| Disparities in mental health between rural and nonrural cancer survivors: a preliminary study. | |
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MedLine Citation:
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PMID: 19582800 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: While much research has sought to identify disparities in cancer incidence, survival, and treatment, little research has sought to identify disparities in mental health (MH) outcomes among cancer survivors. The present study aims to identify disparities in MH outcomes between rural and nonrural cancer survivors. METHODS: Cancer survivors who met eligibility criteria were identified through the Kentucky SEER Cancer Registry. Rural status was determined by 2003 USDA Rural-Urban Continuum Codes. 116 (n=54 rural, 62 nonrural) survivors with diagnoses of breast (n=42), hematologic (n=39), or colorectal (n=35) cancer completed mail-back questionnaires and/or a telephone interview. RESULTS: Rural cancer survivors reported poorer MH functioning (effect size (ES)=0.45 SD), greater symptoms of anxiety (ES=0.70) and depression (ES=0.47), greater distress (ES=0.41), and more emotional problems (ES=0.47) than nonrural cancer survivors. Rural and nonrural cancer survivors did not differ consistently in regard to positive MH outcomes, such as benefit finding. The pattern of results was maintained when adjusted for education and physical functioning. CONCLUSIONS: Clinically important disparities in MH outcomes were evident between rural and nonrural cancer survivors. Interventions aimed at raising access and utilization of MH services may be indicated for cancer survivors in rural areas. |
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Authors:
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Jessica L Burris; Michael Andrykowski |
Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural |
Journal Detail:
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Title: Psycho-oncology Volume: 19 ISSN: 1099-1611 ISO Abbreviation: Psychooncology Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-06-02 Completed Date: 2010-09-03 Revised Date: 2011-09-26 |
Medline Journal Info:
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Nlm Unique ID: 9214524 Medline TA: Psychooncology Country: England |
Other Details:
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Languages: eng Pagination: 637-45 Citation Subset: IM |
Copyright Information:
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(c) 2009 John Wiley & Sons, Ltd. |
Affiliation:
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Department of Psychology, University of Kentucky, Lexington, KY 40506-0086, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Anxiety / etiology, psychology Breast Neoplasms / psychology Chi-Square Distribution Colorectal Neoplasms / psychology Depression / etiology, psychology Female Health Status Disparities* Hematologic Neoplasms / psychology Humans Kentucky Logistic Models Male Mental Health* Middle Aged Neoplasms / psychology* Personal Satisfaction Psychiatric Status Rating Scales Rural Population* Stress, Psychological / etiology, psychology Survivors / psychology* |
| Grant Support | |
ID/Acronym/Agency:
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R25 CA098220/CA/NCI NIH HHS; R25 CA098220-05/CA/NCI NIH HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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