We aimed to describe the negative and positive impacts of changes in cancer care delivery due to COVID-19 pandemic for adolescents and young adults (AYAs) in Canada, as well as the correlates of negative impact and their perspectives on optimization of cancer care. We conducted an online, self-administered survey of AYAs with cancer living in Canada between January and February 2021. Multiple logistic regression was used to identify factors associated with a negative impact on cancer care. Of the 805 participants, 173 (21.5%) experienced a negative impact on their cancer care including delays in diagnostic tests (11.9%), cancer treatment (11.4%), and appointments (11.1%). A prior diagnosis of mental or chronic physical health condition, an annual income of <20,000 CAD, ongoing cancer treatment, and province of residence were independently associated with a negative cancer care impact ( p -value < 0.05). The majority ( n = 767, 95.2%) stated a positive impact of the changes to cancer care delivery, including the implementation of virtual healthcare visits ( n = 601, 74.6%). Pandemic-related changes in cancer care delivery have unfavorably and favorably influenced AYAs with cancer. Interventions to support AYAs who are more vulnerable to the adverse effects of the pandemic, and the thoughtful integration of virtual care into cancer care delivery models is essential.
【저자키워드】 COVID-19, pandemic, Cancer, Virtual care, oncology, adolescents and young adults, 【초록키워드】 COVID-19 pandemic, diagnostic test, Diagnosis, healthcare, Impact, implementation, Canada, change, Care, cancer treatment, CAD, Support, adverse effect, Factor, Participants, Perspective, P -value, positive, multiple logistic regression, health condition, Mental, physical, identify, was used, conducted, majority, changes in, negative and positive, 【제목키워드】 survey, Impact, Adolescent,