着改善他们的整体健康状况。
目的：我们前瞻性研究了社会剥夺与共病负担之间的关联以及社会支持的潜在缓冲作用。
方法：我们对420名被诊断患有癌症的成年人（Mage=59.6，SD=11.6；75％非西班牙裔白人）的纵向样本在基线（诊断后约6个月）和随后的4个3个月间隔1年完成了测量。
结果：调整年龄，癌症类型,和种族/民族，我们发现社会支持和社会剥夺对共病负担的影响之间存在统计学上显著的相互作用(β=-0.11，p=0.012)，这样，更大的社会支持缓冲了社会剥夺对共病负担的负面影响。
结论：在癌症护理机构中实施常规的社会剥夺筛查可以帮助识别有过度共病负担风险的患者。临床医生对这些发现的认可可能会引发对社会贫困程度高的个人的社会支持资源的转诊。
这项研究考察了邻里级剥夺之间复杂的相互作用，社会支持,以及被诊断患有癌症的成年人的合并症负担。我们知道癌症患者经常面临健康挑战，尤其是那些社会经济背景较低的人。这项研究将范围扩大到不仅仅是收入或教育水平，还包括“地点”或社会剥夺对健康结果的影响。这项研究追踪了420名被诊断患有癌症的成年人，在一年的时间里，研究社会剥夺和社会支持如何影响他们的共病负担。有趣的是,研究结果表明，社会支持可以缓冲社会剥夺对共病负担的负面影响。这些结果强调了在管理癌症护理时不仅要考虑药物治疗，还要考虑患者生活的社会背景的重要性。确定由于社会剥夺而面临合并症负担增加风险的患者并为他们提供适当的社会支持资源可以显着改善他们的整体健康状况。
