Substance use among adolescent and young adult Hispanic cancer survivors

青少年和年轻西班牙裔癌症幸存者的药物使用情况

基本信息

批准号：
7942751
负责人：
Joel E Milam
金额：
$ 8.1万
依托单位：
UNIVERSITY OF SOUTHERN CALIFORNIA
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-09-29 至 2013-11-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7942751
关键词：
Acculturation Adolescent Affect Age Alcohol consumption Alcohol or Other Drugs use Alcohols Behavior Behavioral California Cancer Survivor Caring Child Clinical Cohort Studies Conflict (Psychology)Data Development Diagnosis Drug usage Education Epidemiology Ethnic group Family Funding Funding Mechanisms Gender Goals Health Health Promotion Health behavior Health education Hispanics Hospitals Income Institutes Knowledge Late Effects Life Link Los Angeles Malignant Childhood Neoplasm Malignant Neoplasms Marijuana Mental Depression Methods Morbidity - disease rate Neuraxis Not Hispanic or Latino Parents Participant Patients Pediatric Hospitals Population Prevention Research Psyche structure Recommendation Research Research Personnel Resources Risk Role Stress Students Subgroup Surveillance Program Survival Rate Survivors Tobacco Treatment-Related Cancer Universities Visit Work alcohol behavior base behavioral health case control childhood cancer survivor cohesion cohort depressive symptoms design disorder prevention experience follow-up high school improved interdisciplinary collaboration mortality prevent psychosocial public health relevance substance use prevention young adult

项目摘要

DESCRIPTION (provided by applicant): Although treatment advances have increased the survival rates for childhood cancer, most survivors subsequently experience significant early life morbidity and mortality. Thus, childhood cancer survivors (CCS) are recommended to avoidance substance use (alcohol, tobacco, marijuana), to potentially delay or mitigate cancer treatment-related late effects. However, because prior work has been largely based on patients who were diagnosed before 1986, the extent of our knowledge regarding the health behaviors of recently treated CCS is unclear. Further, our understanding of Hispanic cancer survivors is especially limited due to under representation of this ethnic group in research efforts. The purpose of this study is identify risk and protective factors of substance use (alcohol, marijuana, and tobacco) among recently treated Hispanic and non-Hispanic CCS (ages 14-25), including cultural (e.g., acculturation to the U.S), psychosocial (e.g., stress), family (e.g., cohesion and conflict), and demographic (e.g., income, education) factors. To explore the potential impact of the cancer experience on substance use among Hispanics, rates of substance use between Hispanic CCS and age and gender matched non-cancer Hispanic controls (obtained from a separate cohort study of adolescents) will be compared. Results will guide the development of improved health education materials to prevent substance use among CCS, including potential unique approaches for Hispanic CCS. PUBLIC HEALTH RELEVANCE: The extent of our knowledge regarding the health behaviors of recently treated childhood cancer survivors (CCS) is unclear because prior work has been largely based on patients who were diagnosed before 1990. Further, our understanding of health behaviors among Hispanic cancer survivors is especially limited due to underrepresentation of this ethnic group in research efforts. The purpose of this study is to examine the substance use behaviors (alcohol, marijuana, and tobacco) of recently treated Hispanic CCS to provide vital information on appropriate methods to improve these behaviors and ultimately, long term survival of CCS.

描述（由申请人提供）：尽管治疗进步提高了儿童癌症的生存率，但大多数幸存者随后会经历显着的早期发病率和死亡率。因此，建议儿童癌症幸存者（CCS）避免使用物质（酒精、烟草、大麻），以潜在地延迟或减轻癌症治疗相关的后期影响。然而，由于之前的工作主要基于 1986 年之前诊断的患者，因此我们对最近接受治疗的 CCS 的健康行为的了解程度尚不清楚。此外，由于该种族群体在研究工作中的代表性不足，我们对西班牙裔癌症幸存者的了解尤其有限。本研究的目的是确定最近接受治疗的西班牙裔和非西班牙裔 CCS（14-25 岁）物质使用（酒精、大麻和烟草）的风险和保护因素，包括文化（例如，美国文化适应）、社会心理（例如，压力）、家庭（例如，凝聚力和冲突）和人口（例如，收入、教育）因素。为了探讨癌症经历对西班牙裔人物质使用的潜在影响，将比较西班牙裔 CCS 与年龄和性别匹配的非癌症西班牙裔对照（从一项单独的青少年队列研究中获得）之间的物质使用率。结果将指导开发改进的健康教育材料，以防止 CCS 中的物质使用，包括西班牙裔 CCS 的潜在独特方法。公共卫生相关性：我们对最近接受治疗的儿童癌症幸存者 (CCS) 健康行为的了解程度尚不清楚，因为之前的工作主要基于 1990 年之前诊断的患者。此外，我们对西班牙裔癌症幸存者健康行为的了解由于该族裔群体在研究工作中的代表性不足，这一研究尤其受到限制。本研究的目的是检查最近接受治疗的西班牙裔 CCS 的物质使用行为（酒精、大麻和烟草），以提供有关改善这些行为并最终实现 CCS 长期生存的适当方法的重要信息。