Purpose: While there are known disparities in socioeconomic status (SES) and health outcomes among racially and ethnically minoritized adolescent and young adult (AYA; ages 15-39 years at diagnosis) cancer survivors compared with White survivors, outcomes in the Asian survivor population are understudied. To better understand the association of an AYA cancer diagnosis with SES and health outcomes within a minoritized population, the current study makes comparisons between individuals of the same race or ethnicity with and without a history of AYA cancer. Methods: Non-Hispanic, Asian AYA cancer survivors and non-Hispanic, Asian age- and sex-matched controls were identified from self-reported data in the National Health Interview Survey (2009-2020). Prevalence of chronic health conditions and socioeconomic factors were compared between groups using chi-square tests. Odds of chronic conditions by SES factors were determined within and between survivors and controls using logistic regression methods. Results: One hundred and thirty-one survivors and 1310 controls were included. Survivors were less likely to be married compared with controls; however, there were no differences in other SES factors examined. Survivors had higher odds of at least one chronic condition diagnosis (odds ratio = 4.17, p < 0.001) compared with controls. Of the chronic conditions assessed, survivors had higher odds of arthritis, pulmonary disease, and hypertension compared with controls. Conclusions: Asian AYA cancer survivors are at increased risk of chronic health conditions compared with Asian individuals without a cancer history. Culturally adapted targeted interventions are needed to improve health outcomes for this population.

中文翻译：

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亚洲青少年和青年癌症幸存者的社会经济状况和慢性健康状况。

目的：虽然与白人幸存者相比，种族和族裔少数的青少年和青年（AYA；诊断时年龄为 15-39 岁）癌症幸存者在社会经济地位 (SES) 和健康结果方面存在已知差异，但亚裔幸存者群体的结果是待研究。为了更好地了解少数群体中 AYA 癌症诊断与 SES 和健康结果之间的关系，当前的研究对具有和没有 AYA 癌症病史的同一种族或民族的个体进行了比较。方法：根据国家健康访谈调查（2009-2020 年）中自我报告的数据确定非西班牙裔、亚洲人 AYA 癌症幸存者和非西班牙裔、亚洲人年龄和性别匹配的对照。使用卡方检验比较各组之间慢性健康状况和社会经济因素的患病率。使用逻辑回归方法确定幸存者和对照组内部以及幸存者和对照组之间由 SES 因素引起的慢性病的几率。结果：包括 131 名幸存者和 1310 名对照者。与对照组相比，幸存者结婚的可能性较低；然而，所检查的其他 SES 因素没有差异。与对照组相比，幸存者至少诊断出一种慢性病的几率更高（优势比 = 4.17，p < 0.001）。在评估的慢性病中，与对照组相比，幸存者患关节炎、肺部疾病和高血压的几率更高。结论：与没有癌症病史的亚洲人相比，亚洲 AYA 癌症幸存者患慢性健康问题的风险更高。需要适应文化的有针对性的干预措施来改善这一人群的健康结果。