Abstract 6182: Receipt of survivorship care plans is associated with self-reported health status for Black female cancer survivors in Maryland

Abstract Background: Survivorship care plans (SCPs) support the transition from specialized cancer treatment to primary care and have been promoted for improving cancer survivorship. We previously demonstrated that non-Hispanic Black (NHB) female cancer survivors in Maryland are more likely to receive SCPs than their non-Hispanic White (NHW) counterparts. Here, we assessed whether receipt of SCPs is associated with general health of female cancer survivors. Methods: Using cross-sectional data from the 2011-2023 Maryland Behavioral Risk Factor Surveillance System (BRFSS) survey, we evaluated receipt of SCPs and general health for NHB and NHW female cancer survivors (N, weighted %). A survey-weighted multivariable logistic regression model was used to estimate odds ratios (ORs) with 95% confidence intervals (CIs) for the association between self-reported receipt of a SCP and general health (fair or poor health vs. excellent or very good health); stratified by race, adjusted for time since cancer diagnosis (1-5, 6-10, 11+ years), age (years), income (≤$50k vs. >$50k), education (less than college vs. at least some college or greater) and body mass index (underweight, normal weight, overweight, obese). Individuals on active treatment and <1 year out from their cancer diagnosis were excluded. Results: Of the 2, 854 female cancer survivors, 312 (14%) were NHB and 2, 542 (86%) were NHW. Most women received an SCP (73%), with NHB women being more likely to receive a SCP than NHW women (80% vs. 72%). High income and high education individuals were more likely to receive SCPs (76% vs. 72% and 76% vs. 70%, respectively). While most women reported excellent or very good health (75%), NHB vs. NHW women were more likely to report fair or poor health (38% vs. 22%, respectively). NHB vs. NHW women were significantly [OR: 48.31; 95% CI: 5.35-436.02, p=0.001] more likely to report fair or poor general health. However, NHB women who received a SCP were significantly less likely [OR: 0.031; 95% CI:0.003-0.31; p=0.003] to report fair or poor health compared to NHB women who did not receive a SCP. There was no significant difference in health status for NHW women who did vs. did not receive a SCP [OR: 1.20; 95% CI: 0.62-2.36; p=0.587]. Conclusions: Our results indicate that receipt of SCPs post-treatment is important for current health status among NHB women and highlights a potential intervention for improving the general health of minoritized female cancer survivors. Citation Format: Camryn Mae Cohen, Kassandra I. Alcaraz, Lensa S. Keno, Mu Jin, Avonne E. Connor. Receipt of survivorship care plans is associated with self-reported health status for Black female cancer survivors in Maryland [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2025; Part 1 (Regular Abstracts); 2025 Apr 25-30; Chicago, IL. Philadelphia (PA): AACR; Cancer Res 2025;85(8_Suppl_1):Abstract nr 6182.

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Journal
Cancer Research
Published
2025-04-21
DOI
https://doi.org/10.1158/1538-7445.am2025-6182
Primary Topic
Cancer survivorship and care
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article

Abstract 6182: Receipt of survivorship care plans is associated with self-reported health status for Black female cancer survivors in Maryland

Avonne E. Connor, Kassandra I. Alcaraz, Lensa S. Keno, Mu Jin et al.
Cancer Research
Cancer survivorship and care
article

Abstract 6182: Receipt of survivorship care plans is associated with self-reported health status for Black female cancer survivors in Maryland

Avonne E. Connor, Kassandra I. Alcaraz, Lensa S. Keno, Mu Jin, C Cohen
article en

Abstract

Abstract Background: Survivorship care plans (SCPs) support the transition from specialized cancer treatment to primary care and have been promoted for improving cancer survivorship. We previously demonstrated that non-Hispanic Black (NHB) female cancer survivors in Maryland are more likely to receive SCPs than their non-Hispanic White (NHW) counterparts. Here, we assessed whether receipt of SCPs is associated with general health of female cancer survivors. Methods: Using cross-sectional data from the 2011-2023 Maryland Behavioral Risk Factor Surveillance System (BRFSS) survey, we evaluated receipt of SCPs and general health for NHB and NHW female cancer survivors (N, weighted %). A survey-weighted multivariable logistic regression model was used to estimate odds ratios (ORs) with 95% confidence intervals (CIs) for the association between self-reported receipt of a SCP and general health (fair or poor health vs. excellent or very good health); stratified by race, adjusted for time since cancer diagnosis (1-5, 6-10, 11+ years), age (years), income (≤$50k vs. >$50k), education (less than college vs. at least some college or greater) and body mass index (underweight, normal weight, overweight, obese). Individuals on active treatment and <1 year out from their cancer diagnosis were excluded. Results: Of the 2, 854 female cancer survivors, 312 (14%) were NHB and 2, 542 (86%) were NHW. Most women received an SCP (73%), with NHB women being more likely to receive a SCP than NHW women (80% vs. 72%). High income and high education individuals were more likely to receive SCPs (76% vs. 72% and 76% vs. 70%, respectively). While most women reported excellent or very good health (75%), NHB vs. NHW women were more likely to report fair or poor health (38% vs. 22%, respectively). NHB vs. NHW women were significantly [OR: 48.31; 95% CI: 5.35-436.02, p=0.001] more likely to report fair or poor general health. However, NHB women who received a SCP were significantly less likely [OR: 0.031; 95% CI:0.003-0.31; p=0.003] to report fair or poor health compared to NHB women who did not receive a SCP. There was no significant difference in health status for NHW women who did vs. did not receive a SCP [OR: 1.20; 95% CI: 0.62-2.36; p=0.587]. Conclusions: Our results indicate that receipt of SCPs post-treatment is important for current health status among NHB women and highlights a potential intervention for improving the general health of minoritized female cancer survivors. Citation Format: Camryn Mae Cohen, Kassandra I. Alcaraz, Lensa S. Keno, Mu Jin, Avonne E. Connor. Receipt of survivorship care plans is associated with self-reported health status for Black female cancer survivors in Maryland [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2025; Part 1 (Regular Abstracts); 2025 Apr 25-30; Chicago, IL. Philadelphia (PA): AACR; Cancer Res 2025;85(8_Suppl_1):Abstract nr 6182.

Cancer ResearchVol. 85(8_Supplement_1)
University of North Carolina at Chapel Hill (US), Bloomberg (United States) (US), Johns Hopkins University (US), University of Baltimore (US)
Openalex Percentile: Top 88%
Cancer survivorship and care
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