Cancer site differences in the health‐related quality of life of Korean cancer survivors: Results from a Population‐based Survey

摘要

Abstract Objectives We investigated cancer site differences in the health‐related quality of life ( HRQOL ) of cancer survivors. Design and Sample A secondary data analysis was conducted using the sixth Korea National Health and Nutrition Examination Survey (2013–2015). Participants were 15,461 adults (664 cancer survivors) with available EuroQol‐5 Dimensions ( EQ 5D) information. Measurements Constructs from the revised Wilson and Cleary's model were examined. HRQOL status was measured using the EQ 5D. EQ 5D dimensional problems and indices were compared across cancer sites using multiple linear and quantile regression analyses. Results The most common problems across cancer sites were pain/discomfort and mobility. There were differences in EQ 5D dimensional problems by cancer site: problems of usual activities in the cervix‐cancer group and anxiety/depression in the thyroid cancer group were prevalent. Those with cervix cancer (vs. stomach) had higher EQ 5D index scores; however, no significant differences were observed between other site subgroups. Subjective health perception and socioeconomic factors were significant determinants affecting HRQOL among cancer survivors with low EQ 5D index scores. Conclusions Subjective health status and socioeconomic characteristics are predicted to have a greater impact on survivors with low (vs. high) HRQOL . Socioeconomic and psychological support is essential to increase cancer survivors’ HRQOL , regardless of cancer site.