Examining COVID-19 preventive behaviors among cancer survivors in the united states: An analysis of the COVID-19 impact survey A C

Jessica Y. Islam, Marlene Camacho-Rivera, Denise C. Vidot

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Background: The COVID-19 pandemic has impacted adults with chronic diseases, and their health care delivery. Patterns of COVID-19–related preventive behaviors practiced by cancer survivors are unknown, including practices related to canceling doctor's appointments. We evaluated COVID-19–related preventive behaviors among cancer survivors in the United States. Methods: We used nationally representative data of 10,760 U.S. adults from the COVID-19 Impact Survey. We defined cancer survivors as those with a self-reported diagnosis of cancer (n ¼ 854, 7.6%). We present frequencies and c2 tests to evaluate COVID-19–related preventive behaviors among cancer survivors. We estimated determinants of canceling doctor's appointments among cancer survivors using Poisson regression models. Results: Cancer survivors were more likely to practice preventive behaviors, including social distancing (93%, c2 P < 0.001), wearing a face mask (93% c2 P < 0.001) and avoiding crowded areas (84% c2 P < 0.001) compared with adults without cancer. Cancer survivors were more likely to cancel doctor's appointments (41%, c2 P < 0.001), whereas they were less likely to cancel other social activities such as work (19%, c2 P < 0.001) and school-related (13%, c2 P < 0.001) activities. After adjustment for covariates, while non-Hispanic (NH)-Black cancer survivors were less likely to cancel a doctor's appointment compared with NH-White cancer survivors, cancer survivors aged 18 to 29, who were female, and who had least one comorbid condition were more likely. Conclusions: Cancer survivors are adhering to recommended preventive behaviors. Cancer survivor's continuity of care may be impacted by COVID-19, specifically young adults, females, and those with existing comorbid conditions. Impact: Insights into cancer survivors whose care may be most impacted by COVID-19 will be valuable toward surveillance and survivorship of U.S. cancer survivors.

Original languageEnglish (US)
Pages (from-to)2583-2590
Number of pages8
JournalCancer Epidemiology Biomarkers and Prevention
Volume29
Issue number12
DOIs
StatePublished - Dec 2020

ASJC Scopus subject areas

  • Epidemiology
  • Oncology

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