Lack of health maintenance examinations and risk in myeloma patients.
Health maintenance (HM) practices are essential to prevent illness, promote well-being, and maximize health. Patients with multiple myeloma (MM) are at increased risk for cardiovascular disease and cancers, yet, research on HM practices and preventative care of MM survivors has limited report. The study comprised a descriptive, correlational, and cross-sectional online survey design. Survey of patients with MM was carried out through the International Myeloma Foundation (IMF) and the Association of Cancer Online Resources (ACOR) e-mail list services. The members of the IMF and ACOR e-mail list services were surveyed, of which 237 patients responded. The modified Medical Expenditure Preventive Survey-Preventive Care questionnaire was used; it included items that ask patients regarding their healthcare practices that relate to dental care, cancer prevention, addiction, lifestyles, sensory screening, immunizations, cardiovascular, endocrine, psychosocial, and bone health. Descriptive statistics, Pearson's chi-square, and Spearman's rho correlation coefficient were obtained. In this study, men had statistically significant inferior global health maintenance scores than women (P = 0.002). Being employed (P = 0.054) and married or partnered (P = 0.017) were significantly correlated with better health maintenance patterns among male respondents. In contrast, no statistically significant correlations between sociodemographic factors and health maintenance patterns were found in women. Patients with MM, particularly men, require continued education and close monitoring of health maintenance practices. These findings are consistent with publications looking at gender disparities in healthcare utilization in the United States. Studies show that men, in general, are less likely to seek preventative healthcare screenings. Healthcare providers must incorporate health maintenance promotion during clinic visits.
College of Science and Health, DePaul University, Chicago, IL, USA.
Joseph D
JD
Tariman
Myeloma Program, Emory University, Atlanta, GA, USA.
Charise
C
Gleason
Myeloma Program, Cleveland Clinic Foundation, Cleveland, OH, USA.
Beth
B
Faiman
Jerome Lipper Institute of Myeloma, Dana Farber Cancer Institute, Boston, MA, USA.
Deborah
D
Doss
Mount Sinai Hospital, New York, NY, USA.
Donna
D
Catamero
Social Science Research Center, DePaul University, Chicago, IL, USA.
Jessica
J
Bishop-Royse
International Myeloma Foundation, Los Angeles, CA, USA.|International Myeloma Foundation Nurse Leadership Board, Los Angeles, CA, USA.
Mike
M
Katz
Hematology-Oncology Department, University of Arizona, Tucson, AZ, USA.
Sandra
S
Kurtin
International Myeloma Foundation, Los Angeles, CA, USA.|International Myeloma Foundation Nurse Leadership Board, Los Angeles, CA, USA.
Diane
D
Moran
Myeloma Program, Emory University, Atlanta, GA, USA.
Sagar
S
Lonial
D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer; D005260:Female; D006266:Health Education; D006293:Health Promotion; D006801:Humans; D008297:Male; D008875:Middle Aged; D009101:Multiple Myeloma / Q000453:epidemiology* / Q000517:prevention & control; D010349:Patient Compliance; D011314:Preventive Health Services; D062486:Public Health Surveillance; D012306:Risk; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D017741:Survivors
Cancer; health maintenance; health promotion; multiple myeloma; preventive health services; survivors