Multivariate Risk Factors for Absence of the Following Types of Outpatient Medical Care in a 2-Year Period in Adult Survivors of Childhood Cancer
| Absence of | ||||||||
|---|---|---|---|---|---|---|---|---|
| General Medical Contact | General Physical Examination | Cancer-Related Medical Visit | Cancer Center Medical Visit | |||||
| Variable | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI |
| OR = odds ratio; CI = confidence interval; <HS graduate = some high school, did not graduate; HS/some college = high school graduate or high school graduate with some college courses. | ||||||||
| * High-risk treatment = treatment with any of the following: chest or mantle radiation, anthracycline ≥300 mg/m2, bleomycin, etoposide, or ifosfamide. | ||||||||
| Age at interview | ||||||||
| 18–19 y | 1.00 | Referent | 1.00 | Referent | 1.00 | Referent | 1.00 | Referent |
| 20–24 y | 1.18 | 0.90–1.56 | 2.06 | 1.62–2.61 | 1.11 | 0.92–1.33 | 1.31 | 1.07–1.61 |
| 25–29 y | 1.47 | 1.11–1.95 | 3.12 | 2.45–3.97 | 1.67 | 1.38–2.02 | 1.88 | 1.51–2.34 |
| 30–34 y | 1.59 | 1.18–2.15 | 3.75 | 2.91–4.82 | 1.74 | 1.42–2.14 | 2.79 | 2.19–3.56 |
| ≥35 y | 1.71 | 1.23–2.37 | 3.64 | 2.78–4.76 | 2.29 | 1.83–2.87 | 3.43 | 2.61–4.51 |
| Sex | ||||||||
| Female | 1.00 | Referent | 1.00 | Referent | 1.00 | Referent | 1.00 | Referent |
| Male | 2.54 | 2.15–2.99 | 1.53 | 1.36–1.71 | 1.18 | 1.06–1.30 | 1.15 | 1.01–1.30 |
| Ethnicity | ||||||||
| White, non-Hispanic | 1.00 | Referent | 1.00 | Referent | 1.00 | Referent | 1.00 | Referent |
| Minority | 1.53 | 1.21–1.93 | 0.81 | 0.66–0.99 | 0.97 | 0.81–1.16 | 0.79 | 0.64–0.96 |
| Education | ||||||||
| College graduate | 1.00 | Referent | 1.00 | Referent | 1.00 | Referent | 1.00 | Referent |
| HS/some college | 1.48 | 1.22–1.79 | 1.21 | 1.06–1.38 | 1.16 | 1.03–1.31 | 1.25 | 1.08–1.44 |
| <HS graduate | 1.88 | 1.41–2.52 | 1.34 | 1.06–1.70 | 1.14 | 0.92–1.41 | 1.07 | 0.84–1.37 |
| Health insurance | ||||||||
| Yes | 1.00 | Referent | 1.00 | Referent | 1.00 | Referent | 1.00 | Referent |
| No | 2.14 | 1.78–2.57 | 2.19 | 1.87–2.56 | 1.64 | 1.40–1.92 | 1.41 | 1.16–1.70 |
| Health status | ||||||||
| Good | 1.00 | Referent | 1.00 | Referent | 1.00 | Referent | 1.00 | Referent |
| Fair/poor | 0.94 | 0.72–1.22 | 1.42 | 1.18–1.71 | 0.62 | 0.52–0.74 | 1.01 | 0.82–1.24 |
| Concern for future health | ||||||||
| Concerned | 1.00 | Referent | 1.00 | Referent | 1.00 | Referent | 1.00 | Referent |
| Not concerned | 1.44 | 1.21–1.71 | 1.38 | 1.21–1.58 | 1.51 | 1.33–1.71 | 1.53 | 1.31–1.79 |
| High-risk treatment* | ||||||||
| No | 1.00 | Referent | 1.00 | Referent | 1.00 | Referent | 1.00 | Referent |
| Yes | 0.73 | 0.62–0.86 | 0.72 | 0.64–0.81 | 0.59 | 0.52–0.65 | 0.45 | 0.39–0.51 |