Rural Living as Context: A Study of Disparities in Long-Term Cancer Survivors

Pedro, Leli W.; Schmiege, Sarah J.

doi:10.1188/14.onf.e211-e219

Cited by 15 publications

(27 citation statements)

References 44 publications

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“…These individual-level factors may also mediate the relationships between systemic-level factors and HRQOL [11]. Previous research has applied the Contextual Model to investigate HRQOL determinants in ethnic minority and rural BCS [12–16]; however, only one of these included African American women. Other studies have applied this framework to the investigation of predictors of related outcomes (e.g., depressive symptoms, physical quality of life) [11, 17].…”

Section: Introductionmentioning

confidence: 99%

Contextual factors influencing health-related quality of life in African American and Latina breast cancer survivors

et al. 2015

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Purpose This study explored the relationships between systemic and individual-level contextual factors and health-related quality of life (HRQOL) in a cohort of African American and Latina breast cancer survivors (BCS). Methods Baseline questionnaire data of 320 BCS who participated in a HRQOL psycho-educational intervention were abstracted from the parent study. Hierarchical regression analysis tested the independent effects of contextual factors on HRQOL. Results HRQOL was higher in BCS who: were diagnosed at

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Section: Introductionmentioning

confidence: 99%

Contextual factors influencing health-related quality of life in African American and Latina breast cancer survivors

et al. 2015

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“…Furthermore, an impact of living in rural locations can be found in long-term survivors of cancer when health-related quality of life is assessed (Pedro & Schmiege, 2014). Rurality also impacts on social function and financial difficulty.…”

Section: Remotenessmentioning

confidence: 99%

Cancer control-A global perspective

Olver

2017

Eur J Cancer Care

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Disparities in cancer control exist in low- and middle-income countries (LMICs). Many countries do not have cancer registries to record incidence, mortality and prevalence and are reliant on Globocan estimates of their cancer burden. Poorer cancer control within and between countries occurs in those living remotely from urban centres, those in a low socioeconomic group and some ethnic groups who have lifestyle and belief systems which impact on cancer control. High-income countries generally have population screening programmes for cervix, breast and bowel cancer. However, simpler forms of screening for cancer of the cervix like visual inspection with acetic acid have been shown to be feasible in developing nations. The widespread use of vaccines to prevent cancer has been achieved with the Hepatitis B vaccine but the human papilloma virus vaccine to prevent cancer of the cervix is largely only available in high-income countries. Access to and training of oncological surgeons in LMICs is limited, while 70% of patients in these countries cannot access radiotherapy. The World Health Organization has developed a list of essential medicines although access remains poor in LMICs. The United Nations has set targets for the control of non-communicable diseases to improve global cancer control.

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“…Data from Australia have provided further evidence showing that cancer deaths were higher in inner regional areas than major cities [13,14] . A correlation was also seen with lower SES, demonstrating that 39% of patients with poorer cancer outcomes were living in remote areas, compared to 24% in rural areas and only 17% in major cities.…”

Section: Remotenessmentioning

confidence: 99%

“…Moreover, those living in rural and remote areas, particularly men, were less likely to have considered cancer prevention messages and more likely to engage in lifestyle behaviors associated with a greater cancer risk, such as e.g. tobacco smoking and harmful levels of alcohol intake over time [13,14] . Also risk factors such as obesity and overweight were 10% higher in absolute terms in regional and rural areas, while sedentary behavior applied to 60% compared to 54% in major cities [8,13,14] .…”

Section: Remotenessmentioning

confidence: 99%

“…tobacco smoking and harmful levels of alcohol intake over time [13,14] . Also risk factors such as obesity and overweight were 10% higher in absolute terms in regional and rural areas, while sedentary behavior applied to 60% compared to 54% in major cities [8,13,14] . Furthermore, an impact of living in rural locations was found in long-term cancer survivors when health-related quality of life was assessed [15] .…”

Section: Remotenessmentioning

confidence: 99%

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Challenges, hurdles and possible approaches to improve cancer care in developing countries – A short breakdown of the status quo and future perspective

Brookman‐May¹,

Rodríguez-Faba²,

Langenhuijsen³

et al. 2017

Adv Mod Oncol Res

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Abstract:It was estimated that in 2012, 57% of the incidence and 65% of cancer deaths have occurred in developing countries, and in the future, the incidence of cancer-related mortality is even expected to rise significantly in these countries. Despite this alarming data, there are still significant disparities in access to cancer care and cancer control between developing nations and higher income countries. There are several hurdles for cancer patients in developing countries which impair adequate treatment, including very little access to programs of cancer prevention and screening measures, early diagnosis and adequate surgical and medical tumor treatment. In this article, we provide a short assessment and breakdown of the main barriers for proper cancer treatment admission and provide a perspective on potential approached and solutions to enhance cancer research and care in developing countries.

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Rural Living as Context: A Study of Disparities in Long-Term Cancer Survivors

Abstract: Survivor context (e.g., level of rurality) influences HRQOL outcomes. Context or culture-relevant risk minimization and HRQOL optimization nursing practices are indicated.

Cited by 15 publications

References 44 publications

Contextual factors influencing health-related quality of life in African American and Latina breast cancer survivors

Contextual factors influencing health-related quality of life in African American and Latina breast cancer survivors

Cancer control-A global perspective

Challenges, hurdles and possible approaches to improve cancer care in developing countries – A short breakdown of the status quo and future perspective

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