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9 a.m. - 8 p.m.
Phone: (843) 805-6930
West Ashley Library
9 a.m. – 7 p.m.
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Folly Beach Library
Closed for renovations
Phone: (843) 588-2001
John L. Dart Library
9 a.m. – 7 p.m.
Phone: (843) 722-7550
St. Paul's/Hollywood Library
9 a.m. - 8 p.m.
Phone: (843) 889-3300
Mt. Pleasant Library
9 a.m. – 8 p.m.
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Dorchester Road Library
9 a.m. - 8 p.m.
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Edgar Allan Poe/Sullivan's Island Library
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John's Island Library
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McClellanville Library
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Edisto Library
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Wando Mount Pleasant Library
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Problem alcohol use among rural head and neck cancer patients at diagnosis: Associations with health‐related quality of life.
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- Author(s): Howren, M. Bryant (AUTHOR); Christensen, Alan J. (AUTHOR); Adamowicz, Jenna L. (AUTHOR); Seaman, Aaron (AUTHOR); Wardyn, Shylo (AUTHOR); Pagedar, Nitin A. (AUTHOR)
- Source:
Psycho-Oncology. May2021, Vol. 30 Issue 5, p708-715. 8p. 4 Charts. - Source:
- Additional Information
- Subject Terms:
- Abstract: Objective: Problem alcohol use in persons with head and neck cancer (HNC) is associated with poor outcomes, including survival. Some evidence suggests that individuals living in rural areas may be at greater risk of problem alcohol use. The present exploratory cross‐sectional study sought to examine problem alcohol use at diagnosis in a sample of HNC patients by rural versus urban status. Methods: Self‐reported problem alcohol use as measured by the Short Michigan Alcoholism Screening Test (SMAST) was examined in rural and urban HNC patients at diagnosis (N = 454). Multivariable linear regression analysis was conducted to examine correlates of problem alcohol use. Subgroup analyses examined HNC‐specific health‐related quality of life (HRQOL) by problem drinking status at diagnosis and 3‐ and 12‐month postdiagnosis in rural patients. Results: Multivariable linear regression analysis controlling for age, cancer site, cancer stage, depressive symptoms at diagnosis, and tobacco use at diagnosis indicated that rural residence was significantly associated with SMAST scores at diagnosis such that rural patients were more likely to report higher scores (ß = 0.095, sr2 = 0.010, p = 0.04). Covariate‐adjusted subgroup analyses suggest that rural patients with self‐reported problem alcohol use may exhibit deficits in HNC‐specific HRQOL at diagnosis and 3‐ and 12‐month postdiagnosis. Conclusions: HNC patients should be screened for problem alcohol use at diagnosis and counseled regarding the deleterious effects of continued drinking during treatment and beyond. Because access to treatment and referral options may be lacking in rural areas, additional ways of connecting rural patients to specialty care should be explored. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Psycho-Oncology is the property of John Wiley & Sons, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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