Abstract
Introduction
Limited information is available about rural cancer survivors’ needs and if they differ from urban cancer survivors.
Methods
A convenience sample of cancer survivors completed a self-administered survey.
Results
Rural Appalachia (n = 99) and urban non-Appalachia (n = 107) cancer survivors completed the survey. Urban survivors reported more needs than rural survivors (p < 0.001), but worry about cancer recurrence and concern about fatigue were reported most often by both urban and rural survivors. Urban survivors (n = 87; 81.3%) and rural survivors (n = 72; 72.9%) indicated that they searched for cancer information, but rural survivors were more likely to obtain information from family members and healthcare providers (p < 0.05). Rural survivors differed from urban survivors by reporting less effort to get the information they needed (p < 0.05) and less concern about the quality of the information (p < 0.01), but they reported having a harder time understanding the information they found (p < 0.05).
Discussion
Rural and urban survivors’ most frequent needs focused on cancer recurrence and fatigue. Rural survivors reported fewer needs compared to urban survivors; however, our findings suggest certain needs may be more important to rural survivors. While most survivors reported searching for information about cancer, rural and urban survivors use different sources for finding information and have varying experiences in their searches.
Implications for Cancer Survivors
There is an ongoing need to provide survivorship care that is tailored to the unique needs of cancer survivors. It is essential to provide educational materials for all cancer survivors, but using different communication channels for urban versus rural survivors may be beneficial.
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References
Cancer death rates--Appalachia, 1994–1998. MMWR, Morb Mortal Wkly Rep 2002;51:527–9.
Encyclopedia of Appalachia. In: Abramson R, Haskell J, Editors. Knoxville: The University of Tennessee Press; 2006.
Fisher J. Cancer-related disparities among residents of Appalachia Ohio. Journal of Health Disparities Research and Practice. 2008;2:61–74.
Appalachia Community Cancer Network. The cancer burden in Appalachia. 2009.
Horner MJ, Ries LAG, Krapcho M, Neyman N, Aminou R, Altekruse SF, et al. SEER cancer statistics review, 1975-2006. Bethesda: National Cancer Institute; 2009.
Barg FK, Cronholm PF, Straton JB, Keddem S, Knott K, Grater J, et al. Unmet psychosocial needs of Pennsylvanians with cancer: 1986–2005. Cancer. 2007;110:631–9.
Girgis A, Boyes A, Sanson-Fisher RW, Burrows S. Perceived needs of women diagnosed with breast cancer: rural versus urban location. Aust N Z J Public Health. 2000;24:166–73.
Rogers LQ, Markwell SJ, Verhulst S, McAuley E, Courneya KS. Rural breast cancer survivors: exercise preferences and their determinants. Psychooncology. 2009;18:412–21.
Wilson SE, Andersen MR, Meischke H. Meeting the needs of rural breast cancer survivors: what still needs to be done? J Womens Health Gend Based Med. 2000;9:667–77.
Beesley V, Eakin E, Steginga S, Aitken J, Dunn J, Battistutta D. Unmet needs of gynaecological cancer survivors: implications for developing community support services. Psychooncology. 2008;17:392–400.
From cancer patient to cancer survivor. Lost in transition. In: Hewitt M, Greenfield S, Stovall E, Editors. Washington: Institute of Medicine and National Research Council of the National Academies; 2005.
Rowland JH. What are cancer survivors telling us? Cancer J. 2008;14:361–8.
Rutten LJ, Arora NK, Bakos AD, Aziz N, Rowland J. Information needs and sources of information among cancer patients: a systematic review of research (1980–2003). Patient Educ Couns. 2005;57:250–61.
Czaja R, Manfredi C, Price J. The determinants and consequences of information seeking among cancer patients. J Health Commun. 2003;8:529–62.
Beckjord EB, Arora NK, McLaughlin W, Oakley-Girvan I, Hamilton AS, Hesse BW. Health-related information needs in a large and diverse sample of adult cancer survivors: implications for cancer care. J Cancer Surviv. 2008;2:179–89.
Borgers R, Mullen PD, Meertens R, Rijken M, Eussen G, Plagge I, et al. The information-seeking behavior of cancer outpatients: a description of the situation. Patient Educ Couns. 1993;22:35–46.
Muha C, Smith KS, Baum S, Ter Maat J, Ward JA. The use and selection of sources in information seeking: the Cancer Information Service experience. Part 8. J Health Commun. 1998;3(Suppl):109–20.
Hack TF, Degner LF, Parker PA. The communication goals and needs of cancer patients: a review. Psychooncology. 2005;14:831–45. discussion 846-837.
Mesters I, van den Borne B, De Boer M, Pruyn J. Measuring information needs among cancer patients. Patient Educ Couns. 2001;43:253–62.
