Psycho-oncology · 2026
Trajectories and Risk Factors of Poor Physical and Mental Health Among Cancer Survivors Before, During, and After the COVID-19 Pandemic.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Alizai Qaidar, Mevawalla Areesh, Angez Meher, Ejaz Rida, Elemosho Abdulaziz, Ekenze Sebastian, Yuza Kizuki, Bega Rabia, Pawlik Timothy M
Аннотация
BACKGROUND: The COVID-19 pandemic severely disrupted healthcare and socioeconomic systems linked to worse health outcomes. However, its association with health-related quality of life (HRQoL) among cancer survivors remains less well defined.
AIM: To evaluate pandemic-related changes in HRQoL among cancer survivors.
METHODS: Cancer survivors aged ≥ 18 years were identified in the 2017-2024 Behavioral Risk Factor Surveillance System (BRFSS). Periods were categorized as pre-pandemic (2017-2019), pandemic (2020-2021), and post-pandemic (2022-2024). Outcomes included poor physical health (PPH) and poor mental health (PMH; ≥ 14 days/month). Multivariable Poisson regression generated adjusted incidence rate ratios (aIRRs). Interrupted time series analyses (ITSA) assessed level and slope changes.
RESULTS: Among 194,144 cancer survivors, 35.6% (n = 69,174) were surveyed pre-pandemic, 20.6% (n = 40,040) during the pandemic, and 43.7% (n = 84,930) post-pandemic. Most were female (63.1%) and White (79.0%). Compared with pre-pandemic, the pandemic period was associated with lower adjusted rates of PPH (aIRR 0.91, 95% CI 0.88-0.95) but higher adjusted rates of PMH (aIRR 1.14, 95% CI 1.09-1.20; both p < 0.001). ITSA demonstrated an immediate 14.63% decline in PPH at pandemic onset (95% CI -22.08 to -7.18), whereas PMH demonstrated a pandemic-era upward trend (7.72%/year, 95% CI 3.05-12.40).
CONCLUSION: Among cancer survivors, COVID-19 pandemic was associated with an immediate decrease in the prevalence of poor physical health, followed by a steady increase in the prevalence of poor mental health during the pandemic. Routine mental health screening and scalable psychosocial support are encouraged within survivorship care, particularly during periods of system-wide disruption.
AIM: To evaluate pandemic-related changes in HRQoL among cancer survivors.
METHODS: Cancer survivors aged ≥ 18 years were identified in the 2017-2024 Behavioral Risk Factor Surveillance System (BRFSS). Periods were categorized as pre-pandemic (2017-2019), pandemic (2020-2021), and post-pandemic (2022-2024). Outcomes included poor physical health (PPH) and poor mental health (PMH; ≥ 14 days/month). Multivariable Poisson regression generated adjusted incidence rate ratios (aIRRs). Interrupted time series analyses (ITSA) assessed level and slope changes.
RESULTS: Among 194,144 cancer survivors, 35.6% (n = 69,174) were surveyed pre-pandemic, 20.6% (n = 40,040) during the pandemic, and 43.7% (n = 84,930) post-pandemic. Most were female (63.1%) and White (79.0%). Compared with pre-pandemic, the pandemic period was associated with lower adjusted rates of PPH (aIRR 0.91, 95% CI 0.88-0.95) but higher adjusted rates of PMH (aIRR 1.14, 95% CI 1.09-1.20; both p < 0.001). ITSA demonstrated an immediate 14.63% decline in PPH at pandemic onset (95% CI -22.08 to -7.18), whereas PMH demonstrated a pandemic-era upward trend (7.72%/year, 95% CI 3.05-12.40).
CONCLUSION: Among cancer survivors, COVID-19 pandemic was associated with an immediate decrease in the prevalence of poor physical health, followed by a steady increase in the prevalence of poor mental health during the pandemic. Routine mental health screening and scalable psychosocial support are encouraged within survivorship care, particularly during periods of system-wide disruption.