Table 3. Factors Associated With Unmet Supportive Care Needs.
| Variable | Univariate | Multivariate | ||
|---|---|---|---|---|
| OR (95% CI) | P value | OR (95% CI) | P value | |
| Demographic characteristics | ||||
| Aged ≥65 y (reference: aged <65 y) | 0.73 (0.63-0.84) | <.001 | 0.86 (0.73-1.02) | .08 |
| Male (reference: female) | 0.80 (0.69-0.72) | .002 | NA | NA |
| Race (reference: White) | ||||
| Black | 1.69 (1.33-2.15) | <.001 | 1.97 (1.49-2.60) | <.001 |
| Othera | 0.75 (0.48-1.17) | .21 | 0.88 (0.47-1.62) | .67 |
| Hispanic (reference: non-Hispanic) | 1.34 (1.16-1.55) | <.001 | 1.31 (1.10-1.55) | .003 |
| Spanish speaker (reference: English speaker) | 1.33 (1.14-1.55) | <.001 | NA | NA |
| Uninsured (reference: insured) | 0.95 (0.54-1.67) | .86 | NA | NA |
| Clinical characteristics | ||||
| High CCI (reference: CCI low) | 1.19 (1.01-1.40) | .04 | NA | NA |
| Active treatment (reference: no active treatment) | 1.62 (1.37-1.93) | <.001 | 1.21 (0.99-1.46) | .05 |
| Metastatic cancer (reference: nonmetastatic cancer) | 1.16 (0.84-1.61) | .37 | NA | NA |
| Time since cancer diagnosis (reference: <1 y) | ||||
| 1-5 y | 0.60 (0.52-0.71) | .02 | 0.64 (0.54-0.77) | <.001 |
| >5 y | 0.54 (0.44-0.66) | <.001 | 0.60 (0.48-0.76) | <.001 |
| Cancer type (reference: breast cancer) | ||||
| Digestive system | 1.31 (1.12-1.68) | .04 | NA | NA |
| Female genital system | 1.43 (1.08-1.89) | .01 | NA | NA |
| Head and neck | 0.83 (0.61-1.15) | .26 | NA | NA |
| Hematology | 0.96 (0.74-1.23) | .73 | NA | NA |
| Respiratory system | 1.30 (0.97-1.73) | .07 | NA | NA |
| Male genital system | 0.86 (0.65-1.14) | .29 | NA | NA |
| Other or unknown | 1.02 (0.81-1.29) | .89 | NA | NA |
| Patient-reported outcomes | ||||
| Anxiety | 5.20 (4.22-6.40) | <.001 | 2.25 (1.71-2.95) | <.001 |
| Depression | 5.01 (4.10-6.12) | <.001 | 2.07 (1.58-2.70) | <.001 |
| Pain | 3.51 (2.64-4.66) | <.001 | NA | NA |
| Fatigue | 4.63 (3.38-6.35) | <.001 | 1.43 (0.97-2.13) | .07 |
| Poor physical function | 2.88 (2.35-3.53) | <.001 | 1.38 (1.07-1.79) | .01 |
| Low FACT-G7 score (≤13) | 4.11 (3.45-4.89) | <.001 | 1.89 (1.50-2.39) | <.001 |
Abbreviations: CCI, Charlson Comorbidity Index; FACT-G7, Functional Assessment of Cancer Therapy–General (7-item version); OR, odds ratio; NA, not applicable.
a
Includes American Indian or Alaska Native, Asian, Native Hawaiian or other Pacific Islander, and more than 1 race.