J Clin Med Res

Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access

Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc

Journal website http://www.jocmr.org

Original Article

Volume 11, Number 7, July 2019, pages 515-523

A Cross-Sectional Study Evaluating Potential Differences in the Need for Cancer Survivorship Care in Relation to Patients’ Socioeconomic Status

**Table 1.** Sociodemografic Characteristics Among Patients With Cancer in Hospital and Primary Care
	Hospital (n = 89)	Primary care (n = 99)
^aOther cancer types include cancer of lip, oral cavity and pharynx, digestive organs, melanoma and other malignant neoplasms of the skin, mesothelial and soft tissue, urinary tract, thyroid and endocrine glands, as well as cancer of ill-defined, secondary and unspecified sites; ^bLow (primary school), medium (upper secondary school, vocational education), and high (short-, medium- and high-term higher education and PHD).
Gender, n (%)
Women	39 (43.8)	68 (68.7)
Men	50 (56.2)	31 (31.3)
Age, n (%)
18 - 39	8 (9.0)	4 (4.0)
40 - 49	8 (9.0)	10 (10.1)
50 - 59	21 (23.6)	38 (38.4)
60 - 69	23 (25.8)	32 (32.3)
70 - 79	29 (32.6)	15 (15.2)
Cancer diagnoses^a, n (%)
Respiratory and intrathoracic organs	0	10 (10.1)
Breast cancer	0	34 (34.3)
Female genital organs	0	7 (7.1)
Male genital organs	0	6 (6.1)
Lymphoid, hematopoietic and related tissue	79 (89.8)	9 (9.1)
Other cancer type	10 (11.2)	33 (33.3)
Time from diagnosis to stated needs, n (%)
0 - 182 days	55 (61.8)	49 (49.5)
183 - 365 days	8 (9.0)	23 (23.2)
366 - 547 days	4 (4.5)	6 (6.1)
548 + days	17 (19.1)	21 (21.2)
Missing	5 (5.6)	0
Cohabitation status, n (%)
Living alone	30 (33.7)	39 (39.4)
Cohabiting/married	59 (66.3)	60 (60.6)
Highest attained education^b, n (%)
Low	26 (29.2)	18 (18.2)
Medium	35 (39.3)	45 (45.5)
High	25 (28.1)	35 (35.4)
Missing	3 (3.4)	1 (1.0)
Income, n (%)
Low (first quartile)	31 (34.8)	16 (16.2)
Medium (second and third quartile)	42 (47.2)	52 (52.5)
High (fourth quartile)	16 (18.0)	31 (31.3)
Labor market status, n (%)
Outside the workforce	9 (10.1)	11 (11.1)
Pensioners	43 (48.3)	28 (28.3)
Working	37 (41.6)	60 (60.6)

Table 1. Sociodemografic Characteristics Among Patients With Cancer in Hospital and Primary Care

Hospital (n = 89)

Primary care (n = 99)

^aOther cancer types include cancer of lip, oral cavity and pharynx, digestive organs, melanoma and other malignant neoplasms of the skin, mesothelial and soft tissue, urinary tract, thyroid and endocrine glands, as well as cancer of ill-defined, secondary and unspecified sites; ^bLow (primary school), medium (upper secondary school, vocational education), and high (short-, medium- and high-term higher education and PHD).

Gender, n (%)

Women

39 (43.8)

68 (68.7)

Men

50 (56.2)

31 (31.3)

Age, n (%)

18 - 39

8 (9.0)

4 (4.0)

40 - 49

8 (9.0)

10 (10.1)

50 - 59

21 (23.6)

38 (38.4)

60 - 69

23 (25.8)

32 (32.3)

70 - 79

29 (32.6)

15 (15.2)

Cancer diagnoses^a, n (%)

Respiratory and intrathoracic organs

10 (10.1)

Breast cancer

34 (34.3)

Female genital organs

7 (7.1)

Male genital organs

6 (6.1)

Lymphoid, hematopoietic and related tissue

79 (89.8)

9 (9.1)

Other cancer type

10 (11.2)

33 (33.3)

