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Objective: This study compared three ethnic/racial groups of informal cancer caregivers on social determinants of health and tested social determinants of health as predictors of psychological distress and caregiver burden.

Methods: This study was a secondary analysis of baseline data of a sequential multiple assignment randomized trial (SMART) testing symptom management interventions with caregiver-survivor dyads. Caregivers completed baseline measures of social determinants of health (SDoH), functional limitations, psychological distress, and caregiver burden. Hispanic, non-Hispanic White, and non-Hispanic other races caregivers were compared on these variables. Multivariate tests of associations between SDoH and caregiver burden and psychological distress were conducted in structural equation modeling with caregiver burden and psychological distress as latent variables.

Results: Hispanic caregivers reported significantly higher caregiver burden, specifically for finances, family, and schedules. Caregiver burden was significantly predicted by having income barely or not meeting needs, being female, socially isolated, married, Hispanic, and having poor physical functioning. Significant predictors of caregivers' psychological distress: being female, being socially isolated, and having poor physical functioning.

Conclusion: Hispanic caregivers experience significant challenges associated with caregiver burden, especially if they are female, socially isolated, and have poor physical functioning. Assessment of these SDoH is important in caregiver health to provide supportive care during caregiving.

Clinical Trial Registration Number: NCT03743415 www.clinicaltrials.gov.

