Freddie Yang, Kristin Litzelman, Xuesong Han, Zhiyuan Zheng, Xin Hu, K Robin Yabroff, Jingxuan Zhao
{"title":"美国老年人伴侣癌症病史与获得护理的关系","authors":"Freddie Yang, Kristin Litzelman, Xuesong Han, Zhiyuan Zheng, Xin Hu, K Robin Yabroff, Jingxuan Zhao","doi":"10.1016/j.amepre.2025.108152","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The long-term effects of individuals' cancer diagnosis and treatment may disrupt their partners' daily activities, employment, and financial stability, potentially impacting access to healthcare. This study aimed to examine the association of partner cancer history and access to care.</p><p><strong>Methods: </strong>Adults aged ≥50 years living with a partner who participated in the 2010-2022 Health and Retirement Study were included in this cross-sectional study. Individuals were categorized as with or without a partner with a cancer history. Access to care was measured as: 1) having a usual source of care, 2) difficulties finding a provider, 3) inability to afford medical care, and 4) receipt of preventive services, including flu vaccination, cholesterol checks, and any breast, colorectal, or cervical cancer screenings within the past 2 years. Multivariable logistic regression analyses were used to examine associations of partner cancer history and access to care, adjusted for age, sex, race and ethnicity, educational attainment, comorbidities, individual cancer history, and survey year.</p><p><strong>Results: </strong>Individuals whose partner had a cancer history had higher odds of reporting challenges in finding a general provider (odds ratio (OR): 1.30, 95% confidence interval (CI): 1.04-1.62) than individuals without partner cancer history. Partner cancer history was associated with a higher likelihood of receiving breast (1.34(1.07-1.68)) and colorectal (1.15(1.03-1.29)) cancer screenings among eligible populations.</p><p><strong>Conclusions: </strong>Programs aimed at improving resources are needed for individuals with a partner diagnosed with cancer. Partner's cancer diagnosis may also enhance individuals' awareness and uptake of cancer screenings.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":"108152"},"PeriodicalIF":4.5000,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Associations of partner cancer history with access to care among older adults in the U.S.\",\"authors\":\"Freddie Yang, Kristin Litzelman, Xuesong Han, Zhiyuan Zheng, Xin Hu, K Robin Yabroff, Jingxuan Zhao\",\"doi\":\"10.1016/j.amepre.2025.108152\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The long-term effects of individuals' cancer diagnosis and treatment may disrupt their partners' daily activities, employment, and financial stability, potentially impacting access to healthcare. This study aimed to examine the association of partner cancer history and access to care.</p><p><strong>Methods: </strong>Adults aged ≥50 years living with a partner who participated in the 2010-2022 Health and Retirement Study were included in this cross-sectional study. Individuals were categorized as with or without a partner with a cancer history. Access to care was measured as: 1) having a usual source of care, 2) difficulties finding a provider, 3) inability to afford medical care, and 4) receipt of preventive services, including flu vaccination, cholesterol checks, and any breast, colorectal, or cervical cancer screenings within the past 2 years. Multivariable logistic regression analyses were used to examine associations of partner cancer history and access to care, adjusted for age, sex, race and ethnicity, educational attainment, comorbidities, individual cancer history, and survey year.</p><p><strong>Results: </strong>Individuals whose partner had a cancer history had higher odds of reporting challenges in finding a general provider (odds ratio (OR): 1.30, 95% confidence interval (CI): 1.04-1.62) than individuals without partner cancer history. Partner cancer history was associated with a higher likelihood of receiving breast (1.34(1.07-1.68)) and colorectal (1.15(1.03-1.29)) cancer screenings among eligible populations.</p><p><strong>Conclusions: </strong>Programs aimed at improving resources are needed for individuals with a partner diagnosed with cancer. Partner's cancer diagnosis may also enhance individuals' awareness and uptake of cancer screenings.</p>\",\"PeriodicalId\":50805,\"journal\":{\"name\":\"American Journal of Preventive Medicine\",\"volume\":\" \",\"pages\":\"108152\"},\"PeriodicalIF\":4.5000,\"publicationDate\":\"2025-10-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"American Journal of Preventive Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.amepre.2025.108152\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Preventive Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.amepre.2025.108152","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Associations of partner cancer history with access to care among older adults in the U.S.
Background: The long-term effects of individuals' cancer diagnosis and treatment may disrupt their partners' daily activities, employment, and financial stability, potentially impacting access to healthcare. This study aimed to examine the association of partner cancer history and access to care.
Methods: Adults aged ≥50 years living with a partner who participated in the 2010-2022 Health and Retirement Study were included in this cross-sectional study. Individuals were categorized as with or without a partner with a cancer history. Access to care was measured as: 1) having a usual source of care, 2) difficulties finding a provider, 3) inability to afford medical care, and 4) receipt of preventive services, including flu vaccination, cholesterol checks, and any breast, colorectal, or cervical cancer screenings within the past 2 years. Multivariable logistic regression analyses were used to examine associations of partner cancer history and access to care, adjusted for age, sex, race and ethnicity, educational attainment, comorbidities, individual cancer history, and survey year.
Results: Individuals whose partner had a cancer history had higher odds of reporting challenges in finding a general provider (odds ratio (OR): 1.30, 95% confidence interval (CI): 1.04-1.62) than individuals without partner cancer history. Partner cancer history was associated with a higher likelihood of receiving breast (1.34(1.07-1.68)) and colorectal (1.15(1.03-1.29)) cancer screenings among eligible populations.
Conclusions: Programs aimed at improving resources are needed for individuals with a partner diagnosed with cancer. Partner's cancer diagnosis may also enhance individuals' awareness and uptake of cancer screenings.
期刊介绍：
The American Journal of Preventive Medicine is the official journal of the American College of Preventive Medicine and the Association for Prevention Teaching and Research. It publishes articles in the areas of prevention research, teaching, practice and policy. Original research is published on interventions aimed at the prevention of chronic and acute disease and the promotion of individual and community health.
Of particular emphasis are papers that address the primary and secondary prevention of important clinical, behavioral and public health issues such as injury and violence, infectious disease, women''s health, smoking, sedentary behaviors and physical activity, nutrition, diabetes, obesity, and substance use disorders. Papers also address educational initiatives aimed at improving the ability of health professionals to provide effective clinical prevention and public health services. Papers on health services research pertinent to prevention and public health are also published. The journal also publishes official policy statements from the two co-sponsoring organizations, review articles, media reviews, and editorials. Finally, the journal periodically publishes supplements and special theme issues devoted to areas of current interest to the prevention community.
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