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303673
Using the National Health Interview Survey to Advance Patient-Reported Outcomes Research among Cancer Survivors
Monday, November 17, 2014
: 9:10 AM - 9:30 AM
Kathryn Weaver, PhD, MPH
,
Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston Salem, NC
The National Health Interview Survey (NHIS), an annual population survey to monitor the health of the US population, is a rich source of data regarding the health and well-being of US cancer survivors. Data are publicly available from the National Center for Health from Statistics. The content of the survey consists of both core questions (consistent across years) and year-specific content reflecting special supplements. Multiple geographic variables are also available. To date, more than 25 different publications have reported NHIS patient-reported outcomes data from cancer survivors. These studies have addressed topics such as health-related quality of life (HRQOL), self-reported health, cancer-related financial strain, physical performance and activities of daily living limitations, and mental distress. Strengths and limitations of this data source for survivorship research will be described, as will strategies for working with the data. We will highlight the methods of the 2010 Cancer Supplement and describe characteristics of the 2010 cancer survivor sample. A total of 1,822 cancer survivors were identified in the 2010 dataset (58.0% female; 47.2% age 65 or older; 83.2% white, non-Hispanic; 20.8% rural). The most common cancer types were female breast (19.8%), prostate (15.5%), melanoma (10.5%), cervix (7.8%), and colorectal (7.6%). Poor physical HRQOL (measured by T-score <40 on the PROMIS Global 10) was reported by 24.5% of survivors; 10.1% reported poor mental HRQOL. Results of recent NHIS survivor-focused analyses will be reviewed. For example, rural survivors were more likely to report fair/poor health [OR=1.39, 95%CI=1.20-1.62, psychological distress [OR=1.23, 1.00-1.50], and health-related unemployment [OR=1.66, 1.35-2.03].
Learning Areas:
Epidemiology
Planning of health education strategies, interventions, and programs
Social and behavioral sciences
Learning Objectives:
Evaluate the prior use of the NHIS for patient-reported outcomes research among cancer survivors, including research on rural-urban differences in health status.
Describe the strengths and weaknesses of the NHIS for conducting patient-reported outcome surveillance in cancer survivors, including the availability of geographic data.
Formulate ideas for future patient-reported outcomes surveillance research using the NHIS that focus on geographic factors
Keyword(s): Cancer, Outcomes Research
Presenting author's disclosure statement:Qualified on the content I am responsible for because: I have led or substantially contributed to multiple secondary data analyses focused on cancer survivors using large public health datasets, including the National Health Interview Survey (NHIS) and the Behavioral Risk Factor Surveillance System. I was also the PI of a NCI-funded study (1R03CA156641-01) to generate the first population-based estimate regarding the prevalence and health status of rural cancer survivors in the US using the NHIS.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.
