Examining COVID-19 Preventive Behaviors among Cancer Survivors in the United States: an analysis of the COVID-19 Impact Survey
Ce dossier présente un ensemble d'articles concernant la prise en charge des cancers durant la crise sanitaire liée au COVID-19
Background: The COVID-19 pandemic has impacted adults with chronic diseases, and their health care delivery. Patterns of COVID-19-related preventive behaviors practiced by cancer survivors are unknown, including practices related to canceling doctor's appointments. We evaluated COVID-19-related preventive behaviors among cancer survivors in the United States (US). Methods: We used nationally-representative data of 10,760 US adults from the COVID-19 Impact Survey. We defined cancer survivors as those with a self-reported diagnosis of cancer (n=854,7.6%). We present frequencies and ?2-tests to evaluate COVID-19-related preventive behaviors among cancer survivors. We estimated determinants of canceling doctor's appointments among cancer survivors using Poisson regression models. Results: Cancer survivors were more likely to practice preventive behaviors, including social distancing (93%, ?2-p-value<0.001), wear a face mask (93%, ?2-p-value<0.001), and avoid crowded areas (84%, ?2-p-value<0.001) compared to other adults. Cancer survivors were more likely to cancel doctor's appointments (41%, ?2-p-value<0.001) whereas they were less likely to cancel other social activities such as work(19%, ?2-p-value<0.001) and school-related(13%, ?2-p-value<0.001) activities. After adjustment for covariates, while non-Hispanic(NH)-Black cancer survivors were less likely to cancel a doctor's appointment compared to NH-White cancer survivors, those aged 18-29, females, and with at least one comorbid condition cancer survivors were more likely. Conclusion: Cancer survivors are adhering to recommended preventive behaviors. Cancer survivor's continuity of care may be impacted by COVID-19 specifically young adults, females, and those with existing comorbid conditions. Impact: Insights into cancer survivors whose care may be most impacted by COVID-19 will be valuable towards surveillance and survivorship of US cancer survivors.
Cancer Epidemiology Biomarkers & Prevention , résumé, 2019