Boberg EW, Gustafson DH, Hawkins RP, Offord KP, Koch C, Wen KY, et al. Assessing the unmet information, support and care delivery needs of men with prostate cancer. Patient Educ Couns. 2003;49:233–42.
Courneya KS. Exercise in cancer survivors: an overview of research. Med Sci Sports Exerc. 2003;35:1846–52.
Stevinson C, Capstick V, Schepansky A, Tonkin K, Vallance JK, Ladha AB, et al. Physical activity preferences of ovarian cancer survivors. Psychooncology. 2009;18:422–8.
Thewes B, Butow P, Girgis A, Pendlebury S. The psychosocial needs of breast cancer survivors; a qualitative study of the shared and unique needs of younger versus older survivors. Psychooncology. 2004;13:177–89.
Schag CA, Ganz PA, Wing DS, Sim MS, Lee JJ. Quality of life in adult survivors of lung, colon and prostate cancer. Qual Life Res. 1994;3:127–41.
Smith DP, Supramaniam R, King MT, Ward J, Berry M, Armstrong BK. Age, health, and education determine supportive care needs of men younger than 70 years with prostate cancer. J Clin Oncol. 2007;25:2560–6.
Hodgkinson K, Butow P, Fuchs A, Hunt GE, Stenlake A, Hobbs KM, et al. Long-term survival from gynecologic cancer: psychosocial outcomes, supportive care needs and positive outcomes. Gynecol Oncol. 2007;104:381–9.
Monroe AC, Ricketts TC, Savitz LA. Cancer in rural versus urban populations: a review. J Rural Health. 1992;8:212–20.
Bettencourt BA, Schlegel RJ, Talley AE, Molix LA. The breast cancer experience of rural women: a literature review. Psychooncology. 2007;16:875–87.
Bettencourt BA, Talley AE, Molix L, Schlegel R, Westgate SJ. Rural and urban breast cancer patients: health locus of control and psychological adjustment. Psychooncology. 2008;17:932–9.
Shugarman LR, Sorbero ME, Tian H, Jain AK, Ashwood JS. An exploration of urban and rural differences in lung cancer survival among medicare beneficiaries. Am J Public Health. 2008;98:1280–7.
Hermansen-Kobulnicky CJ. Symptom-monitoring behaviors of rural cancer patients and survivors. Support Care Cancer. 2009;17:617–26.
Baldwin LM, Cai Y, Larson EH, Dobie SA, Wright GE, Goodman DC, et al. Access to cancer services for rural colorectal cancer patients. J Rural Health. 2008;24:390–9.
Solberg S, Church J, Curran V. Experiences of rural women with breast cancer receiving social support via audioconferencing. J Telemed Telecare. 2003;9:282–7.
Burris JL, Andrykowski M. Disparities in mental health between rural and nonrural cancer survivors: a preliminary study. Psychooncology 2009.
Gamm LD, Hutchinson LL, Dabney BJ, Dorsey AM. Rural Healthy People 2010. A Companion Document to Healthy People 2010. College Station: The Texas A&M University Health Science Center, Southwest Rural Health Research Center; 2003.
County Economic Status, Poverty Rates [http://www.arc.gov/index.jsp]
National Institutes of Health National Cancer Institute: Health Information National Trends Survey. Bethesda; 2009.
U.S. Census Bureau, Department of Commerce. State and county quickfacts: Franklin and Gallia Counties. http://quickfacts.census.gov/qfd/states/39/39053.html and http://quickfacts.census.gov/qfd/states/39/39049.html.
SPSS statistical software. http://www.spss.com/?source=homepage&hpzone=nav_bar, Accessed 2009.
Behringer B. Friedell GH: appalachia: where place matters in health. Prev Chronic Dis. 2006;3:A113.
Ohio Department of Health. Data and Statistics. http://www.odh.ohio.gov/healthstats/datastats.aspx.
Denham SA. Diabetes: a family matter. J Fam Nurs. 2009;15:400–1.
Hutson SP, Dorgan KA, Phillips AN, Behringer B. The mountains hold things in: the use of community research review work groups to address cancer disparities in Appalachia. Oncol Nurs Forum. 2007;34:1133–9.
Acknowledgments
This study was supported by National Cancer Institute Grants K07 CA107079 (MLK), P30 CA016058 (Behavioral Measurement Shared Resource at The Ohio State University Comprehensive Cancer Center), and the Lance Armstrong Survivorship Center of Excellence at The Ohio State University Comprehensive Cancer Center.
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Katz, M.L., Reiter, P.L., Corbin, S. et al. Are rural Ohio Appalachia cancer survivors needs different than urban cancer survivors?. J Cancer Surviv 4, 140–148 (2010). https://doi.org/10.1007/s11764-010-0115-0
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DOI: https://doi.org/10.1007/s11764-010-0115-0