Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc
Journal website http://www.jocmr.org

Original Article

Volume 11, Number 7, July 2019, pages 515-523


A Cross-Sectional Study Evaluating Potential Differences in the Need for Cancer Survivorship Care in Relation to Patients’ Socioeconomic Status

Tables

Table 1. Sociodemografic Characteristics Among Patients With Cancer in Hospital and Primary Care
 
Hospital (n = 89)Primary care (n = 99)
aOther cancer types include cancer of lip, oral cavity and pharynx, digestive organs, melanoma and other malignant neoplasms of the skin, mesothelial and soft tissue, urinary tract, thyroid and endocrine glands, as well as cancer of ill-defined, secondary and unspecified sites; bLow (primary school), medium (upper secondary school, vocational education), and high (short-, medium- and high-term higher education and PHD).
Gender, n (%)
  Women39 (43.8)68 (68.7)
  Men50 (56.2)31 (31.3)
Age, n (%)
  18 - 398 (9.0)4 (4.0)
  40 - 498 (9.0)10 (10.1)
  50 - 5921 (23.6)38 (38.4)
  60 - 6923 (25.8)32 (32.3)
  70 - 7929 (32.6)15 (15.2)
Cancer diagnosesa, n (%)
  Respiratory and intrathoracic organs010 (10.1)
  Breast cancer034 (34.3)
  Female genital organs07 (7.1)
  Male genital organs06 (6.1)
  Lymphoid, hematopoietic and related tissue79 (89.8)9 (9.1)
  Other cancer type10 (11.2)33 (33.3)
Time from diagnosis to stated needs, n (%)
  0 - 182 days55 (61.8)49 (49.5)
  183 - 365 days8 (9.0)23 (23.2)
  366 - 547 days4 (4.5)6 (6.1)
  548 + days17 (19.1)21 (21.2)
  Missing5 (5.6)0
Cohabitation status, n (%)
  Living alone30 (33.7)39 (39.4)
  Cohabiting/married59 (66.3)60 (60.6)
Highest attained educationb, n (%)
  Low26 (29.2)18 (18.2)
  Medium35 (39.3)45 (45.5)
  High25 (28.1)35 (35.4)
  Missing3 (3.4)1 (1.0)
Income, n (%)
  Low (first quartile)31 (34.8)16 (16.2)
  Medium (second and third quartile)42 (47.2)52 (52.5)
  High (fourth quartile)16 (18.0)31 (31.3)
Labor market status, n (%)
  Outside the workforce9 (10.1)11 (11.1)
  Pensioners43 (48.3)28 (28.3)
  Working37 (41.6)60 (60.6)

 

Table 2. Association Between Socioeconomic Background and Needs According to Health Care Sector
 
