Skip to main content
Top
Published in: Journal of Cancer Survivorship 2/2024

28-01-2022

The HealthStreet Cancer Survivor Cohort: a Community Registry for Cancer Research

Authors: Ting-Yuan David Cheng, Piyush V. Chaudhari, Kevin R. Bitsie, Catherine W. Striley, Deepthi S. Varma, Linda B. Cottler

Published in: Journal of Cancer Survivorship | Issue 2/2024

Login to get access

Abstract

Purpose

This report describes a cancer survivor cohort from a community engagement program and compares characteristics and willingness to participate in health research between the cancer survivors and non-cancer community members.

Methods

Among 11,857 members enrolled in HealthStreet at the University of Florida (10/2011–03/2020), 991 cancer survivors were identified and 1:1 matched to control members without cancer on sex, age, and zip code. Demographics, body weight, height, social determinants of health, history of cancer, and willingness to participate in research were recorded by Community Health Workers as a part of the baseline Health Needs Assessment.

Results

Among the cancer survivors, 71.6% were female and 19.2% lived in rural areas with a mean age of 56.7 years in females and 60.8 years in males. At baseline, 44.7% received a cancer diagnosis within 5 years, while 15.8%, more than 20 years. Cancer survivors (vs. matched non-cancer controls) were less likely to be Black (31.1% vs. 63.6%) but more likely to be divorced, separated, or widowed (49.5% vs. 41.2%), be normal/underweight (34.0% vs. 25.6%) and have health insurance (80.0% vs. 68.6%; all p < 0.05). Cancer survivors versus matched controls reported higher rates of ever being in a health research study (32.4% vs. 24.9%) and interest in participating in studies ranging from minimal risk to greater-than-minimal risk.

