کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
1912482 1047180 2015 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Preventive care in older cancer survivors
ترجمه فارسی عنوان
مراقبت های پیشگیرانه در بازماندگان سرطان سابق
کلمات کلیدی
داروهای پیشگیرانه، سرطان، بازماندگان
موضوعات مرتبط
علوم زیستی و بیوفناوری بیوشیمی، ژنتیک و زیست شناسی مولکولی سالمندی
چکیده انگلیسی

ObjectiveTo study factors that influence receipt of preventive care in older cancer survivors.MethodsWe analyzed a nationally representative sample of 12,458 older adults from the 2003 Medicare Current Beneficiary Survey. Factors associated with non-receipt of preventive care were explored among cancer and non-cancer survivors, using logistic regression.ResultsAmong the cancer survivors, 1883 were diagnosed > 1 year at survey completion. A cancer history was independently associated with receipt of mammogram (AOR = 1.57, 95% CI = 1.34–1.85), flu shot (AOR = 1.33, 95% CI = 1.16–1.53), measurement of total cholesterol in the previous six months (AOR = 1.20, 95% CI = 1.07–1.34), pneumonia vaccination (AOR = 1.33, 95% CI = 1.18–1.49), bone mineral density (BMD) testing (AOR = 1.38, 95% CI = 1.21–1.56), and lower endoscopy (AOR = 1.46, 95% CI = 1.29–1.65). However, receipt of preventive care was not optimal among older cancer survivors with only 51.2% of the female cancer survivors received a mammogram, 63.8% of all the cancer survivors received colonoscopy, and 42.5% had BMD testing. Among the cancer survivors, factors associated with non-receipt of mammogram included age ≥ 85 years (AOR = 0.43, 95% CI = 0.26–0.74), and scoring ≥ three points on the Vulnerable Elders Survey-13 (AOR = 0.94, 95% CI = 0.80–1.00). Factors associated with non-receipt of colonoscopy included low education (AOR = 0.43, 95% CI = 0.27–0.68) and rural residence (AOR = 0.51, 95% CI = 0.34–0.77). Factors associated with non-receipt of BMD testing included age ≥ 70 (AOR = 0.59, 95% CI = 0.39–0.90), African American race (AOR = 0.51, 95% CI = 0.27–0.95), low education (AOR = 0.23, 95% CI = 0.14–0.38), and rural residence (AOR = 0.43, 95% CI = 0.27–0.70).ConclusionAlthough older cancer survivors are more likely to receive preventive care services than other older adults, factors other than health status considerations (e.g., education, rural residence) are associated with non-receipt of preventive care services.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Geriatric Oncology - Volume 6, Issue 2, March 2015, Pages 85–92
نویسندگان
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