title: Identification and correlates of unmet service needs in adult leukemia and lymphoma survivors after treatment.
abstract: OBJECTIVE
  To examine and characterize the psychosocial and health service needs of adult leukemia and lymphoma survivors who had completed active treatment within the past 4 years.
  
  
  METHODS
  Self-report surveys were completed by 477 survivors, age 18 to 85 years, to identify areas and correlates of unmet psychosocial, health, and instrumental service needs. Unmet service needs were rank ordered, and nonparametric tests were run to assess relationships.
  
  
  RESULTS
  The rate of unmet need was highest regarding sexual issues, handling medical and living expenses, emotional difficulties, employment, and health insurance. Women were more likely to report unmet child care needs than men; younger individuals were more likely to report needing help with emotional difficulties and family problems; and lower income was related to greater unmet need regarding medical and living expenses. Relationships were also observed among the service needs, suggesting overlapping areas of unmet need.
  
  
  CONCLUSIONS
  Adult leukemia and lymphoma survivors demonstrated a diverse range of needs, many of which were related to the psychosocial and physical sequelae of cancer. The findings suggest directions for service provision and development of standards for quality care in this underserved post-treatment population.
authors.affiliation: University of Colorado Denver School of Medicine, Aurora, CO, USA. carla.parry@nih.gov
authors.forename: Carla
authors.initials: C
authors.lastname: Parry
authors.forename: Jana B
authors.initials: JB
authors.lastname: Lomax
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Morningstar
authors.forename: Diane L
authors.initials: DL
authors.lastname: Fairclough
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006296:Health Services; D006301:Health Services Needs and Demand; D006801:Humans; D007938:Leukemia / Q000523:psychology / Q000628:therapy*; D008223:Lymphoma / Q000523:psychology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D017741:Survivors / Q000523:psychology*; D016896:Treatment Outcome; D055815:Young Adult