Time from diagnosis to stated needs, n (%)

0 - 182 days

55 (61.8)

49 (49.5)

183 - 365 days

8 (9.0)

23 (23.2)

366 - 547 days

4 (4.5)

6 (6.1)

548 + days

17 (19.1)

21 (21.2)

Missing

5 (5.6)

Cohabitation status, n (%)

Living alone

30 (33.7)

39 (39.4)

Cohabiting/married

59 (66.3)

60 (60.6)

Highest attained education^b, n (%)

Low

26 (29.2)

18 (18.2)

Medium

35 (39.3)

45 (45.5)

High

25 (28.1)

35 (35.4)

Missing

3 (3.4)

1 (1.0)

Income, n (%)

Low (first quartile)

31 (34.8)

16 (16.2)

Medium (second and third quartile)

42 (47.2)

52 (52.5)

High (fourth quartile)

16 (18.0)

31 (31.3)

Labor market status, n (%)

Outside the workforce

9 (10.1)

11 (11.1)

Pensioners

43 (48.3)

28 (28.3)

Working

37 (41.6)

60 (60.6)

**Table 2.** Association Between Socioeconomic Background and Needs According to Health Care Sector
	Hospital (n = 89)	Adjusted OR (95% CI)^a	Primary care (n = 99)	Adjusted OR (95% CI)^a	Total (n = 188)	Adjusted OR (95% CI)^a
^aAdjusted for age and gender; ^bLow (primary school), medium (upper secondary school, vocational education), and high (short-, medium- and high-term higher education and PHD).
Gender
Women	23 (59.0)	16 (41.0)	Reference	Reference	38 (55.9)	30 (44.1)	Reference	Reference	61 (57.0)	46 (43.0)	Reference	Reference
Men	31 (62.0)	19 (38.0)	0.88 (0.37 - 2.07)	0.89 (0.37 - 2.15)	12 (38.7)	19 (61.3)	2.01 (0.84 - 4.77)	2.66 (1.04 - 6.79)	43 (53.1)	38 (46.9)	1.71 (0.66 - 2.09)	1.30 (0.71 - 2.39)
Cohabitation status
Living alone	15 (50.0)	15 (50.0)	Reference	Reference	17 (43.6)	22 (56.4)	Reference	Reference	32 (46.4)	37 (53.6)	Reference	Reference
Cohabiting/married	39 (66.1)	20 (33.9)	0.51 (0.21 - 1.26)	0.51 (0.20 - 1.29)	33 (55.0)	27 (45.0)	0.63 (0.28 - 1.42)	0.54 (0.23 - 1.27)	72 (60.5)	47 (39.5)	0.56 (0.31 - 1.03)	0.55 (0.30 - 1.02)
Highest attained education^b
Low	15 (57.7)	11 (42.3)	Reference	Reference	7 (38.9)	11 (61.1)	Reference	Reference	22 (50.0)	22 (50.0)	Reference	Reference
Medium	21 (60.0)	14 (40.0)	0.91 (0.32 - 2.55)	0.88 (0.31 - 2.50)	23 (51.1)	22 (48.9)	0.61 (0.20 - 1.85)	0.48 (0.15 - 1.54)	44 (55.0)	36 (45.0)	0.82 (0.39 - 1.71)	0.77 (0.36 - 1.62)
High	16 (64.0)	9 (36.0)	0.77 (0.25 - 2.40)	0.74 (0.23 - 2.37)	19 (54.3)	16 (45.7)	0.54 (0.17 - 1.71)	0.54 (0.16 - 1.81)	35 (58.3)	25 (41.7)	0.71 (0.33 - 1.56)	0.67 (0.30 - 1.49)
Income
Low (first quartile)	18 (58.1)	13 (41.9)	Reference	Reference	5 (31.3)	11 (68.8)	Reference	Reference	23 (48.9)	24 (51.1)	Reference	Reference
Medium (second and third quartile)	26 (61.9)	16 (38.1)	0.85 (0.33 - 2.20)	0.82 (0.31 - 2.16)	31 (59.6)	21 (40.4)	0.31 (0.09 - 1.02)	0.31 (0.09 - 1.06)	57 (60.6)	37 (39.4)	0.62 (0.31 - 1.26)	0.63 (0.31 - 1.29)
High (fourth quartile)	10 (62.5)	6 (37.5)	0.83 (0.24 - 2.87)	0.83 (0.24 - 2.91)	14 (45.2)	17 (54.8)	0.55 (0.15 - 1.97)	0.36 (0.09 - 1.43)	24 (51.1)	23 (48.9)	0.92 (0.41 - 2.06)	0.84 (0.37 - 1.91)
Labor market status
Outside the workforce	4 (44.4)	5 (55.6)	Reference	Reference	4 (36.4)	7 (63.6)	Reference	Reference	8 (40.0)	12 (60.0)	Reference	Reference
Pensioners	27 (62.8)	16 (37.2)	0.47 (0.11 - 2.03)	0.45 (0.08 - 2.44)	15 (53.6)	13 (46.4)	0.50 (0.12 - 2.08)	0.98 (0.18 - 5.38)	42 (59.2)	29 (40.9)	0.46 (0.17 - 1.27)	0.54 (0.17 - 1.74)
Working	23 (62,2)	14 (37.8)	0.49 (0.11 - 2.12)	0.49 (0.11 - 2.17)	31 (51.7)	29 (48.3)	0.53 (0.14 - 2.02)	0.49 (0.12 - 1.98)	54 (55.7)	43 (44.3)	0.53 (0.20 - 1.41)	0.52 (0.20 - 1.40)

