1567P Comparison of sociodemographic characteristics and physical and psychological health of adolescent and young adult (AYA) cancer survivors with those of the general population

Abstract

Adolescent and Young Adult(AYA) cancer survivors have been highly reported psychosocial and physical burden. However, few research compared psychosocial and physical burden between AYA survivors and general population. This study aims to compare sociodemographic characteristics and physical and psychological health of AYA survivors with those of the general population. We conducted a cross-sectional study using the US and Korean National Health and Nutrition Examination Surveys from 2007 to 2018. We defined AYA survivors as adults who were diagnosed any type of cancer between aged 15 to 39 years. The comparison group was matched according to age, sex, race/ethnicity with 1:5 ratios. Sociodemographic, comorbidities, physical and psychosocial health were assessed using standardized questionnaires. Among 773 AYA cancer and 3865 matched general population, AYA survivors were more likely to be former drinkers and smokers (46.1% vs 35.5%, 12.5% vs 0.1%), more likely to be divorced (11.4% vs 7.6%); and have poor health (5.1% vs 2.6%). AYA survivors experienced asthma, angina, thyroid problem, and myocardial infraction 2 times more than those of the general population. Non-Hispanic White AYA survivors were more likely to be divorced than other race groups and Black AYA survivors were more likely to be unemployed. Hispanic AYA survivors had lower level of income. However, there were no significant differences in physical, mental, emotional limitation and physical activities between AYA survivors and general population. AYA cancer survivors were more likely to experience lower socio-economic status and report poor health status compared with those of the general population. Future studies and interventions are necessary to reduce the gap between AYA survivors and the general population.