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A cross-section correlational study was conducted to evaluate the overall quality of life in young adults (AYAs) diagnosed with cancer, and the impact of health-related and non-health-related factors on their quality of life. Fifty-six AYA cancer survivors were recruited to elicit the impact of biological function (cancer type and comorbidity), symptoms, functional status, general perception of health status, gender, and characteristics of the environment on quality of life. Participants experienced higher than average quality of life. Symptoms, functional status, and general perception of health status were significant predictors of quality of life in this group of AYAs diagnosed with cancer. In delivering quality cancer care, nurses must be able to thoroughly assess symptom status, AYA cancer survivors’ perception of their health status, and functioning in order to implement supportive measures to help improve their quality of life.

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INTRODUCTION: Black men suffer the highest burden from colorectal cancer in the United States. It is generally believed that women are more health conscious than men, but it is unknown if educational status influence compliance by sex among underserved minorities. Aim: To evaluate sex differences in compliance with scheduled screening colonoscopy appointments among underserved urban blacks and investigate the effect of the highest education attained. METHODS: Methods: A total of 399 black patients participated in a clinical trial (NCT02464618) designed to evaluate the efficacy of self-selected social contact person in improving compliance to scheduled outpatient screening colonoscopy. The primary outcome of our present study was compliance with the scheduled outpatient screening colonoscopy among attendees by sex and highest education attained. We used logistic regression models to calculate odds ratios (OR) and 95% confidence intervals (CI). RESULTS: There were 188 (47.1%) black men and 211 (52.9%) black women. Overall, there was no sex difference in compliance with the scheduled colonoscopy appointments (77.3% versus 77.1%; OR = 1.01; 95% CI: 0.63-1.61). However, participants with some college education were more compliant (84.1% versus 73.1%; OR = 1.95; 95% CI: 1.15-3.30). This improvement in compliance was more evident among men (Table 1). CONCLUSION: Conclusion: Efforts to improve general and cancer specific education of black men are needed to reduce the burden of colon cancer among this vulnerable population.

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