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Gepubliceerd in:

28-02-2024

Risk factors and health behaviors associated with loneliness among cancer survivors during the COVID-19 pandemic

Auteurs: Elena S. Aßmann, Jennifer Ose, Cassandra A. Hathaway, Laura B. Oswald, Sheetal Hardikar, Caroline Himbert, Vimalkumar Chellam, Tengda Lin, Bailee Daniels, Anne C. Kirchhoff, Biljana Gigic, Douglas Grossman, Jonathan Tward, Thomas K. Varghese Jr., David Shibata, Jane C. Figueiredo, Adetunji T. Toriola, Anna Beck, Courtney Scaife, Christopher A. Barnes, Cindy Matsen, Debra S. Ma, Howard Colman, Jason P. Hunt, Kevin B. Jones, Catherine J. Lee, Mikaela Larson, Tracy Onega, Wallace L. Akerley, Christopher I. Li, William M. Grady, Martin Schneider, Andreas Dinkel, Jessica Y. Islam, Brian D. Gonzalez, Amy K. Otto, Frank J. Penedo, Erin M. Siegel, Shelley S. Tworoger, Cornelia M. Ulrich, Anita R. Peoples

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 3/2024

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Abstract

Loneliness may exacerbate poor health outcomes particularly among cancer survivors during the COVID-19 pandemic. Little is known about the risk factors of loneliness among cancer survivors. We evaluated the risk factors of loneliness in the context of COVID-19 pandemic-related prevention behaviors and lifestyle/psychosocial factors among cancer survivors. Cancer survivors (n = 1471) seen at Huntsman Cancer Institute completed a survey between August–September 2020 evaluating health behaviors, medical care, and psychosocial factors including loneliness during COVID-19 pandemic. Participants were classified into two groups: ‘lonely’ (sometimes, usually, or always felt lonely in past month) and ‘non-lonely’ (never or rarely felt lonely in past month). 33% of cancer survivors reported feeling lonely in the past month. Multivariable logistic regression showed female sex, not living with a spouse/partner, poor health status, COVID-19 pandemic-associated lifestyle factors including increased alcohol consumption and marijuana/CBD oil use, and psychosocial stressors such as disruptions in daily life, less social interaction, and higher perceived stress and financial stress were associated with feeling lonely as compared to being non-lonely (all p < 0.05). A significant proportion of participants reported loneliness, which is a serious health risk among vulnerable populations, particularly cancer survivors. Modifiable risk factors such as unhealthy lifestyle behaviors and psychosocial stress were associated with loneliness. These results highlight the need to screen for unhealthy lifestyle factors and psychosocial stressors to identify cancer survivors at increased risk of loneliness and to develop effective management strategies.
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Metagegevens
Titel
Risk factors and health behaviors associated with loneliness among cancer survivors during the COVID-19 pandemic
Auteurs
Elena S. Aßmann
Jennifer Ose
Cassandra A. Hathaway
Laura B. Oswald
Sheetal Hardikar
Caroline Himbert
Vimalkumar Chellam
Tengda Lin
Bailee Daniels
Anne C. Kirchhoff
Biljana Gigic
Douglas Grossman
Jonathan Tward
Thomas K. Varghese Jr.
David Shibata
Jane C. Figueiredo
Adetunji T. Toriola
Anna Beck
Courtney Scaife
Christopher A. Barnes
Cindy Matsen
Debra S. Ma
Howard Colman
Jason P. Hunt
Kevin B. Jones
Catherine J. Lee
Mikaela Larson
Tracy Onega
Wallace L. Akerley
Christopher I. Li
William M. Grady
Martin Schneider
Andreas Dinkel
Jessica Y. Islam
Brian D. Gonzalez
Amy K. Otto
Frank J. Penedo
Erin M. Siegel
Shelley S. Tworoger
Cornelia M. Ulrich
Anita R. Peoples
Publicatiedatum
28-02-2024
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 3/2024
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-023-00465-z

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