The objective of this study was to explore the relationship among income and emotional/practical concerns, help-seeking and unmet needs for cancer survivors aged 18 to 64 years one to three years after treatment. A cross-sectional survey was mailed in 2016 to 40,790 survivors randomly selected from 10 Canadian provincial cancer registries. Thirty-three percent responded. A trend analysis was conducted for survivors most likely to be in the workforce exploring the relationship across four income levels and emotional/practical concerns, whether help was sought for identified concerns, and whether help was received. A total of 4,264 respondents, aged 18–64, provided useable data with breast (34.4%) and colo-rectal (15.0%) accounting for the primary cancer type and 32.0% reporting annual household incomes of <$50,000. More than 94% of respondents indicated having emotional or practical concerns. Between one-third and one-half of the respondents sought help for their concerns and, of those, between one-third and one-half experienced difficulty finding help or did not obtain assistance. Significant trends across income categories indicated greater percentages of those in lower income categories experienced emotional and practical concerns, rated their concerns as ‘big’, sought help, and had difficulty finding help to address their concerns. Clearly adult cancer survivors experience emotional and practical concerns. Healthcare professionals have important roles monitoring these concerns and connecting those who desire help to relevant services. Opportunities should be given to individuals, regardless of income level, to indicate if they have concerns and if they would like assistance.

中文翻译：

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加拿大成年癌症幸存者的家庭年收入与情感/实际问题、寻求帮助和未满足的需求之间的关系

本研究的目的是探讨治疗后 1 至 3 年的 18 至 64 岁癌症幸存者的收入与情感/实际问题、寻求帮助和未满足需求之间的关系。2016 年向加拿大 10 个省级癌症登记处随机选择的 40,790 名幸存者邮寄了一项横断面调查。33% 的人做出了回应。对最有可能在劳动力中的幸存者进行了趋势分析，探索了四个收入水平和情感/实际问题之间的关系，是否针对已确定的问题寻求帮助，以及是否获得了帮助。共有 4,264 名年龄在 18-64 岁的受访者提供了可用数据，其中乳腺癌（34.4%）和结肠直肠癌（15.0%）占原发性癌症类型，32.0% 的家庭年收入低于 50,000 美元。超过 94% 的受访者表示有情感或实际问题。三分之一到二分之一的受访者因他们的担忧而寻求帮助，其中三分之一到二分之一的受访者在寻求帮助时遇到困难或没有获得帮助。不同收入类别的显着趋势表明，在较低收入类别中，更大比例的人经历过情感和实际问题，将他们的担忧评为“大'，寻求帮助，但很难找到帮助来解决他们的担忧。显然，成年癌症幸存者会经历情感和实际问题。医疗保健专业人员在监控这些问题并将需要帮助的人与相关服务联系起来方面发挥着重要作用。无论收入水平如何，都应给予个人机会，表明他们是否有顾虑以及是否需要帮助。