Table 2. Association Between Socioeconomic Background and Needs According to Health Care Sector

Hospital (n = 89)

Adjusted OR (95% CI)^a

Primary care (n = 99)

Adjusted OR (95% CI)^a

Total (n = 188)

Adjusted OR (95% CI)^a

< eight needs, n (%)

≥ eight needs, n (%)

OR (95% CI)

< eight needs, n (%)

≥ eight needs, n (%)

OR (95% CI)

< eight needs, n (%)

≥ eight needs, n (%)

OR (95% CI)

^aAdjusted for age and gender; ^bLow (primary school), medium (upper secondary school, vocational education), and high (short-, medium- and high-term higher education and PHD).

Gender

Women

23 (59.0)

16 (41.0)

Reference

38 (55.9)

30 (44.1)

Reference

61 (57.0)

46 (43.0)

Reference

Men

31 (62.0)

19 (38.0)

0.88 (0.37 - 2.07)

0.89 (0.37 - 2.15)

12 (38.7)

19 (61.3)

2.01 (0.84 - 4.77)

2.66 (1.04 - 6.79)

43 (53.1)

38 (46.9)

1.71 (0.66 - 2.09)

1.30 (0.71 - 2.39)

Cohabitation status

Living alone

15 (50.0)

Reference

17 (43.6)

22 (56.4)

Reference

32 (46.4)

37 (53.6)

Reference

Cohabiting/married

39 (66.1)

20 (33.9)

0.51 (0.21 - 1.26)

0.51 (0.20 - 1.29)

33 (55.0)

27 (45.0)

0.63 (0.28 - 1.42)

0.54 (0.23 - 1.27)

72 (60.5)

47 (39.5)

0.56 (0.31 - 1.03)

0.55 (0.30 - 1.02)

Highest attained education^b

Low

15 (57.7)

11 (42.3)

Reference

7 (38.9)

11 (61.1)

Reference

22 (50.0)

Reference

Medium

21 (60.0)

14 (40.0)

0.91 (0.32 - 2.55)

0.88 (0.31 - 2.50)

23 (51.1)

22 (48.9)

0.61 (0.20 - 1.85)

0.48 (0.15 - 1.54)

44 (55.0)

36 (45.0)

0.82 (0.39 - 1.71)

0.77 (0.36 - 1.62)

High

16 (64.0)

9 (36.0)

0.77 (0.25 - 2.40)

0.74 (0.23 - 2.37)

19 (54.3)

16 (45.7)

0.54 (0.17 - 1.71)

0.54 (0.16 - 1.81)

