National estimates of mental health service use and unmet needs among adult cancer survivors

Background Cancer survivors are at elevated risk for developing mental health (MH) disorders. This study assessed MH service use and unmet service needs among a nationally representative sample of cancer survivors. Methods Respondents aged 18 to 64 years were identified from the 2015‐2018 National S...

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Bibliographic Details
Published in:Cancer 2021-11, Vol.127 (22), p.4296-4305
Main Authors: Ji, Xu, Marchak, Jordan Gilleland, Mertens, Ann C., Curseen, Kimberly A., Zarrabi, Ali J., Cummings, Janet R.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Adults
Cancer
Cancer Survivors - psychology
cancer survivorship
Health risks
Health services
Health Services Needs and Demand
Humans
Mental health
mental health care
Mental Health Services
Middle Aged
national estimates
Neoplasms - epidemiology
Neoplasms - psychology
Neoplasms - therapy
Oncology
Surveys and Questionnaires
Survival
Survivors - psychology
unmet needs
Young Adult
young adult survivors
Young adults
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Summary:Background Cancer survivors are at elevated risk for developing mental health (MH) disorders. This study assessed MH service use and unmet service needs among a nationally representative sample of cancer survivors. Methods Respondents aged 18 to 64 years were identified from the 2015‐2018 National Survey of Drug Use and Health data. Outcomes assessed past‐year MH service use and self‐reported unmet MH needs. Outcomes were compared between respondents who reported a cancer history (survivors) and those who did not (controls), descriptively and in adjusted analyses controlling for sociodemographic factors and health status. Analyses were stratified by age groups (18‐34, 35‐49, and 50‐64 years). Results Comparing 3540 survivors with 149,843 controls, within each age group, a higher proportion of survivors than controls received any MH service (P values 
ISSN:0008-543X
1097-0142
DOI:10.1002/cncr.33827