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Current Oncology
Volume 21
Issue 2
10.3747/co.21.1729
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Current Oncology is published by MDPI from Volume 28 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Multimed Inc..
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Article

Prospective Evaluation of Unmet Needs of Rural and Aboriginal Cancer Survivors in Northern British Columbia

by
R.A. Olson
1,2,3,*,
F. Howard
2,
K. Turnbull
2,
D. Munroe
4,
C. Zirul
3,
R. Manji
2,
P. Tobin
1 and
A. Ward
2
1
BC Cancer Agency Centre for the North, Prince George, BC, Canada
2
University of British Columbia, Vancouver, BC, Canada
3
University of Northern British Columbia, Prince George, BC, Canada
4
BC Cancer Agency Vancouver Centre, Vancouver, BC, Canada
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2014, 21(2), 179-185; https://doi.org/10.3747/co.21.1729
Submission received: 3 January 2014 / Revised: 4 February 2014 / Accepted: 6 March 2014 / Published: 1 April 2014

Abstract

Background: The unmet needs of cancer survivors in rural, remote, and aboriginal communities are largely unexplored. We explored potential differences between rural survivors (rss) in 4 general population (gp) and 4 First Nations (fn) communities. Methods: We approached 4 gp and 4 fn rs communities to participate in a mixed-methods project. Participants completed the Hospital Anxiety and Depression Scale (hads) and the Survivor Unmet Needs Survey (suns) and provided demographic information. Each question on the suns can be scored from 0 to 4, with 0 representing “no unmet need” and 4 representing “very high unmet need.” A directed approach to content analysis of focus group and interview data was used to triangulate the hads and suns results. Results: We prospectively accrued 23 fn rss and 56 gp rss for this study. More fn rss had borderline or abnormal anxiety (5% vs. 21%, p = 0.02). Compared with gp rss, fn rss had higher unmet needs scores in all categories: Information (2.29 vs. 0.8, p < 0.001), Work and Financial (1.66 vs. 0.5, p < 0.001), Access and Continuity of Health Care (1.83 vs. 0.44, p < 0.001), Coping and Sharing (2.22 vs. 0.62, p < 0.001), and Emotional (2.12 vs. 0.63, p < 0.001). The qualitative findings provided examples and insight into the unmet needs experienced by rss. Conclusions: First Nations rss had significantly higher anxiety and unmet needs compared with their gp rs counterparts. In addition, different qualitative themes were identified in the groups. Our findings support the development of tailored approaches to survivorship for these populations.
Keywords: survivorship; aboriginal; First Nations; rural; remote; unmet needs survivorship; aboriginal; First Nations; rural; remote; unmet needs

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MDPI and ACS Style

Olson, R.A.; Howard, F.; Turnbull, K.; Munroe, D.; Zirul, C.; Manji, R.; Tobin, P.; Ward, A. Prospective Evaluation of Unmet Needs of Rural and Aboriginal Cancer Survivors in Northern British Columbia. Curr. Oncol. 2014, 21, 179-185. https://doi.org/10.3747/co.21.1729

AMA Style

Olson RA, Howard F, Turnbull K, Munroe D, Zirul C, Manji R, Tobin P, Ward A. Prospective Evaluation of Unmet Needs of Rural and Aboriginal Cancer Survivors in Northern British Columbia. Current Oncology. 2014; 21(2):179-185. https://doi.org/10.3747/co.21.1729

Chicago/Turabian Style

Olson, R.A., F. Howard, K. Turnbull, D. Munroe, C. Zirul, R. Manji, P. Tobin, and A. Ward. 2014. "Prospective Evaluation of Unmet Needs of Rural and Aboriginal Cancer Survivors in Northern British Columbia" Current Oncology 21, no. 2: 179-185. https://doi.org/10.3747/co.21.1729

APA Style

Olson, R. A., Howard, F., Turnbull, K., Munroe, D., Zirul, C., Manji, R., Tobin, P., & Ward, A. (2014). Prospective Evaluation of Unmet Needs of Rural and Aboriginal Cancer Survivors in Northern British Columbia. Current Oncology, 21(2), 179-185. https://doi.org/10.3747/co.21.1729

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