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Unmet social care needs of people living with and beyond cancer: prevalence and predictors from an English longitudinal survey

Gousia, Katerina, Towers, Ann‐Marie (2021) Unmet social care needs of people living with and beyond cancer: prevalence and predictors from an English longitudinal survey. Psycho-Oncology, . ISSN 1057-9249. E-ISSN 1099-1611. (doi:10.1002/pon.5656) (KAR id:86640)

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Abstract

Objectives: This study estimates the prevalence of unmet social care needs of people over 50 living in England with cancer and the effect of cancer on unmet needs.

Methods: We used data from the English Longitudinal Study of Ageing. We estimated the mean, standard deviation and 95% CI of the prevalence of unmet social care needs among people with cancer. Logistic regression analysis with individual random effects was used to estimate the effect of cancer on unmet needs controlling for other determinants. Pain measures were included stepwise in the regression to estimate their mediating effect.

Results: The prevalence rate of unmet social care needs among people living with cancer is 9% (SD=0.29; 95% CI: 8.3-10) compared to 6% (SD=0.24; 95% CI: 6.1-6.5) among people without cancer. People with cancer have significantly higher odds of having unmet needs by a factor of 1.44 (95% CI: 1.20-1.72), after controlling for the effect of other characteristics. Adding pain measures reduces the effect of cancer to a factor of 1.36 (95% CI: 1.14-1.64) in the odds of unmet needs but still remains statistically significant.

Conclusions: A more integrated approach to cancer care is more likely to address the high level of unmet needs and consequent adverse implications.

Item Type: Article
DOI/Identification number: 10.1002/pon.5656
Uncontrolled keywords: social care needs cancer longitudinal pain person‐centred care integrated care Psycho‐Oncology
Subjects: H Social Sciences
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Centre for Health Services Studies
Depositing User: Katerina Gousia
Date Deposited: 17 Feb 2021 15:43 UTC
Last Modified: 03 Nov 2021 04:14 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/86640 (The current URI for this page, for reference purposes)
Gousia, Katerina: https://orcid.org/0000-0002-2494-786X
Towers, Ann‐Marie: https://orcid.org/0000-0003-3597-1061
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