Table 4.
Factors associated with reporting a cancer-related medical visit within the last two years
| Cancer-related medical visit within the LAST 2 years | |||||
|---|---|---|---|---|---|
| Yes (N=264) |
No (N=679) |
Univariate Model | |||
| Characteristic | % | % | RR | 95% CI | P-value |
| Sex | |||||
| Female (referent) | 28.7 | 71.3 | 1.0 | ||
| Male | 26.1 | 73.9 | 0.9 | 0.7–1.1 | 0.38 |
| Current age* | |||||
| Mean | 31.1 | 30.0 | 1.1 | 0.9–1.1 | 0.07 |
| Race/ethnicity | |||||
| Minorities (referent) | 32.0 | 68.0 | 1.0 | ||
| White, non-Hispanic | 26.2 | 73.8 | 0.8 | 0.7 – 1.0 | 0.08 |
| Health insurance | |||||
| No (referent) | 20.2 | 79.8 | 1.0 | ||
| Yes | 27.8 | 72.2 | 1.4 | 0.9–2.0 | 0.11 |
| Primary care physician | |||||
| No (referent) | 17.2 | 82.8 | 1.0 | ||
| Yes | 29.1 | 70.9 | 1.7 | 1.1–2.6 | 0.02 |
| Education | |||||
| ≤High school graduate (referent) | 25.8 | 74.2 | 1.0 | ||
| Some college or vocational training | 29.1 | 70.9 | 1.1 | 0.9–1.4 | 0.48 |
| College graduate | 28.8 | 71.2 | 1.1 | 0.8–1.3 | 0.59 |
| Age at cancer diagnosis* | |||||
| Mean | 9.5 | 8.6 | 1.1 | 0.9–1.2 | 0.05 |
| Interval from diagnosis to survey | |||||
| 10–14y (referent) | 28.9 | 71.1 | 1.0 | ||
| 15–19y | 27.0 | 73.0 | 1.0 | 0.8–1.2 | 0.85 |
| 20–24y | 25.0 | 75.0 | 0.9 | 0.7–1.1 | 0.25 |
| ≥ 25y | 31.2 | 68.8 | 1.2 | 0.9–1.5 | 0.13 |
| Cancer therapy | |||||
| Chemotherapy | |||||
| Any | 25.4 | 74.6 | 0.8 | 0.6–1.0 | 0.09 |
| Alkylating agents, moderate/high dose | 24.7 | 75.3 | 1.1 | 0.8–1.7 | 0.49 |
| Anthracyclines≥300 mg/m2 | 32.1 | 67.9 | 1.4 | 1.0–1.9 | 0.03 |
| Radiation therapy | |||||
| Any | 29.1 | 70.9 | 1.4 | 1.1–1.8 | 0.02 |
| Cranial | 27.5 | 72.5 | 1.0 | 0.8–1.3 | 0.74 |
| Chest | 32.2 | 67.8 | 1.3 | 1.0–1.6 | 0.06 |
| Primary care | |||||
| Seen PCP since finishing treatment | 43.4 | 56.6 | 2.2 | 1.8–2.8 | <0.001 |
| PCP can handle cancer-related problems | 27.4 | 72.6 | 1.0 | 0.8–1.2 | 0.90 |
| Cancer care | |||||
| Cancer center visit within last 4yrs | 42.8 | 57.2 | 2.1 | 1.7–2.6 | <0.001 |
| Live>200 miles from cancer center | 25.0 | 75.0 | 0.9 | 0.7–1.1 | 0.15 |
| Have cancer treatment summary | 38.4 | 61.5 | 1.5 | 1.2 – 2.0 | <0.001 |
| Chronic health problem related to cancer | |||||
| None/mild (referent) | 18.4 | 81.6 | 1.0 | ||
| Moderate/severe/life-threatening | 62.9 | 37.1 | 3.4 | 2.8–4.1 | <0.001 |
| Health care motivation† | |||||
| Interest in routine medical visit | 3.6 | 3.1 | 1.3 | 1.2–1.4 | <0.001 |
| Importance of cancer-related visit | 4.0 | 3.2 | 1.4 | 1.3–1.6 | <0.001 |
| Beliefs about health and health care† | |||||
| Cancer-related health problem likely | 3.6 | 2.7 | 1.5 | 1.4–1.6 | <0.001 |
| Health concerns and worries | 3.0 | 2.5 | 1.6 | 1.4–1.8 | <0.001 |
| Confidence in doctors | 3.9 | 3.6 | 1.2 | 1.1–1.3 | 0.01 |
| Health locus of control¶ | |||||
| Internal | 23.8 | 25.3 | 0.9 | 0.9–0.9 | <0.001 |
| Chance | 17.5 | 17.1 | 1.0 | 0.9–1.0 | 0.28 |
| Powerful others | 18.8 | 17.5 | 1.1 | 1.0–1.1 | 0.01 |
| Influence of survivorship media† | 2.1 | 1.9 | 1.1 | 0.9–1.2 | 0.11 |
| Barriers† | |||||
| Difficulty finding a doctor | 1.9 | 2.0 | 0.9 | 0.8–1.0 | 0.11 |
| Transportation problems§ | 1.4 | 1.3 | 1.4 | 1.0–1.8 | 0.04 |
| Health insurance problems | 2.3 | 2.2 | 1.0 | 0.9–1.1 | 0.23 |
| Doctors too rushed for questions | 3.4 | 3.3 | 1.1 | 0.9–1.2 | 0.21 |
| Painful memory of cancer treatment | 3.8 | 3.4 | 1.2 | 1.1–1.3 | <0.001 |
Notes:
Row percentages and means adjusted for sampling weights and calculated with respect to weighted totals (yes, N=1295; no, N=3446; weighted sum is less than 4903 due to missing values)
*
RR for each 5-year increase in age
†
RR for each 1-unit increase on a 5-point Likert scale (1=not at all/almost never; 5=extremely/almost always)
¶
RR for each 1-unit increase on a 36-point scale
§
RR for moderate/quite a bit/extreme vs. none/a little bit