Disparities in mental health outcomes among lung cancer survivors associated with ruralness of residence

Andrykowski, Michael A.; Steffens, Rachel F.; Bush, Heather; Tucker, T. C.

doi:10.1002/pon.3440

Cited by 32 publications

(32 citation statements)

References 40 publications

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“…Out-of-pocket costs and burden among rural breast cancer survivors Maria Pisu 1,2 , Andres Azuero 2,3 , Rachel Benz 3 , Patrick McNees 2,4,5 & Karen Meneses 2,3 report worse physical and mental health as well as being more likely to be unemployed due to health reasons than their urban counterparts [14][15][16]. They also face several challenges in accessing care due to scarce medical resources and the need to travel longer distances to visit doctors and receive care [17][18][19].…”

Section: Original Researchmentioning

confidence: 99%

“…The population of rural cancer survivors deserves some attention with regard to the OOP costs they may incur and the burden that these may cause. Rural cancer survivors report worse physical and mental health as well as being more likely to be unemployed due to health reasons than their urban counterparts . They also face several challenges in accessing care due to scarce medical resources and the need to travel longer distances to visit doctors and receive care .…”

Section: Introductionmentioning

confidence: 99%

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Out‐of‐pocket costs and burden among rural breast cancer survivors

et al. 2017

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Little is known about out‐of‐pocket (OOP) costs incurred for medical and health needs by rural breast cancer survivors and what factors may be associated with higher OOP costs and the associated economic burden. Data were examined for 432 survivors participating in the Rural Breast Cancer Survivor Intervention trial. OOP costs were collected using the Work and Finances Inventory survey at baseline and four assessments every 3 months. Mean and median OOP costs and burden (percent of monthly income spent on OOP costs) were reported and factors associated with OOP costs and burden identified with generalized linear models fitted with over‐dispersed gamma distributions and logarithmic links (OOP costs) and with beta distributions with logit link (OOP burden). OOP costs per month since the end of treatment were on average $232.7 (median $95.6), declined at the next assessment point to $186.5 (median $89.1), and thereafter remained at that level. Mean OOP burden was 9% at baseline and between 7% and 8% at the next assessments. Factors suggestive of contributing to higher OOP costs and OOP burden were the following: younger age, lower income, time in survivorship from diagnosis, and use of supportive services. OOP costs burden rural breast cancer survivors, particularly those who are younger and low income. Research should investigate the impact of OOP costs and interventions to reduce economic burden.

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Section: Original Researchmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Out‐of‐pocket costs and burden among rural breast cancer survivors

et al. 2017

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“…There is also evidence to suggest that rural cancer survivors experience worse quality of life and mental health outcomes than survivors from urban areas (14, 15), and they may be less likely to use hospice care at the end of life (13). …”

Section: Introductionmentioning

confidence: 99%

Making the Case for Investment in Rural Cancer Control: An Analysis of Rural Cancer Incidence, Mortality, and Funding Trends

Blake¹,

Moss²,

Gaysynsky³

et al. 2017

Cancer Epidemiology, Biomarkers &Amp; Prevention

288

261

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Estimates of those living in rural counties vary from 46.2–59 million, or 14–19% of the U.S. population. Rural communities face disadvantages compared to urban areas, including higher poverty, lower educational attainment, and lack of access to health services. We aimed to demonstrate rural-urban disparities in cancer and to examine NCI-funded cancer control grants focused on rural populations. Estimates of five-year cancer incidence and mortality from 2009–2013 were generated for counties at each level of the rural-urban continuum and for metropolitan versus non-metropolitan counties, for all cancers combined and several individual cancer types. We also examined the number and foci of rural cancer control grants funded by NCI from 2011–2016. Cancer incidence was 447 cases per 100,000 in metropolitan counties and 460 per 100,000 in non-metropolitan counties (p<0.001). Cancer mortality rates were 166 per 100,000 in metropolitan counties and 182 per 100,000 in non-metropolitan counties (p<0.001). Higher incidence and mortality in rural areas were observed for cervical, colorectal, kidney, lung, melanoma, and oropharyngeal cancers. There were 48 R- and 3 P-mechanism rural-focused grants funded from 2011–2016 (3% of 1655). Further investment is needed to disentangle the effects of individual-level SES and area-level factors to understand observed effects of rurality on cancer.

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“…Both quantitative and qualitative measurements indicated that the concept of rurality was a risk factor for low mental health, low quality of life, low physical wellbeing, poor self-rated health, higher level of distress, smoking and lower level of physical activities 3,4,8,9,11,14,22,23 . A summary of the key variables/ measurements for both quantitative and qualitative studies is provided in Tables 1 and 2.…”

Section: Descriptive Findings and Measurement Tools For Assessing Carmentioning

confidence: 99%

Factors affecting provision of care services for patients with cancer living in the rural area: an integrative review

Salehi

Frommolt

Coyne

2019

AJCN

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This paper explored individual-and system-level factors affecting the provision of care services for rural patients. An integrated literature review across four databases identified 22 studies from six countries. A focus on health and wellbeing and the influence of rurality was explored. Findings indicate physical and functional health in rural cancer patients is lower in comparison with urban areas. Influencing factors were socio-economic status, age, income, health literacy, control and self-efficacy. Enhancing the strengths and education of caregivers and their inclusion in service decision-making are paramount for rural cancer patients and for the wellbeing of the caregivers. Disparities in rural areas need to be explored with longitudinal research to understand the clinical, social and cultural characteristics in relation to remoteness. The use of innovative technologies has been recommended as an option to enhance the health access and enable quality care provision across rural areas. Knowledge translation• The facilitation of access to innovative health care to balance the disparities of rural people (telehealth, online support groups, follow-up phone calls, enticement for specialist care in rural areas).• A holistic approach with education and support provided to the family is particularly important for rural patients as the family is a key source of social, emotional and informational support over the journey.Although there has been increasing research regarding the needs of cancer patients (health care, community, social care needs), there has been little focus on the care needs of patients in rural areas 2 . The number of rural patients is under-examined in the Keywords Rural cancer patients, cancer caregiver, health resources, literature review.

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Disparities in mental health outcomes among lung cancer survivors associated with ruralness of residence

Abstract: Rural residence is a risk factor for poorer MH outcomes for LC survivors. The MH of Rural LC survivors may be more negatively impacted by cancer diagnosis and treatment than the MH of Urban LC survivors.

Cited by 32 publications

References 40 publications

Out‐of‐pocket costs and burden among rural breast cancer survivors

Out‐of‐pocket costs and burden among rural breast cancer survivors

Making the Case for Investment in Rural Cancer Control: An Analysis of Rural Cancer Incidence, Mortality, and Funding Trends

Factors affecting provision of care services for patients with cancer living in the rural area: an integrative review

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