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Psychological distress and mental health care utilization among Hispanic/Latino survivors of adolescent and young adult cancer.

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Title: Psychological distress and mental health care utilization among Hispanic/Latino survivors of adolescent and young adult cancer.
Authors: Choi, Eunju (AUTHOR), Berkman, Amy M. (AUTHOR), Cheung, Christabel K. (AUTHOR), Betts, Andrea C. (AUTHOR), Salsman, John M. (AUTHOR), Andersen, Clark R. (AUTHOR), Ochoa‐Dominguez, Carol Yesenia (AUTHOR), Miller, Kimberly (AUTHOR), Milam, Joel (AUTHOR), Shah, Ashna (AUTHOR), Peterson, Susan K. (AUTHOR), Lu, Qian (AUTHOR), Livingston, J. Andrew (AUTHOR), Hildebrandt, Michelle A. T. (AUTHOR), Parsons, Susan K. (AUTHOR), Freyer, David (AUTHOR), Roth, Michael E. (AUTHOR)
Source: Psycho-Oncology. Dec2023, Vol. 32 Issue 12, p1918-1929. 12p.
Subjects: Mental health services, Medical care use, Young adults, Psychological distress, Ethnic differences, Cancer patients
Abstract: Purpose: Survivors of adolescent and young adult (AYA) cancer experience psychological distress and insufficient access to mental health care. Few studies have investigated racial/ethnic disparities in psychological health outcomes in this population. This study compared psychological distress, mental health care use, and inability to afford mental health care between Hispanic/Latino survivors of AYA cancer and Hispanic/Latino controls. Methods: The National Health Interview Survey data (2010–2018) were analyzed to identify Hispanic/Latino survivors of AYA cancer and Hispanic/Latino age‐ and sex‐matched non‐cancer controls. Sociodemographic, chronic health, modifiable factors, and psychological outcomes were compared using chi‐square tests. Logistic regression models with survey weights were used to assess the log‐odds of psychological distress in relation to covariates, along with the cancer group. Interactions were evaluated between each variable and cancer group. Results: The study included 370 Hispanic/Latino survivors of AYA cancer (mean time since diagnosis = 12.34 years) and 3700 Hispanic/Latino controls. Compared to controls, survivors were more likely to report moderate/severe distress (OR = 2.23, p < 0.001), use of mental health care (OR = 2.11, p < 0.001) and inability to afford mental health care (OR = 3.05, p < 0.001). Forty‐one percent of survivors reported moderate/severe distress and only 16% utilized mental health care. Among survivors, having more than two chronic health conditions and public insurance (compared to private insurance) were associated with the presence of moderate/severe distress. Among survivors experiencing moderate/severe distress, lack of insurance was associated with decreased utilization of mental health care. Conclusions: Having cancer as an AYA may exacerbate disparities in psychological health within the Hispanic/Latino population. [ABSTRACT FROM AUTHOR]
Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Psychological distress and mental health care utilization among Hispanic/Latino survivors of adolescent and young adult cancer.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Choi%2C+Eunju%22&quot;&gt;Choi, Eunju&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Berkman%2C+Amy+M%2E%22&quot;&gt;Berkman, Amy M.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Cheung%2C+Christabel+K%2E%22&quot;&gt;Cheung, Christabel K.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Betts%2C+Andrea+C%2E%22&quot;&gt;Betts, Andrea C.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Salsman%2C+John+M%2E%22&quot;&gt;Salsman, John M.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Andersen%2C+Clark+R%2E%22&quot;&gt;Andersen, Clark R.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Ochoa‐Dominguez%2C+Carol+Yesenia%22&quot;&gt;Ochoa‐Dominguez, Carol Yesenia&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Miller%2C+Kimberly%22&quot;&gt;Miller, Kimberly&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Milam%2C+Joel%22&quot;&gt;Milam, Joel&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Shah%2C+Ashna%22&quot;&gt;Shah, Ashna&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Peterson%2C+Susan+K%2E%22&quot;&gt;Peterson, Susan K.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Lu%2C+Qian%22&quot;&gt;Lu, Qian&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Livingston%2C+J%2E+Andrew%22&quot;&gt;Livingston, J. Andrew&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Hildebrandt%2C+Michelle+A%2E+T%2E%22&quot;&gt;Hildebrandt, Michelle A. T.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Parsons%2C+Susan+K%2E%22&quot;&gt;Parsons, Susan K.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Freyer%2C+David%22&quot;&gt;Freyer, David&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Roth%2C+Michael+E%2E%22&quot;&gt;Roth, Michael E.&lt;/searchLink&gt; (AUTHOR)
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Psycho-Oncology%22&quot;&gt;Psycho-Oncology&lt;/searchLink&gt;. Dec2023, Vol. 32 Issue 12, p1918-1929. 12p.
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  Label: Abstract
  Group: Ab
  Data: Purpose: Survivors of adolescent and young adult (AYA) cancer experience psychological distress and insufficient access to mental health care. Few studies have investigated racial/ethnic disparities in psychological health outcomes in this population. This study compared psychological distress, mental health care use, and inability to afford mental health care between Hispanic/Latino survivors of AYA cancer and Hispanic/Latino controls. Methods: The National Health Interview Survey data (2010–2018) were analyzed to identify Hispanic/Latino survivors of AYA cancer and Hispanic/Latino age‐ and sex‐matched non‐cancer controls. Sociodemographic, chronic health, modifiable factors, and psychological outcomes were compared using chi‐square tests. Logistic regression models with survey weights were used to assess the log‐odds of psychological distress in relation to covariates, along with the cancer group. Interactions were evaluated between each variable and cancer group. Results: The study included 370 Hispanic/Latino survivors of AYA cancer (mean time since diagnosis = 12.34 years) and 3700 Hispanic/Latino controls. Compared to controls, survivors were more likely to report moderate/severe distress (OR = 2.23, p &lt; 0.001), use of mental health care (OR = 2.11, p &lt; 0.001) and inability to afford mental health care (OR = 3.05, p &lt; 0.001). Forty‐one percent of survivors reported moderate/severe distress and only 16% utilized mental health care. Among survivors, having more than two chronic health conditions and public insurance (compared to private insurance) were associated with the presence of moderate/severe distress. Among survivors experiencing moderate/severe distress, lack of insurance was associated with decreased utilization of mental health care. Conclusions: Having cancer as an AYA may exacerbate disparities in psychological health within the Hispanic/Latino population. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.1002/pon.6248
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        Text: English
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        PageCount: 12
        StartPage: 1918
    Subjects:
      – SubjectFull: Mental health services
        Type: general
      – SubjectFull: Medical care use
        Type: general
      – SubjectFull: Young adults
        Type: general
      – SubjectFull: Psychological distress
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      – SubjectFull: Ethnic differences
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      – SubjectFull: Cancer patients
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              Text: Dec2023
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