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Purpose <p>To determine if receipt of survivorship care plans (SCPs) modifies the association between health outcomes of female cancer survivors and sociodemographic characteristics.</p> Methods <p>Using cross-sectional 2011–2023 data from the Maryland Behavioral Risk Factor Surveillance System (BRFSS) survey, we conducted survey-weighted multivariable regression models to estimate the association between race, body mass index (BMI), education and income with self-reported general health status and poor physical and mental health days, stratified by SCP receipt, approximated as self-reporting receipt of cancer follow-up care instructions (FCI), treatment summaries (TS), or both. Individuals on active treatment and &lt; 1&#xa0;year from their cancer diagnosis were excluded.</p> Results <p>The study included 2,854 (non-Hispanic White (NHW; 82.8%) and non-Hispanic Black (NHB; 17.2%) female cancer survivors residing in Maryland. Half were &gt; 10&#xa0;years from their cancer diagnosis and the mean age was 64&#xa0;years. Without FCI, NHB vs. NHW women reported more poor physical and mental health days (adjusted rate ratio (aRR): 1.27 (95% confidence interval (CI): 0.74–2.16) and aRR: 1.72 (95% CI: 1.14–2.61), respectively). With FCI, NHB vs. NHW women reported fewer poor physical and mental health days (aRR: 0.56 (95% CI; 0.39–0.80) and aRR: 0.47 (95% CI: 0.30–0.73); p-interaction: 0.009 and &lt; 0.001, respectively). Similar patterns were observed for TS and FCI + TS and with education and income.</p> Conclusions <p>Receipt of FCI and TS differentially modified associations between sociodemographic characteristics with self-reported physical and mental health for female cancer survivors in Maryland. Delivery of FCI and TS may improve the health status of minoritized female cancer survivors.</p>

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Evaluating the role of survivorship care plans in modifying disparities in health status among female cancer survivors in Maryland

  • 期刊论文

  • 发表日期：

    2026年7月3日

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  • Camryn M. Cohen,
  • Kassandra I. Alcaraz,
  • Lensa S. Keno,
  • Mu Jin,
  • Avonne E. Connor

摘要

Purpose

To determine if receipt of survivorship care plans (SCPs) modifies the association between health outcomes of female cancer survivors and sociodemographic characteristics.

Methods

Using cross-sectional 2011–2023 data from the Maryland Behavioral Risk Factor Surveillance System (BRFSS) survey, we conducted survey-weighted multivariable regression models to estimate the association between race, body mass index (BMI), education and income with self-reported general health status and poor physical and mental health days, stratified by SCP receipt, approximated as self-reporting receipt of cancer follow-up care instructions (FCI), treatment summaries (TS), or both. Individuals on active treatment and < 1 year from their cancer diagnosis were excluded.

Results

The study included 2,854 (non-Hispanic White (NHW; 82.8%) and non-Hispanic Black (NHB; 17.2%) female cancer survivors residing in Maryland. Half were > 10 years from their cancer diagnosis and the mean age was 64 years. Without FCI, NHB vs. NHW women reported more poor physical and mental health days (adjusted rate ratio (aRR): 1.27 (95% confidence interval (CI): 0.74–2.16) and aRR: 1.72 (95% CI: 1.14–2.61), respectively). With FCI, NHB vs. NHW women reported fewer poor physical and mental health days (aRR: 0.56 (95% CI; 0.39–0.80) and aRR: 0.47 (95% CI: 0.30–0.73); p-interaction: 0.009 and < 0.001, respectively). Similar patterns were observed for TS and FCI + TS and with education and income.

Conclusions

Receipt of FCI and TS differentially modified associations between sociodemographic characteristics with self-reported physical and mental health for female cancer survivors in Maryland. Delivery of FCI and TS may improve the health status of minoritized female cancer survivors.