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. Author manuscript; available in PMC: 2023 Oct 25.
Published in final edited form as: Pediatr Blood Cancer. 2019 May 6;66(8):e27789. doi: 10.1002/pbc.27789

TABLE 2.

AYA global contexts, examples, and suggested interventionsa

(1) (2) (3) (4) (5) (6)
Context Precarious labor conditions affecting AYA financial and work lives Changing timetables and priorities for developmental tasks Sexual and gender plurality Expanding cultural diversity of AYA Social genomics Technology and social media
Examples AYAs are particularly vulnerable to confronting financial hardship during and after treatment. The demands of confronting cancer during adolescence can often reroute “typical” developmental milestones. AYAs undergo cancer concurrently with sexual and gender identity formation. AYA is heralded as distinct because of its age range, yet cultural diversity within that group is often disregarded. AYA period is particularly dynamic biologically and psychosocially. Technology and social media are integrated activities into lifestyles of AYAs. Many use these tools to seek and share cancer-related information.
Suggested interventions Care team must connect AYAs to local financial resources as an integral function of the treatment plan. AYAs in the general population are redefining the typical developmental trajectory. Care team can encourage patients to frame their cancer as part of this new move toward individualized developmental trajectories. Care team must work to foster relationships between AYAs and care team members in which they can express and garner information about issues at the nexus of cancer and sexuality. Care team must attend thoroughly to language, religious values, and diverse racial identities among AYAs. Social genomics research on AYA cancer is needed to inform treatment recommendations and formulate new approaches to promote resilience. Care team should provide digital resources to educate patients about their cancer as well as provide spaces to express themselves and connect with peers.a
a

Adapted from Hammond.9