Table 2.
Univariable Models % Fear of Recurrence |
Multivariable modelsa | |||||||
---|---|---|---|---|---|---|---|---|
AYA (n=1395) |
Older adult (n=2497) |
AYA (n=1034)b |
Older adult (n=1324)b |
|||||
Variables | % | p-value | % | p-value | OR (95% CI) | OR (95% CI) | ||
Sociodemographics | ||||||||
Age at survey completion (mean) | 37.8 | <0.01 | 55.1 | <0.001 | 0.967 (0.942–0.993) | 0.995 (0.951–1.041) | ||
Gender | ||||||||
Male | 80.5 | 74.8 | REF | REF | ||||
Female | 88.4 | <0.001 | 82.3 | <0.001 | 1.918 (1.208–3.048) | 1.192 (0.869–1.636) | ||
Race | ||||||||
White | 85.5 | 80.1 | 1.567 (0.907–2.708) | |||||
Other | 82.5 | 0.31 | 74.1 | 0.06 | REF | |||
Marital Status | ||||||||
Married/domestic partner | 86.0 | 81.0 | 1.236 (0.840–1.819) | 1.109 (0.794–1.548) | ||||
Other | 83.6 | 0.23 | 76.3 | 0.01 | REF | REF | ||
Educational attainment | ||||||||
Less than high school/high school degree | 85.3 | 83.3 | ||||||
Some college/technical/associate’s degree | 84.1 | 80.4 | ||||||
Bachelor’s degree | 84.6 | 78.9 | ||||||
Graduate/medical degree | 87.7 | 0.58 | 78.9 | 0.46 | ||||
Employment status | ||||||||
Employed (full or part-time) | 86.4 | 81.2 | 1.662 (1.080–2.558) | 1.047 (0.734–1.494) | ||||
Not employed (student/caregiver/retired) | 81.7 | 0.05 | 76.4 | <0.01 | REF | REF | ||
Total household income | ||||||||
≤80,000 | 84.6 | 79.4 | ||||||
≥81,000 | 85.3 | 0.75 | 80.8 | 0.46 | ||||
Insurance status | ||||||||
Private/military | 85.8 | 81.9 | REF | |||||
Medicare/Medicaid | 80.7 | 69.8 | 0.597 (0.368–0.969) | |||||
Other/none/don’t know | 85.5 | 0.58 | 82.8 | <0.001 | 1.315 (0.694–2.493) | |||
Cancer history | ||||||||
Age at cancer diagnosis (mean) | 30.1 | 0.02 | 50.7 | <0.001 | 1.013 (0.978–1.049) | 0.993 (0.949–1.040) | ||
Type of cancer | ||||||||
Breast | 91.7 | 79.7 | REF | |||||
Lymphoma | 85.6 | 82.7 | 0.709 (0.285–1.760) | |||||
Melanoma | 89.5 | 87.7 | 0.787 (0.254–2.433) | |||||
Testicular | 82.1 | 74.6 | 0.548 (0.217–1.384) | |||||
Thyroid | 83.9 | 83.3 | 0.303 (0.110–0.838) | |||||
Other | 83.5 | 0.05 | 79.0 | 0.36 | 0.481 (0.217–1.066) | |||
Time since last treatment | ||||||||
Less than five years | 89.4 | 81.1 | REF | REF | ||||
Five+ years | 79.2 | <0.001 | 75.2 | <0.01 | 0.515 (0.327–0.812) | 0.813 (0.532–1.245) | ||
Currently seeing an oncologist | ||||||||
Yes | 87.6 | 82.1 | 1.166 (0.767–1.772) | 1.394 (0.995–1.952) | ||||
No | 81.7 | <0.01 | 75.1 | <0.001 | REF | REF | ||
Currently seeing a primary care physician | ||||||||
Yes | 82.6 | 77.5 | 0.902 (0.594–1.368) | 0.983 (0.717–1.347) | ||||
No | 87.3 | 0.02 | 81.2 | 0.05 | REF | REF | ||
Type of treatment(s) received | ||||||||
Chemotherapy | ||||||||
Yes | 85.7 | 81.5 | 0.893 (0.641–1.244) | |||||
No | 84.4 | 0.51 | 77.2 | <0.01 | REF | |||
Radiation | ||||||||
Yes | 86.6 | 80.9 | 1.282 (0.876–1.877) | 0.985 (0.733–1.324) | ||||
No | 84.0 | 0.18 | 78.5 | 0.15 | REF | REF | ||
Surgery | ||||||||
Yes | 86.6 | 80.9 | 1.352 (0.873–2.095) | 1.432 (1.032–1.986) | ||||
No | 81.4 | 0.02 | 75.7 | <0.01 | REF | REF | ||
Participated in a clinical trial | ||||||||
Yes | 81.3 | 82.4 | 0.595 (0.358–0.991) | 1.218 (0.779–1.903) | ||||
No | 85.5 | 0.17 | 78.8 | 0.19 | REF | REF | ||
Received post-treatment instructions | ||||||||
Yes | 87.5 | 78.9 | ||||||
No | 84.1 | 0.36 | 80.8 | 0.54 | ||||
Received written cancer treatment summary | ||||||||
Yes | 81.5 | 78.3 | 0.751 (0.507–1.113) | |||||
No | 86.3 | 0.03 | 79.3 | 0.63 | REF | |||
Perceptions of cancer experience | ||||||||
Dedicated patient navigator on health care team | ||||||||
Yes | 87.1 | 69.9 | 0.616 (0.352–1.076) | |||||
No | 84.8 | 0.72 | 79.4 | 0.03 | REF | |||
Information on late-effects/risks of treatment met… | ||||||||
All of my needs | 74.8 | 69.5 | 0.526 (0.284–0.977) | 0.410 (0.207–0.811) | ||||
Many of my needs | 87.4 | 83.1 | 1.022 (0.562–1.857) | 0.700 (0.364–1.350) | ||||
Some of my needs | 88.2 | 79.7 | 1.187 (0.633–2.227) | 0.500 (0.262–0.951) | ||||
Very few to none of my needs | 87.3 | <0.001 | 87.9 | <0.001 | REF | REF | ||
Patient/Provider Communication Score (mean) | 10.4 | 0.97 | 10.8 | <0.001 | 0.949 (0.901–1.000) |
AYA, adolescent and young adult; OR, odds ratio; CI, confidence interval
All variables significantly associated with fear of recurrence in univariable analyses at the p < 0.25 level were entered into multivariable models; shaded cells reflect variables not entered into multivariable models.
AYA and non-AYA sample size for multivariable analyses was reduced due to missing values on some of the variables of interest.