Conclusions

Cancer survivors from this community engagement program agnostic to cancer types and treatment are diverse in geography, race, and social determinants of health and can be a valuable resource for observational, interventional, and biospecimen research in cancer survivorship.
Literature
1.
go back to reference Rowland JH, Gallicchio L, Mollica M, et al. Survivorship science at the NIH: lessons learned from grants funded in fiscal year 2016. J Natl Cancer Inst. 2019;111(2):109–17.CrossRefPubMedPubMedCentral Rowland JH, Gallicchio L, Mollica M, et al. Survivorship science at the NIH: lessons learned from grants funded in fiscal year 2016. J Natl Cancer Inst. 2019;111(2):109–17.CrossRefPubMedPubMedCentral
2.
go back to reference Harrop JP, Dean JA, Paskett ED. Cancer survivorship research: a review of the literature and summary of current NCI-designated cancer center projects. Cancer Epidemiol Biomarkers Prev. 2011;20(10):2042–7.CrossRefPubMedPubMedCentral Harrop JP, Dean JA, Paskett ED. Cancer survivorship research: a review of the literature and summary of current NCI-designated cancer center projects. Cancer Epidemiol Biomarkers Prev. 2011;20(10):2042–7.CrossRefPubMedPubMedCentral
4.
go back to reference Miller KD, Nogueira L, Mariotto AB, et al. Cancer treatment and survivorship statistics, 2019. CA Cancer J Clin. 2019;69(5):363–85.CrossRefPubMed Miller KD, Nogueira L, Mariotto AB, et al. Cancer treatment and survivorship statistics, 2019. CA Cancer J Clin. 2019;69(5):363–85.CrossRefPubMed
5.
go back to reference Paskett ED, Caan BJ, Johnson L, et al. The Women’s Health Initiative (WHI) Life and Longevity After Cancer (LILAC) Study: description and baseline characteristics of participants. Cancer Epidemiol Biomarkers Prev. 2018;27(2):125–37.CrossRefPubMedPubMedCentral Paskett ED, Caan BJ, Johnson L, et al. The Women’s Health Initiative (WHI) Life and Longevity After Cancer (LILAC) Study: description and baseline characteristics of participants. Cancer Epidemiol Biomarkers Prev. 2018;27(2):125–37.CrossRefPubMedPubMedCentral
6.
go back to reference Courneya KS, McNeely ML, Culos-Reed SN, et al. The Alberta Moving Beyond Breast Cancer (AMBER) Cohort Study: recruitment, baseline assessment, and description of the first 500 participants. BMC Cancer. 2016;16:481.CrossRefPubMedPubMedCentral Courneya KS, McNeely ML, Culos-Reed SN, et al. The Alberta Moving Beyond Breast Cancer (AMBER) Cohort Study: recruitment, baseline assessment, and description of the first 500 participants. BMC Cancer. 2016;16:481.CrossRefPubMedPubMedCentral
7.
go back to reference Krok-Schoen JL, Bernardo BM, Elena JW, et al. An environmental scan of biopsychosocial and clinical variables in cohort studies of cancer survivors. Cancer Epidemiol Biomarkers Prev. 2019;28(10):1621–41.CrossRefPubMedPubMedCentral Krok-Schoen JL, Bernardo BM, Elena JW, et al. An environmental scan of biopsychosocial and clinical variables in cohort studies of cancer survivors. Cancer Epidemiol Biomarkers Prev. 2019;28(10):1621–41.CrossRefPubMedPubMedCentral
8.
go back to reference World Health Organization. World conference on social determinants of health: case studies on social determinants. 2014. World Health Organization. World conference on social determinants of health: case studies on social determinants. 2014.
10.
go back to reference Loree JM, Anand S, Dasari A, et al. Disparity of race reporting and representation in clinical trials leading to cancer drug approvals from 2008 to 2018. JAMA Oncol. 2019;5(10):e191870.CrossRefPubMedPubMedCentral Loree JM, Anand S, Dasari A, et al. Disparity of race reporting and representation in clinical trials leading to cancer drug approvals from 2008 to 2018. JAMA Oncol. 2019;5(10):e191870.CrossRefPubMedPubMedCentral
11.
go back to reference Murthy VH, Krumholz HM, Gross CP. Participation in cancer clinical trials: race-, sex-, and age-based disparities. JAMA. 2004;291(22):2720–6.CrossRefPubMed Murthy VH, Krumholz HM, Gross CP. Participation in cancer clinical trials: race-, sex-, and age-based disparities. JAMA. 2004;291(22):2720–6.CrossRefPubMed
12.
13.
go back to reference Wendler D, Kington R, Madans J, et al. Are racial and ethnic minorities less willing to participate in health research? PLoS Med. 2006;3(2):e19.CrossRefPubMed Wendler D, Kington R, Madans J, et al. Are racial and ethnic minorities less willing to participate in health research? PLoS Med. 2006;3(2):e19.CrossRefPubMed
