title: Perceived long-term and physical health problems after cancer: adolescent and young adult survivors of childhood cancer in Korea.
abstract: OBJECTIVE
  This study aims to examine the impact of perceived health problems after cancer on perceived physical and mental functioning among adolescent and young adult (AYA) survivors of childhood cancer in Korea.
  
  
  METHODS
  Participants were 225 cancer survivors who were diagnosed before the age of 19, are currently between 15 and 39 years old, and had completed cancer treatment. Each participant completed structured questionnaires. Data were analyzed using descriptive analyses, independent sample t-tests, and multivariate linear regression analyses.
  
  
  RESULTS
  A majority (73.1%) of the Korean AYA cancer survivors reported at least one health problem. Growth issues ranked as the most frequently reported; followed by chronic fatigue, vision, learning/memory issues, and weak bones. Those with learning/memory and chronic fatigue issues reported both lower physical and mental functioning. The greater number of health problems the survivors reported was associated with the lower levels of their perceived physical and mental functioning after controlling for age, gender, cancer type, cancer recurrence, and time since diagnosis.
  
  
  CONCLUSIONS
  Perceived health problems were prevalent among childhood cancer survivors and were significant in assessing physical and mental functioning. Although late effects after treatment for childhood cancer have been well documented internationally, this study is unique in that it helps understand cancer survivors treated in Korea and raises awareness in Korean society.
authors.affiliation: University of Utah, College of Social Work, Salt Lake City, UT, USA. Electronic address: jaehee.yi@utah.edu.
authors.forename: Jaehee
authors.initials: J
authors.lastname: Yi
authors.affiliation: Yonsei University, School of Social Welfare, Seoul, South Korea. Electronic address: minahkim.korea@gmail.com.
authors.forename: Min Ah
authors.initials: MA
authors.lastname: Kim
authors.affiliation: University of Utah, College of Social Work, Salt Lake City, UT, USA. Electronic address: tiantian-129129@163.com.
authors.forename: Tian
authors.initials: T
authors.lastname: Tian
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D002648:Child; D003863:Depression / Q000453:epidemiology / Q000209:etiology; D005221:Fatigue / Q000453:epidemiology* / Q000209:etiology; D005260:Female; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D015994:Incidence; D016014:Linear Models; D008297:Male; D008603:Mental Health; D015999:Multivariate Analysis; D009369:Neoplasms / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D010465:Perception; D010809:Physical Fitness / Q000502:physiology; D011237:Predictive Value of Tests; D011788:Quality of Life; D056910:Republic of Korea; D018570:Risk Assessment; D017678:Sex Distribution; D018434:Sickness Impact Profile; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology / Q000706:statistics & numerical data*; D013997:Time Factors; D055815:Young Adult
keywords: Cancer survivors; Health problems; Late effect; Mental functioning; Physical functioning