{"doi":"10.1002/pon.6248","title":"Psychological distress and mental health care utilization among Hispanic/Latino survivors of adolescent and young adult cancer","abstract":"PURPOSE: Survivors of adolescent and young adult (AYA) cancer experience psychological distress and insufficient access to mental health care. Few studies have investigated racial/ethnic disparities in psychological health outcomes in this population. This study compared psychological distress, mental health care use, and inability to afford mental health care between Hispanic/Latino survivors of AYA cancer and Hispanic/Latino controls. METHODS: The National Health Interview Survey data (2010-2018) were analyzed to identify Hispanic/Latino survivors of AYA cancer and Hispanic/Latino age- and sex-matched non-cancer controls. Sociodemographic, chronic health, modifiable factors, and psychological outcomes were compared using chi-square tests. Logistic regression models with survey weights were used to assess the log-odds of psychological distress in relation to covariates, along with the cancer group. Interactions were evaluated between each variable and cancer group. RESULTS: The study included 370 Hispanic/Latino survivors of AYA cancer (mean time since diagnosis = 12.34 years) and 3700 Hispanic/Latino controls. Compared to controls, survivors were more likely to report moderate/severe distress (OR = 2.23, p < 0.001), use of mental health care (OR = 2.11, p < 0.001) and inability to afford mental health care (OR = 3.05, p < 0.001). Forty-one percent of survivors reported moderate/severe distress and only 16% utilized mental health care. Among survivors, having more than two chronic health conditions and public insurance (compared to private insurance) were associated with the presence of moderate/severe distress. Among survivors experiencing moderate/severe distress, lack of insurance was associated with decreased utilization of mental health care. CONCLUSIONS: Having cancer as an AYA may exacerbate disparities in psychological health within the Hispanic/Latino population.","journal":"Psycho-Oncology","year":2023,"id":347046,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":12,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9596,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":689848,"name":"Amy M. Berkman","orcid":"0000-0003-0650-3664","position":1,"is_corresponding":false},{"id":1045031,"name":"Christabel K. Cheung","orcid":"0000-0003-0721-7053","position":2,"is_corresponding":false},{"id":941073,"name":"Andrea C. Betts","orcid":"0000-0003-0884-6513","position":3,"is_corresponding":false},{"id":302778,"name":"John M. Salsman","orcid":"0000-0003-2317-4006","position":4,"is_corresponding":false},{"id":442137,"name":"Clark R. Andersen","orcid":"0000-0003-1846-9117","position":5,"is_corresponding":false},{"id":805241,"name":"Carol Y. Ochoa","orcid":"0000-0002-6946-3287","position":6,"is_corresponding":false},{"id":751069,"name":"Kimberly A. Miller","orcid":"0000-0002-0742-3730","position":7,"is_corresponding":false},{"id":383866,"name":"Joel Milam","orcid":"0000-0001-9489-8015","position":8,"is_corresponding":false},{"id":1088466,"name":"Ashna Shah","orcid":null,"position":9,"is_corresponding":false},{"id":405093,"name":"Susan K. Peterson","orcid":"0000-0003-4793-1913","position":10,"is_corresponding":false},{"id":521966,"name":"Qian Lü","orcid":"0000-0001-7271-5804","position":11,"is_corresponding":false},{"id":374607,"name":"J. Andrew Livingston","orcid":"0000-0002-1337-3282","position":12,"is_corresponding":false},{"id":503083,"name":"Michelle A.T. Hildebrandt","orcid":"0000-0001-6769-6872","position":13,"is_corresponding":false},{"id":539568,"name":"Susan K. Parsons","orcid":"0000-0003-0282-6490","position":14,"is_corresponding":false},{"id":230928,"name":"David R. Freyer","orcid":"0000-0001-5280-990X","position":15,"is_corresponding":false},{"id":501723,"name":"Michael Roth","orcid":"0000-0002-6411-8353","position":16,"is_corresponding":false},{"id":1045033,"name":"Eunju Choi","orcid":"0000-0002-7089-6995","position":0,"is_corresponding":true}],"reference_count":40,"raw_metadata":null,"created_at":"2026-07-19T01:11:53.085356Z","pmid":"37955581","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}