TABLE 2.
(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 |
Adapted from Hammond.9