14.
go back to reference Varma DS, Strelnick AH, Bennett N, et al. Improving community participation in clinical and translational research: CTSA Sentinel Network proof of concept study. J Clin Transl Sci. 2020;4(4):323–30.CrossRefPubMedPubMedCentral Varma DS, Strelnick AH, Bennett N, et al. Improving community participation in clinical and translational research: CTSA Sentinel Network proof of concept study. J Clin Transl Sci. 2020;4(4):323–30.CrossRefPubMedPubMedCentral
15.
go back to reference Barrett NJ, Rodriguez EM, Iachan R, et al. Factors associated with biomedical research participation within community-based samples across 3 National Cancer Institute-designated cancer centers. Cancer. 2020;126(5):1077–89.CrossRefPubMed Barrett NJ, Rodriguez EM, Iachan R, et al. Factors associated with biomedical research participation within community-based samples across 3 National Cancer Institute-designated cancer centers. Cancer. 2020;126(5):1077–89.CrossRefPubMed
16.
go back to reference Thetford K, Gillespie TW, Kim YI, et al. Willingness of Latinx and African Americans to participate in nontherapeutic trials: it depends on who runs the research. Ethn Dis. 2021;31(2):263–72.CrossRefPubMedPubMedCentral Thetford K, Gillespie TW, Kim YI, et al. Willingness of Latinx and African Americans to participate in nontherapeutic trials: it depends on who runs the research. Ethn Dis. 2021;31(2):263–72.CrossRefPubMedPubMedCentral
17.
go back to reference Webb FJ, Khubchandani J, Striley CW, et al. Black-White differences in willingness to participate and perceptions about health research: results from the population-based HealthStreet Study. J Immigr Minor Health. 2019;21(2):299–305.CrossRefPubMedPubMedCentral Webb FJ, Khubchandani J, Striley CW, et al. Black-White differences in willingness to participate and perceptions about health research: results from the population-based HealthStreet Study. J Immigr Minor Health. 2019;21(2):299–305.CrossRefPubMedPubMedCentral
18.
go back to reference Cottler LB, O’Leary CC, Striley CW. HealthStreet: a community based approach to include mental health in public health research. In: Cottler LB, editor. Mental health in public health: the next 100 years. New York, NY: Oxford University Press; 2011. p. 247–73. Cottler LB, O’Leary CC, Striley CW. HealthStreet: a community based approach to include mental health in public health research. In: Cottler LB, editor. Mental health in public health: the next 100 years. New York, NY: Oxford University Press; 2011. p. 247–73.
19.
go back to reference Cottler LB, Nagarajan R. Real-time assessment of community health needs and concerns. Sci Transl Med. 2012;4(119):119mr2.CrossRefPubMed Cottler LB, Nagarajan R. Real-time assessment of community health needs and concerns. Sci Transl Med. 2012;4(119):119mr2.CrossRefPubMed
20.
go back to reference Cottler LB, McCloskey DJ, Aguilar-Gaxiola S, et al. Community needs, concerns, and perceptions about health research: findings from the clinical and translational science award sentinel network. Am J Public Health. 2013;103(9):1685–92.CrossRefPubMedPubMedCentral Cottler LB, McCloskey DJ, Aguilar-Gaxiola S, et al. Community needs, concerns, and perceptions about health research: findings from the clinical and translational science award sentinel network. Am J Public Health. 2013;103(9):1685–92.CrossRefPubMedPubMedCentral
21.
go back to reference Ross JGC, Escamilla V, Lee NK, et al. Geospatial patterns of access to self-care resources for obesity among endometrial cancer survivors in a high poverty urban community. Gynecol Oncol. 2019;152(2):322–7.CrossRefPubMed Ross JGC, Escamilla V, Lee NK, et al. Geospatial patterns of access to self-care resources for obesity among endometrial cancer survivors in a high poverty urban community. Gynecol Oncol. 2019;152(2):322–7.CrossRefPubMed
22.
go back to reference Armenian SH, Xu L, Ky B, et al. Cardiovascular disease among survivors of adult-onset cancer: a Community-Based Retrospective Cohort Study. J Clin Oncol. 2016;34(10):1122–30.CrossRefPubMedPubMedCentral Armenian SH, Xu L, Ky B, et al. Cardiovascular disease among survivors of adult-onset cancer: a Community-Based Retrospective Cohort Study. J Clin Oncol. 2016;34(10):1122–30.CrossRefPubMedPubMedCentral
23.
