{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T02:39:01Z","timestamp":1792809541766,"version":"4.5.0"},"reference-count":36,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Household size and composition may be associated with health\u2010related quality of life (HRQoL), yet these associations remain poorly characterized among cancer survivors. We examined how household adult composition and presence of children were associated with HRQoL among U.S. cancer survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Adult (aged \u2265\u200918\u2009years) cancer survivors were included from the Behavioral Risk Factor Surveillance System (BRFSS) 2017\u20132024. Household composition was defined by number of adults (1, 2, or \u2265\u20093) and presence of children (none vs. \u2265\u20091). Outcomes included poor physical health (PPH), poor mental health (PMH; each defined as \u2265\u200914\u2009days\/month), and fair\/poor general health. Multivariable Poisson regression was used to estimate adjusted prevalence ratios (aPRs) with 95% confidence intervals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 138,360 cancer survivors, 45.2% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200962,605) resided in single\u2010adult households, 47.1% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200965,132) in two\u2010adult households, and 7.7% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200910,623) in households with \u2265\u20093 adults; children were present in 5.1% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20097063) of households. After adjustment, two\u2010adult household residence was associated with lower prevalence of poor physical health (adjusted prevalence ratio [aPR] 0.93, 95% CI 0.87\u20130.99), poor mental health (aPR 0.90, 95% CI 0.82\u20130.98), and fair\/poor general health (aPR 0.92, 95% CI 0.88\u20130.97; all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009\u2264\u20090.019) compared with single\u2010adult households. Residence with \u2265\u20093 adults and child presence was not associated with any examined HRQoL outcome after adjustment. Exploratory stratified analyses identified associations within several sociodemographic subgroups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Two\u2010adult household residence was consistently associated with better HRQoL. Single\u2010adult household status may represent a simple social risk marker to inform survivorship assessment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cam4.72385","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T05:07:50Z","timestamp":1791868070000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Under One Roof: Household Composition and Health\u2010Related Quality of Life Among Cancer Survivors"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6455-3005","authenticated-orcid":false,"given":"Qaidar","family":"Alizai","sequence":"first","affiliation":[{"name":"Department of Surgery The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenza","family":"Arena","sequence":"additional","affiliation":[{"name":"Department of Surgery The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3688-5077","authenticated-orcid":false,"given":"Charalampos M.","family":"Charalampous","sequence":"additional","affiliation":[{"name":"Department of Surgery The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8891-6162","authenticated-orcid":false,"given":"Abdulaziz","family":"Elemosho","sequence":"additional","affiliation":[{"name":"Department of Surgery The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rida","family":"Ejaz","sequence":"additional","affiliation":[{"name":"Department of Surgery The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Areesh","family":"Mevawalla","sequence":"additional","affiliation":[{"name":"Department of Surgery The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meher","family":"Angez","sequence":"additional","affiliation":[{"name":"Department of Surgery The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7994-9870","authenticated-orcid":false,"given":"Timothy M.","family":"Pawlik","sequence":"additional","affiliation":[{"name":"Department of Surgery The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,12]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.70011"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764\u2010025\u201001870\u2010w"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2023.1180"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers17193145"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20176676"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/oncolo\/oyae196"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/IO9.0000000000000280"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjonc\u20102025\u2010000840"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.35364"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40359\u2010025\u201003294\u20108"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.2307\/3090242"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/00333549141291S206"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2015.62.0468"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lana.2024.100849"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136\u2010025\u201004054\u20102"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbad123"},{"key":"e_1_2_13_18_1","unstructured":"\u201cBehavioral Risk Factor Surveillance System \u201d2026 https:\/\/www.cdc.gov\/brfss\/index.html."},{"key":"e_1_2_13_19_1","unstructured":"CDC \u201cHealth Status. 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