Childhood cancersurvivors may be differentially impacted by coronavirus disease 2019 (COVID-19). From April to June of 2020, we examined psychosocial/health concerns in 4148 adult survivors and 571 siblings. Although more survivors reported concerns about getting sick (p = .002) and needing hospitalization (p = .003) in general, survivors and siblings were comparably concerned about being infected with and the consequences of COVID-19. Cranial radiation was associated with social isolation (relative risk [RR] = 1.3, CI = 1.1–1.7), and central nervous system (CNS) tumors were associated with unemployment due to COVID-19 (RR = 1.7, CI = 1.2–2.2). Some survivors appear more vulnerable and may require more support to meet health care and vocational needs during COVID-19, though siblings also perceive substantial risk.

中文翻译：

---

COVID-19 大流行对一大群儿童癌症成年幸存者的影响

儿童癌症幸存者可能受到 2019 年冠状病毒病 (COVID-19) 的不同影响。从 2020 年 4 月到 6 月，我们检查了 4148 名成年幸存者和 571 名兄弟姐妹的心理社会/健康问题。尽管更多幸存者报告担心生病 ( p  = .002) 和需要住院治疗 ( p = .003) 总的来说，幸存者和兄弟姐妹对感染 COVID-19 及其后果相当担心。颅内辐射与社会隔离有关（相对风险 [RR] = 1.3，CI = 1.1-1.7），中枢神经系统 (CNS) 肿瘤与 COVID-19 导致的失业有关（RR = 1.7，CI = 1.2-2.2 ）。一些幸存者似乎更脆弱，可能需要更多支持才能满足 COVID-19 期间的医疗保健和职业需求，但兄弟姐妹也认为存在巨大风险。