Details:

Alternative Title:
Support Care Cancer
Publisher's site:
http://dx.doi.org/10.1007/s00520-020-05861-8
Personal Author:
Fischer, Caitlin M. ; Hamilton, Ann S. ; Slaughter, Rhona I. ; Milam, Joel
Fischer, Caitlin M. ; Hamilton, Ann S. ; Slaughter, Rhona I. ; Milam, Joel Less -
Description:
Purpose

As childhood cancer survivors (CCS) age, they face numerous long-term consequences, or late effects, from their cancer treatments. Late effects may be mitigated by health promoting behaviors, including the avoidance of substance use. CCS with greater depression symptomology have reported greater substance use, but whether their habits are associated with the mental health of their caregivers is unknown. The aim of this study was to examine caregiver psychosocial correlates of CCS substance use.

Methods

This study utilizes data from the Project Forward pilot study, which collected data from 129 CCS-caregiver dyads (CCS mean age =19.43, SD= 2.78; years since diagnosis = 7.62, SD= 2.06) from two large hospitals in Los Angeles County. CCS provided self-reported information on substance use, while caregivers self-reported on posttraumatic stress symptomatology (PTSS) associated with their child’s cancer and current depressive symptoms.

Results

Among CCS, prior 30-day tobacco, marijuana, binge drinking and polysubstance use were 12.50%, 14.17%, 13.18% and 12.40%. In multivariable logistic regression models, caregiver PTSS was independently positively associated with CCS tobacco use. No other significant relationships between caregiver mental health (PTSS or depressive symptoms) and CCS substance use were observed.

Conclusion

These findings suggest that caregiver PTSS is partially associated with CCS behavioral health. Survivorship care may improve tobacco use prevention efforts by incorporating family or caregiver mental health needs. Future research should examine the potential mediating effect of CCS mental health, including depressive symptoms, on this relationship.


Subject:
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Adult Alcoholism Cancer Survivors Cross-Sectional Studies Female Humans Male Marijuana Use Mental Health Pilot Projects Tobacco Use Young Adult
Source:
Support Care Cancer. 29(7):3649-3656
Pubmed ID:
33180201
Pubmed Central ID:
PMC8113356
Document Type:
Journal Article
Funding:
R01 MD007801/MD/NIMHD NIH HHSUnited States/ ; HHSN261201000140C/CA/NCI NIH HHSUnited States/ ; HHSN261201000035C/CA/NCI NIH HHSUnited States/ ; T32 CA009492/CA/NCI NIH HHSUnited States/ ; 28IR-0052/The Regents of the University of California, Research Grants Program Office/ ; ... More +
R01 MD007801/MD/NIMHD NIH HHSUnited States/ ; HHSN261201000140C/CA/NCI NIH HHSUnited States/ ; HHSN261201000035C/CA/NCI NIH HHSUnited States/ ; T32 CA009492/CA/NCI NIH HHSUnited States/ ; 28IR-0052/The Regents of the University of California, Research Grants Program Office/ ; R01MD007801/MD/NIMHD NIH HHSUnited States/ ; T32CA009492/National Cancer Institute of the National Institutes of Health/ ; P30 CA014089/CA/NCI NIH HHSUnited States/ ; HHSN261201000035I/CA/NCI NIH HHSUnited States/ ; HHSN261201000034C/CA/NCI NIH HHSUnited States/ ; U58 DP003862/DP/NCCDPHP CDC HHSUnited States/ ; P30CA014089/National Cancer Institute of the National Institutes of Health/ Less -
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:ffc1a15c7e52f97ea4c13b4a00dd1639a74227cc734fee2cc41a3eaf06a6b12c
Download URL:
https://stacks.cdc.gov/view/cdc/106212/cdc_106212_DS1.pdf
File Type:

Supporting Files

• nihms-1646447.nxml

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