go back to reference Beltran VM, Harrison KM, Hall HI, et al. Collection of social determinant of health measures in U.S. national surveillance systems for HIV, viral hepatitis, STDs, and TB. Public Health Rep. 2011;126(Suppl 3):41–53.CrossRefPubMedPubMedCentral Beltran VM, Harrison KM, Hall HI, et al. Collection of social determinant of health measures in U.S. national surveillance systems for HIV, viral hepatitis, STDs, and TB. Public Health Rep. 2011;126(Suppl 3):41–53.CrossRefPubMedPubMedCentral
24.
go back to reference Expert Panel on the Identification, E and Treatment of Overweight in Adults, Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: executive summary. Am J Clin Nutr. 1998;68(4):899–917. Expert Panel on the Identification, E and Treatment of Overweight in Adults, Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: executive summary. Am J Clin Nutr. 1998;68(4):899–917.
27.
go back to reference Otufowora A, Liu Y, Young H, 2nd, et al. Sex differences in willingness to participate in research based on study risk level among a community sample of African Americans in North Central Florida. J Immigr Minor Health. 2020. Otufowora A, Liu Y, Young H, 2nd, et al. Sex differences in willingness to participate in research based on study risk level among a community sample of African Americans in North Central Florida. J Immigr Minor Health. 2020.
28.
go back to reference Slomka J, Ratliff EA, McCurdy S, et al. Perceptions of risk in research participation among underserved minority drug users. Subst Use Misuse. 2008;43(11):1640–52.CrossRefPubMedPubMedCentral Slomka J, Ratliff EA, McCurdy S, et al. Perceptions of risk in research participation among underserved minority drug users. Subst Use Misuse. 2008;43(11):1640–52.CrossRefPubMedPubMedCentral
31.
go back to reference Weaver KE, Geiger AM, Lu L, et al. Rural-urban disparities in health status among US cancer survivors. Cancer. 2013;119(5):1050–7.CrossRefPubMed Weaver KE, Geiger AM, Lu L, et al. Rural-urban disparities in health status among US cancer survivors. Cancer. 2013;119(5):1050–7.CrossRefPubMed
32.
go back to reference Zahnd WE, Davis MM, Rotter JS, et al. Rural-urban differences in financial burden among cancer survivors: an analysis of a nationally representative survey. Support Care Cancer. 2019;27(12):4779–86.CrossRefPubMedPubMedCentral Zahnd WE, Davis MM, Rotter JS, et al. Rural-urban differences in financial burden among cancer survivors: an analysis of a nationally representative survey. Support Care Cancer. 2019;27(12):4779–86.CrossRefPubMedPubMedCentral
33.
go back to reference McDougall JA, Banegas MP, Wiggins CL, et al. Rural disparities in treatment-related financial hardship and adherence to surveillance colonoscopy in diverse colorectal cancer survivors. Cancer Epidemiol Biomarkers Prev. 2018;27(11):1275–82.CrossRefPubMedPubMedCentral McDougall JA, Banegas MP, Wiggins CL, et al. Rural disparities in treatment-related financial hardship and adherence to surveillance colonoscopy in diverse colorectal cancer survivors. Cancer Epidemiol Biomarkers Prev. 2018;27(11):1275–82.CrossRefPubMedPubMedCentral
34.
go back to reference Shoemaker ML, White MC, Hawkins NA, et al. Prevalence of smoking and obesity among U.S. cancer survivors: estimates from the National Health Interview Survey, 2008–2012. Oncol Nurs Forum. 2016;43(4):436–41.CrossRefPubMedPubMedCentral Shoemaker ML, White MC, Hawkins NA, et al. Prevalence of smoking and obesity among U.S. cancer survivors: estimates from the National Health Interview Survey, 2008–2012. Oncol Nurs Forum. 2016;43(4):436–41.CrossRefPubMedPubMedCentral
35.
go back to reference Thorpe KE, Howard D, Health insurance and spending among cancer patients. Health Aff (Millwood). 2003;Suppl Web Exclusives:W3–189–98. Thorpe KE, Howard D, Health insurance and spending among cancer patients. Health Aff (Millwood). 2003;Suppl Web Exclusives:W3–189–98.
36.
go back to reference Liu Y, Elliott AL, Serdarevic M, et al. A latent class analysis of the past-30-day substance use patterns among lifetime cocaine users findings from a community sample in North Central Florida. Addict Behav Rep. 2019;9:100170.PubMedPubMedCentral Liu Y, Elliott AL, Serdarevic M, et al. A latent class analysis of the past-30-day substance use patterns among lifetime cocaine users findings from a community sample in North Central Florida. Addict Behav Rep. 2019;9:100170.PubMedPubMedCentral
37.