Hospital (n = 89)Adjusted OR (95% CI)aPrimary care (n = 99)Adjusted OR (95% CI)aTotal (n = 188)Adjusted OR (95% CI)a
< eight needs, n (%)≥ eight needs, n (%)OR (95% CI)< eight needs, n (%)≥ eight needs, n (%)OR (95% CI)< eight needs, n (%)≥ eight needs, n (%)OR (95% CI)
aAdjusted for age and gender; bLow (primary school), medium (upper secondary school, vocational education), and high (short-, medium- and high-term higher education and PHD).
Gender
  Women23 (59.0)16 (41.0)ReferenceReference38 (55.9)30 (44.1)ReferenceReference61 (57.0)46 (43.0)ReferenceReference
  Men31 (62.0)19 (38.0)0.88 (0.37 - 2.07)0.89 (0.37 - 2.15)12 (38.7)19 (61.3)2.01 (0.84 - 4.77)2.66 (1.04 - 6.79)43 (53.1)38 (46.9)1.71 (0.66 - 2.09)1.30 (0.71 - 2.39)
Cohabitation status
  Living alone15 (50.0)15 (50.0)ReferenceReference17 (43.6)22 (56.4)ReferenceReference32 (46.4)37 (53.6)ReferenceReference
  Cohabiting/married39 (66.1)20 (33.9)0.51 (0.21 - 1.26)0.51 (0.20 - 1.29)33 (55.0)27 (45.0)0.63 (0.28 - 1.42)0.54 (0.23 - 1.27)72 (60.5)47 (39.5)0.56 (0.31 - 1.03)0.55 (0.30 - 1.02)
Highest attained educationb
  Low15 (57.7)11 (42.3)ReferenceReference7 (38.9)11 (61.1)ReferenceReference22 (50.0)22 (50.0)ReferenceReference
  Medium21 (60.0)14 (40.0)0.91 (0.32 - 2.55)0.88 (0.31 - 2.50)23 (51.1)22 (48.9)0.61 (0.20 - 1.85)0.48 (0.15 - 1.54)44 (55.0)36 (45.0)0.82 (0.39 - 1.71)0.77 (0.36 - 1.62)
  High16 (64.0)9 (36.0)0.77 (0.25 - 2.40)0.74 (0.23 - 2.37)19 (54.3)16 (45.7)0.54 (0.17 - 1.71)0.54 (0.16 - 1.81)35 (58.3)25 (41.7)0.71 (0.33 - 1.56)0.67 (0.30 - 1.49)
Income
  Low (first quartile)18 (58.1)13 (41.9)ReferenceReference5 (31.3)11 (68.8)ReferenceReference23 (48.9)24 (51.1)ReferenceReference
  Medium (second and third quartile)26 (61.9)16 (38.1)0.85 (0.33 - 2.20)0.82 (0.31 - 2.16)31 (59.6)21 (40.4)0.31 (0.09 - 1.02)0.31 (0.09 - 1.06)57 (60.6)37 (39.4)0.62 (0.31 - 1.26)0.63 (0.31 - 1.29)
  High (fourth quartile)10 (62.5)6 (37.5)0.83 (0.24 - 2.87)0.83 (0.24 - 2.91)14 (45.2)17 (54.8)0.55 (0.15 - 1.97)0.36 (0.09 - 1.43)24 (51.1)23 (48.9)0.92 (0.41 - 2.06)0.84 (0.37 - 1.91)
Labor market status
  Outside the workforce4 (44.4)5 (55.6)ReferenceReference4 (36.4)7 (63.6)ReferenceReference8 (40.0)12 (60.0)ReferenceReference
  Pensioners27 (62.8)16 (37.2)0.47 (0.11 - 2.03)0.45 (0.08 - 2.44)15 (53.6)13 (46.4)0.50 (0.12 - 2.08)0.98 (0.18 - 5.38)42 (59.2)29 (40.9)0.46 (0.17 - 1.27)0.54 (0.17 - 1.74)
  Working23 (62,2)14 (37.8)0.49 (0.11 - 2.12)0.49 (0.11 - 2.17)31 (51.7)29 (48.3)0.53 (0.14 - 2.02)0.49 (0.12 - 1.98)54 (55.7)43 (44.3)0.53 (0.20 - 1.41)0.52 (0.20 - 1.40)

 

Table 3. Stated Needs Among Patients With Cancer at Hospital and in Primary Care
 
Hospital (n = 89)Primary care (n = 99)
Practical areas, n (%)
  048 (53.9)64 (64.7)
  ≥ 141 (46.1)35 (35.4)
Work/school areas, n (%)
  078 (87.6)78 (78.8)
  ≥ 111 (12.4)21 (21.2)
Family areas, n (%)
  081 (91.0)82 (82.8)
  ≥ 18 (9.0)17 (17.2)
Physical areas, n (%)
  014 (15.7)4 (4.0)
  ≥ 175 (84.3)95 (96.0)
Emotional areas, n (%)
  045 (50.6)47 (47.5)
  ≥ 144 (49.4)52 (52.5)
Spiritual/religious worries, n (%)
  089 (100)96 (97.0))
  ≥ 10 (0)3 (3.0)
All needs, n (%)
  07 (7.9)0 (0)
  ≥ 182 (92.1)99 (100)