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Health-Related Hindrance of Personal Goals of Adolescents with Cancer: The Role of the Interaction of Race/Ethnicity and Income

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Abstract

This study examined the interaction of race/ethnicity and income to health-related hindrance (HRH) of personal goals of adolescents with cancer. Adolescents (N = 94) receiving treatment for cancer completed a measure of HRH, (including identification of personal goals, rating the impact of health on goal pursuit, and ratings of goal appraisals). The interaction of race/ethnicity and income on HRH was examined. Goal content and appraisal were compared by race/ethnic groups. The interaction between race/ethnicity and income was significant in predicting HRH, with HRH increasing for minority adolescents as income increases and HRH decreasing for white adolescents as income increases. Higher income minority adolescents reported the most goals. Low income minorities reported the least difficult goals. Goal content did not differ between groups. Sociodemographic factors contribute to HRH in adolescents with cancer. Structural and psychosocial support during treatment to maintain goal pursuit may improve psychosocial outcomes.

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Abbreviations

HRH:

Health-related hindrance

HRQL:

Health-related quality of life

SES:

Socioeconomic status

AYA:

Adolescents and young adults

HRHI:

Health-related hindrance inventory

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Acknowledgments

Portions of this paper were presented as an oral presentation at the 2010 Annual Conference of the Society of Behavioral Medicine, Seattle, WA. This work is supported by NCI R03 126337 The Adverse Effect of Health on Personal Goal Pursuit of Adolescents with Cancer (PI: Schwartz).

Conflict of Interest

Authors Lauren C. Daniel, Lamia P. Barakat, Lauren D. Brumley and Lisa A. Schwartz declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent/permission was obtained from all parent participants and child assent from patient participants for being included in the study.

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Authors and Affiliations

  1. Division of Oncology, The Children’s Hospital of Philadelphia, 3501 Civic Center Blvd, CTRB 10-300, Philadelphia, PA, 19104, USA

    Lauren C. Daniel, Lamia P. Barakat, Lauren D. Brumley & Lisa A. Schwartz

  2. Perelman School of Medicine of the University of Pennsylvania, 3501 Civic Center Blvd, CTRB 10-300, Philadelphia, PA, 19104, USA

    Lamia P. Barakat & Lisa A. Schwartz

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  1. Lauren C. Daniel
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  2. Lamia P. Barakat
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Correspondence to Lauren C. Daniel.

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Daniel, L.C., Barakat, L.P., Brumley, L.D. et al. Health-Related Hindrance of Personal Goals of Adolescents with Cancer: The Role of the Interaction of Race/Ethnicity and Income. J Clin Psychol Med Settings 21, 155–164 (2014). https://doi.org/10.1007/s10880-014-9390-7

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