TY - JOUR
T1 - When cancer survivors are also caregivers
T2 - well-being of “dual-role” cancer survivors
AU - Wang, Qian
AU - Wen, Chi
AU - Jiang, Changchuan
AU - Xie, Hui
AU - Theodoropoulos, Nicholas
AU - Li, Yannan
AU - Zhang, Yaning
AU - Shapiro, Charles
N1 - Publisher Copyright:
© The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022. Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
PY - 2024/4
Y1 - 2024/4
N2 - Purpose: As the life expectancy of cancer survivors continues to improve, cancer survivors start or resume their life roles as caregivers themselves. We aim to assess the associations between caregiving, cancer diagnosis, and self-reported well-being. Methods: Data were obtained from the Behavioral Risk Factor Surveillance System (BRFSS) 2016, 2018, and 2020. Outcomes included self-reported general health, physical health, mental health, depression, physical inactivity, and poor sleep. Weighted multivariable logistic regression models were used to calculate self-reported well-being’s adjusted odds ratio (aOR). Results: Comparable to the proportion of caregivers in the general population, approximately 1 out of 5 cancer survivors were caregivers to others. Individuals with dual roles were significantly more likely to report poor general health (aOR = 2.45; 95%CI: 1.46–4.11), physical health (aOR = 2.17; 95%CI: 1.32–3.56), mental health (aOR = 2.47; 95%CI: 1.31–4.64), depression (aOR = 1.64; 95%CI: 1.15–2.41), physical inactivity (aOR = 1.56; 95%CI: 1.05–2.31), and poor sleep (aOR = 1.48; 95%CI: 1.00–2.19) than the general population. Differential impacts of an additional cancer diagnosis on the well-being of caregivers were observed by sex, race, and time since cancer diagnosis. Conclusions: Nearly four million cancer survivors in the USA are concomitant caregivers. Individuals with dual roles reported diminished well-being across a variety of measures than caregivers only. Implications for Cancer Survivors: Significant unmet health and psychosocial needs exist among individuals with dual roles. Our findings urge for increased awareness of this additional role/responsibility in cancer survivors and provide direct evidence for healthcare providers and policymakers to develop substantial support from the structural level.
AB - Purpose: As the life expectancy of cancer survivors continues to improve, cancer survivors start or resume their life roles as caregivers themselves. We aim to assess the associations between caregiving, cancer diagnosis, and self-reported well-being. Methods: Data were obtained from the Behavioral Risk Factor Surveillance System (BRFSS) 2016, 2018, and 2020. Outcomes included self-reported general health, physical health, mental health, depression, physical inactivity, and poor sleep. Weighted multivariable logistic regression models were used to calculate self-reported well-being’s adjusted odds ratio (aOR). Results: Comparable to the proportion of caregivers in the general population, approximately 1 out of 5 cancer survivors were caregivers to others. Individuals with dual roles were significantly more likely to report poor general health (aOR = 2.45; 95%CI: 1.46–4.11), physical health (aOR = 2.17; 95%CI: 1.32–3.56), mental health (aOR = 2.47; 95%CI: 1.31–4.64), depression (aOR = 1.64; 95%CI: 1.15–2.41), physical inactivity (aOR = 1.56; 95%CI: 1.05–2.31), and poor sleep (aOR = 1.48; 95%CI: 1.00–2.19) than the general population. Differential impacts of an additional cancer diagnosis on the well-being of caregivers were observed by sex, race, and time since cancer diagnosis. Conclusions: Nearly four million cancer survivors in the USA are concomitant caregivers. Individuals with dual roles reported diminished well-being across a variety of measures than caregivers only. Implications for Cancer Survivors: Significant unmet health and psychosocial needs exist among individuals with dual roles. Our findings urge for increased awareness of this additional role/responsibility in cancer survivors and provide direct evidence for healthcare providers and policymakers to develop substantial support from the structural level.
KW - BRFSS
KW - Cancer survivor
KW - Caregiver
KW - Dual roles
KW - Well-being
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U2 - 10.1007/s11764-022-01265-1
DO - 10.1007/s11764-022-01265-1
M3 - Article
C2 - 36222970
AN - SCOPUS:85139694435
SN - 1932-2259
VL - 18
SP - 553
EP - 564
JO - Journal of Cancer Survivorship
JF - Journal of Cancer Survivorship
IS - 2
ER -