Abstract
Purpose Examine preventive services utilization among female
survivors of adolescent and young adult (AYA) cancer
compared with women without cancer in the USA.
Methods A total of 1017 women diagnosed with cancer at
AYA ages (15–39 years) who were at least 5 years since diagnosis
were identified from 2008 to 2012 Medical
Expenditure Panel Surveys. A comparison group without cancer
was matched on age and other characteristics. General
preventive services included dental, medical, blood pressure,
and cholesterol checkups, and flu shots in the previous year.
Cancer-related services included pap smear and mammography.
Preventive services and covariates (demographics, socioeconomics,
and health status) were compared between groups
using χ2 tests. Ordinal logistic regression identified covariates
associated with general preventive services use.
Results Female survivors reported dental checkups less often
(57.8 vs. 72.4 %, p < 0.001) than the comparison group and
checked their blood pressure (90 vs. 86.7 %, p = 0.045) and
cholesterol (67.5 vs. 61.7 %, p = 0.045) more often. No differences
were found in flu shots, medical checkups, and
cancer-related services. Survivors without insurance were less
likely to use general preventive services (odds ratio [OR] =
0.2, 95 % confidence interval [CI] 0.12–0.35, p < 0.001).
Older survivors (OR = 3.09, 95 % CI 1.69–5.62, p < 0.001)
Original language | English (US) |
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Pages (from-to) | 167-174 |
Number of pages | 8 |
Journal | Journal of Cancer Survivorship |
Volume | 11 |
DOIs | |
State | Published - 2017 |
Keywords
- cancer survivors
- preventive health services
- women's health
- MEPS