35 (58.3)

25 (41.7)

0.71 (0.33 - 1.56)

0.67 (0.30 - 1.49)

Income

Low (first quartile)

18 (58.1)

13 (41.9)

Reference

5 (31.3)

11 (68.8)

Reference

23 (48.9)

24 (51.1)

Reference

Medium (second and third quartile)

26 (61.9)

16 (38.1)

0.85 (0.33 - 2.20)

0.82 (0.31 - 2.16)

31 (59.6)

21 (40.4)

0.31 (0.09 - 1.02)

0.31 (0.09 - 1.06)

57 (60.6)

37 (39.4)

0.62 (0.31 - 1.26)

0.63 (0.31 - 1.29)

High (fourth quartile)

10 (62.5)

6 (37.5)

0.83 (0.24 - 2.87)

0.83 (0.24 - 2.91)

14 (45.2)

17 (54.8)

0.55 (0.15 - 1.97)

0.36 (0.09 - 1.43)

24 (51.1)

23 (48.9)

0.92 (0.41 - 2.06)

0.84 (0.37 - 1.91)

Labor market status

Outside the workforce

4 (44.4)

5 (55.6)

Reference

4 (36.4)

7 (63.6)

Reference

8 (40.0)

12 (60.0)

Reference

Pensioners

27 (62.8)

16 (37.2)

0.47 (0.11 - 2.03)

0.45 (0.08 - 2.44)

15 (53.6)

13 (46.4)

0.50 (0.12 - 2.08)

0.98 (0.18 - 5.38)

42 (59.2)

29 (40.9)

0.46 (0.17 - 1.27)

0.54 (0.17 - 1.74)

Working

23 (62,2)

14 (37.8)

0.49 (0.11 - 2.12)

0.49 (0.11 - 2.17)

31 (51.7)

29 (48.3)

0.53 (0.14 - 2.02)

0.49 (0.12 - 1.98)

54 (55.7)

43 (44.3)

0.53 (0.20 - 1.41)

0.52 (0.20 - 1.40)

**Table 3.** Stated Needs Among Patients With Cancer at Hospital and in Primary Care
	Hospital (n = 89)	Primary care (n = 99)
Practical areas, n (%)
0	48 (53.9)	64 (64.7)
≥ 1	41 (46.1)	35 (35.4)
Work/school areas, n (%)
0	78 (87.6)	78 (78.8)
≥ 1	11 (12.4)	21 (21.2)
Family areas, n (%)
0	81 (91.0)	82 (82.8)
≥ 1	8 (9.0)	17 (17.2)
Physical areas, n (%)
0	14 (15.7)	4 (4.0)
≥ 1	75 (84.3)	95 (96.0)
Emotional areas, n (%)
0	45 (50.6)	47 (47.5)
≥ 1	44 (49.4)	52 (52.5)
Spiritual/religious worries, n (%)
0	89 (100)	96 (97.0))
≥ 1	0 (0)	3 (3.0)
All needs, n (%)
0	7 (7.9)	0 (0)
≥ 1	82 (92.1)	99 (100)

Table 3. Stated Needs Among Patients With Cancer at Hospital and in Primary Care

Hospital (n = 89)

Primary care (n = 99)

Practical areas, n (%)

48 (53.9)

64 (64.7)

≥ 1

41 (46.1)

35 (35.4)

Work/school areas, n (%)

78 (87.6)

78 (78.8)

≥ 1

11 (12.4)

21 (21.2)

Family areas, n (%)

81 (91.0)

82 (82.8)

≥ 1

8 (9.0)

17 (17.2)

Physical areas, n (%)

14 (15.7)

4 (4.0)

≥ 1

75 (84.3)

95 (96.0)

Emotional areas, n (%)

45 (50.6)

47 (47.5)

≥ 1

44 (49.4)

52 (52.5)

Spiritual/religious worries, n (%)

89 (100)

96 (97.0))

≥ 1

0 (0)

3 (3.0)

All needs, n (%)

7 (7.9)

0 (0)

≥ 1

82 (92.1)

99 (100)