go back to reference Serdarevic M, Gurka KK, Striley CW, et al. Prevalence of concurrent prescription opioid and hazardous alcohol use among older women: results from a cross-sectional study of community members. J Community Health. 2019;44(1):172–7.CrossRefPubMedPubMedCentral Serdarevic M, Gurka KK, Striley CW, et al. Prevalence of concurrent prescription opioid and hazardous alcohol use among older women: results from a cross-sectional study of community members. J Community Health. 2019;44(1):172–7.CrossRefPubMedPubMedCentral
38.
go back to reference Serdarevic M, Striley CW, Gurka KK, et al. Sex differences in prescription opioid use patterns assessed through a community engagement program in Florida. Drug Alcohol Depend. 2019;204:107568.CrossRefPubMedPubMedCentral Serdarevic M, Striley CW, Gurka KK, et al. Sex differences in prescription opioid use patterns assessed through a community engagement program in Florida. Drug Alcohol Depend. 2019;204:107568.CrossRefPubMedPubMedCentral
39.
go back to reference Striley CW, Milani SA, Kwiatkowski E, et al. Community perceptions related to brain donation: evidence for intervention. Alzheimers Dement. 2019;15(2):267–72.CrossRefPubMed Striley CW, Milani SA, Kwiatkowski E, et al. Community perceptions related to brain donation: evidence for intervention. Alzheimers Dement. 2019;15(2):267–72.CrossRefPubMed
40.
go back to reference Milani SA, Crooke H, Cottler LB, et al. Sex differences in frequent ED use among those with multimorbid chronic diseases. Am J Emerg Med. 2016;34(11):2127–31.CrossRefPubMedPubMedCentral Milani SA, Crooke H, Cottler LB, et al. Sex differences in frequent ED use among those with multimorbid chronic diseases. Am J Emerg Med. 2016;34(11):2127–31.CrossRefPubMedPubMedCentral
41.
go back to reference Varma DS, Hart M, McIntyre DS, et al. A research protocol to test the effectiveness of text messaging and reminder calls to increase service use referrals in a community engagement program. JMIR Res Protoc. 2016;5(2):e133.CrossRefPubMedPubMedCentral Varma DS, Hart M, McIntyre DS, et al. A research protocol to test the effectiveness of text messaging and reminder calls to increase service use referrals in a community engagement program. JMIR Res Protoc. 2016;5(2):e133.CrossRefPubMedPubMedCentral
42.
go back to reference Ruktanonchai CW, Pindolia DK, Striley CW, et al. Utilizing spatial statistics to identify cancer hot spots: a surveillance strategy to inform community-engaged outreach efforts. Int J Health Geogr. 2014;13:39.CrossRefPubMedPubMedCentral Ruktanonchai CW, Pindolia DK, Striley CW, et al. Utilizing spatial statistics to identify cancer hot spots: a surveillance strategy to inform community-engaged outreach efforts. Int J Health Geogr. 2014;13:39.CrossRefPubMedPubMedCentral
43.
go back to reference Birken SA, Clary AS, Bernstein S, et al. Strategies for successful survivorship care plan implementation: results from a qualitative study. J Oncol Pract. 2018;14(8):e462–83.CrossRefPubMedPubMedCentral Birken SA, Clary AS, Bernstein S, et al. Strategies for successful survivorship care plan implementation: results from a qualitative study. J Oncol Pract. 2018;14(8):e462–83.CrossRefPubMedPubMedCentral
44.
go back to reference Runowicz CD, Leach CR, Henry NL, et al. American Cancer Society/American Society of Clinical Oncology Breast Cancer Survivorship Care Guideline. CA Cancer J Clin. 2016;66(1):43–73.CrossRefPubMed Runowicz CD, Leach CR, Henry NL, et al. American Cancer Society/American Society of Clinical Oncology Breast Cancer Survivorship Care Guideline. CA Cancer J Clin. 2016;66(1):43–73.CrossRefPubMed
45.
go back to reference Campbell KL, Winters-Stone KM, Wiskemann J, et al. Exercise guidelines for cancer survivors: consensus statement from international multidisciplinary roundtable. Med Sci Sports Exerc. 2019;51(11):2375–90.CrossRefPubMedPubMedCentral Campbell KL, Winters-Stone KM, Wiskemann J, et al. Exercise guidelines for cancer survivors: consensus statement from international multidisciplinary roundtable. Med Sci Sports Exerc. 2019;51(11):2375–90.CrossRefPubMedPubMedCentral
Metadata
Title
The HealthStreet Cancer Survivor Cohort: a Community Registry for Cancer Research
Authors
Ting-Yuan David Cheng
Piyush V. Chaudhari
Kevin R. Bitsie
Catherine W. Striley
Deepthi S. Varma
Linda B. Cottler
Publication date
28-01-2022
Publisher
Springer US
Published in
Journal of Cancer Survivorship / Issue 2/2024
Print ISSN: 1932-2259
Electronic ISSN: 1932-2267
DOI
https://doi.org/10.1007/s11764-022-01173-4

Other articles of this Issue 2/2024

Journal of Cancer Survivorship 2/2024 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine