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Is Social Support Associated with Colorectal Cancer Care Utilization? A Multilevel Mixed-Effects Model of a Cross-Sectional Cohort Study in Vietnam

Asian Pacific journal of cancer prevention : APJCP, 2023-11, Vol.24 (11), p.3979-3984 [Peer Reviewed Journal]

ISSN: 1513-7368 ;EISSN: 2476-762X ;DOI: 10.31557/APJCP.2023.24.11.3979 ;PMID: 38019258

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  • Title:
    Is Social Support Associated with Colorectal Cancer Care Utilization? A Multilevel Mixed-Effects Model of a Cross-Sectional Cohort Study in Vietnam
  • Author: Le, Duong Dinh ; Tran, Thang Binh ; Nguyen, Gia Thanh ; Nguyen, Tu Minh ; Tran, Tri Xuan Minh ; Nguyen, Linh Hoang Thuy ; Dang, Nha Thi Thanh ; Vo, Thang Van ; Sarakarn, Pongdech
  • Subjects: Cohort Studies ; Colorectal Neoplasms - therapy ; Cross-Sectional Studies ; Humans ; Social Support ; Tertiary Care Centers ; Vietnam - epidemiology
  • Is Part Of: Asian Pacific journal of cancer prevention : APJCP, 2023-11, Vol.24 (11), p.3979-3984
  • Description: To investigate the relationship between the social support (SS) and colorectal cancer (CRC) care utilization of patients in the central region of Vietnam. This was a cross-sectional cohort study in which the cohort was defined as all residential patients diagnosed with CRC in a tertiary hospital, Hue Central Hospital (HCH), in central Vietnam from 2013 to 2019. Social support was considered the main independent variable and was evaluated using the Medical Outcomes Study Social Support Survey (MOS-SSS), a self-administered 19-item SS survey. MOS-SSS is a widely used scale for assessing social support in CRC patients because it is brief, easy to use, reliable, and valid. In this study, we considered a data framework with a multilevel structure that included the patient level and duration of diagnosis as the second level. We estimated the magnitude of SS and CRC-specific treatment modalities using multilevel mixed-effects (MM) models under a hierarchical approach. The findings indicated that CRC care utilization rates were 89.9%, 48.5%, and 30.6% for surgical resection, chemotherapy, and radiation therapy, respectively. The overall trend of SS decreased significantly and affected the CRC care utilization. We found a positive effects of overall SS, as well as emotional and tangible support, on the number of hospitalization admissions and chemotherapy utilization. This study suggests that the use of the MOS-SSS should be continued in the long term for CRC patients to enhance medical accessibility and care utilization.
  • Publisher: Thailand: West Asia Organization for Cancer Prevention
  • Language: English
  • Identifier: ISSN: 1513-7368
    EISSN: 2476-762X
    DOI: 10.31557/APJCP.2023.24.11.3979
    PMID: 38019258
  • Source: Open Access: DOAJ Directory of Open Access Journals
    Open Access: PubMed Central
    MEDLINE
    Open Access: Freely Accessible Journals by multiple vendors
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