Titel:	Social determinants of health, psychological distress, and caregiver burden among informal cancer caregivers of cancer survivors during treatment.
Autor/in / Beteiligte Person:	Badger, T ; Segrin, C ; Crane, T ; Morrill, K ; Sikorskii, A
Zeitschrift:	Journal of psychosocial oncology, Jg. 42 (2024), Heft 3, S. 333-350
Veröffentlichung:	Philadelphia : Routledge ; <i>Original Publication</i>: [New York, NY] : Haworth Press, [c1983-, 2024
Medientyp:	academicJournal
ISSN:	1540-7586 (electronic)
DOI:	10.1080/07347332.2023.2248486
Schlagwort:	Humans Female Male Middle Aged Aged Caregivers psychology Caregivers statistics & numerical data Adult White People statistics & numerical data White People psychology Stress, Psychological Cancer Survivors psychology Cancer Survivors statistics & numerical data Social Determinants of Health Caregiver Burden psychology Psychological Distress Hispanic or Latino statistics & numerical data Hispanic or Latino psychology Neoplasms therapy Neoplasms psychology
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article; Randomized Controlled Trial Language: English [J Psychosoc Oncol] 2024; Vol. 42 (3), pp. 333-350. <i>Date of Electronic Publication: </i>2023 Aug 23. MeSH Terms: Cancer Survivors* / psychology ; Cancer Survivors* / statistics & numerical data ; Social Determinants of Health* ; Caregiver Burden* / psychology ; Psychological Distress* ; Hispanic or Latino* / statistics & numerical data ; Hispanic or Latino* / psychology ; Neoplasms* / therapy ; Neoplasms* / psychology ; Humans ; Female ; Male ; Middle Aged ; Aged ; Caregivers / psychology ; Caregivers / statistics & numerical data ; Adult ; White People / statistics & numerical data ; White People / psychology ; Stress, Psychological References: Psychooncology. 2018 Feb;27(2):607-612. (PMID: 28801927) ; Palliat Support Care. 2020 Apr;18(2):220-240. (PMID: 31588882) ; Medicine (Baltimore). 2018 Sep;97(39):e11863. (PMID: 30278483) ; Psychooncology. 2013 May;22(5):1035-42. (PMID: 22573418) ; Value Health. 2019 May;22(5):537-544. (PMID: 31104731) ; Am J Hosp Palliat Care. 2020 Mar;37(3):201-213. (PMID: 31596115) ; BMJ Open. 2019 Jul 11;9(7):e028315. (PMID: 31300501) ; Psychooncology. 2022 Nov;31(11):1809-1820. (PMID: 36209385) ; Support Care Cancer. 2013 Sep;21(9):2387-94. (PMID: 23564073) ; Support Care Cancer. 2019 Jun;27(6):2329-2337. (PMID: 30353229) ; Cancer Nurs. 2008 Sep-Oct;31(5):399-407. (PMID: 18772665) ; Semin Oncol Nurs. 2019 Aug;35(4):380-383. (PMID: 31230929) ; J Psychosoc Oncol. 2023;41(4):393-410. (PMID: 36214743) ; Support Care Cancer. 2021 Mar;29(3):1225-1233. (PMID: 32613374) ; Support Care Cancer. 2022 Jun;30(6):4781-4788. (PMID: 35142912) ; Fam Syst Health. 2011 Jun;29(2):81-94. (PMID: 21688902) ; JAMA Netw Open. 2023 Apr 3;6(4):e235785. (PMID: 37022691) ; Ann Otol Rhinol Laryngol. 2023 Apr;132(4):449-459. (PMID: 35549916) ; Eur J Cancer Care (Engl). 2018 Mar;27(2):e12520. (PMID: 27271027) ; J Clin Epidemiol. 2009 May;62(5):550-7.e1. (PMID: 18757178) ; J Adv Nurs. 2020 Jul;76(7):1668-1678. (PMID: 32281683) ; Nurs Res. 2023 Mar-Apr 01;72(2):103-113. (PMID: 36729777) ; Support Care Cancer. 2020 Jun;28(6):2735-2743. (PMID: 31707502) ; Issues Ment Health Nurs. 2012 Jul;33(7):494-7. (PMID: 22757603) ; Nurs Res. 2007 Jan-Feb;56(1):44-53. (PMID: 17179873) ; Ann Behav Med. 2010 Oct;40(2):218-27. (PMID: 20652462) ; Cancer Nurs. 2020 Mar/Apr;43(2):E97-E104. (PMID: 30801266) ; Qual Life Res. 2014 Dec;23(10):2651-61. (PMID: 24938431) ; Curr Opin Support Palliat Care. 2020 Sep;14(3):247-262. (PMID: 32769618) ; Oncol Nurs Forum. ;44(1):20-23. (PMID: 28060469) ; Stress. 2022 Jan;25(1):258-266. (PMID: 35727023) ; Semin Oncol Nurs. 2019 Aug;35(4):359-362. (PMID: 31229343) ; J Clin Epidemiol. 2010 Nov;63(11):1179-94. (PMID: 20685078) ; Int J Aging Hum Dev. 2019 Mar;88(2):127-149. (PMID: 29382211) ; Cancer Nurs. 2018 Mar/Apr;41(2):91-99. (PMID: 28426539) ; Res Nurs Health. 1992 Aug;15(4):271-83. (PMID: 1386680) ; Psychol Aging. 2010 Jun;25(2):453-63. (PMID: 20545429) ; J Pain Symptom Manage. 2019 Oct;58(4):685-689. (PMID: 31325546) ; Z Psychosom Med Psychother. 2022 Mar;68(1):74-86. (PMID: 34494936) ; Eur J Oncol Nurs. 2021 Jun;52:101962. (PMID: 33962232) ; J Health Soc Behav. 2010;51 Suppl:S28-40. (PMID: 20943581) ; Psychooncology. 2018 Mar;27(3):838-846. (PMID: 29125677) ; Support Care Cancer. 2022 Nov;30(11):9625-9633. (PMID: 36190556) ; Aust N Z J Public Health. 2022 Dec;46(6):850-857. (PMID: 36121279) ; Cancer. 2016 Jul 1;122(13):1987-95. (PMID: 26991807) ; Transl Oncol. 2022 Feb;16:101328. (PMID: 34990907) ; Psychol Health. 2021 Dec;36(12):1514-1535. (PMID: 33393827) ; J Pain Symptom Manage. 2011 Mar;41(3):535-48. (PMID: 21131168) Grant Information: P30 CA023074 United States CA NCI NIH HHS; R01 CA224282 United States CA NCI NIH HHS Contributed Indexing: Keywords: burden; cancer; cancer caregivers; psychological distress; social determinants of health Molecular Sequence: ClinicalTrials.gov NCT03743415 Entry Date(s): Date Created: 20230823 Date Completed: 20240516 Latest Revision: 20240518 Update Code: 20240518 PubMed Central ID: PMC10884349

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Social determinants of health, psychological distress, and caregiver burden among informal cancer caregivers of cancer survivors during treatment.