{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T16:37:46Z","timestamp":1791909466897,"version":"4.3.4"},"reference-count":41,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T00:00:00Z","timestamp":1779667200000},"content-version":"vor","delay-in-days":24,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"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":["Psycho-Oncology"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The COVID\u201019 pandemic severely disrupted healthcare and socioeconomic systems linked to worse health outcomes. However, its association with health\u2010related quality of life (HRQoL) among cancer survivors remains less well\u00a0defined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To evaluate pandemic\u2010related changes in HRQoL among cancer survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Cancer survivors aged \u2265\u00a018\u00a0years were identified in the 2017\u20132024 Behavioral Risk Factor Surveillance System (BRFSS). Periods were categorized as pre\u2010pandemic (2017\u20132019), pandemic (2020\u20132021), and post\u2010pandemic (2022\u20132024). Outcomes included poor physical health (PPH) and poor mental health (PMH; \u2265\u00a014\u00a0days\/month). Multivariable Poisson regression generated adjusted incidence rate ratios (aIRRs). Interrupted time series analyses (ITSA) assessed level and slope\u00a0changes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 194,144 cancer survivors, 35.6% (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a069,174) were surveyed pre\u2010pandemic, 20.6% (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a040,040) during the pandemic, and 43.7% (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a084,930) post\u2010pandemic. Most were female (63.1%) and White (79.0%). Compared with pre\u2010pandemic, the pandemic period was associated with lower adjusted rates of PPH (aIRR 0.91, 95% CI 0.88\u20130.95) but higher adjusted rates of PMH (aIRR 1.14, 95% CI 1.09\u20131.20; both\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). ITSA demonstrated an immediate 14.63% decline in PPH at pandemic onset (95% CI \u221222.08 to \u22127.18), whereas PMH demonstrated a pandemic\u2010era upward trend (7.72%\/year, 95% CI 3.05\u201312.40).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Among cancer survivors, COVID\u201019 pandemic was associated with an immediate decrease in the prevalence of poor physical health, followed by a steady increase in the prevalence of poor mental health during the pandemic. Routine mental health screening and scalable psychosocial support are encouraged within survivorship care, particularly during periods of system\u2010wide disruption.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70495","type":"journal-article","created":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T04:04:26Z","timestamp":1779768266000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Trajectories and Risk Factors of Poor Physical and Mental Health Among Cancer Survivors Before, During, and After the COVID\u201019 Pandemic"],"prefix":"10.1002","volume":"35","author":[{"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":"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"}]},{"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":"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":"Sebastian","family":"Ekenze","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":"Kizuki","family":"Yuza","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":"Rabia","family":"Bega","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":[[2026,5,25]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21731"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djae135"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(22)00242\u20102"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jgo.2022.04.001"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajco.13901"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5763"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-981-95-1426-7_26"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjph-2025-002765"},{"key":"e_1_2_11_9_2","unstructured":"https:\/\/doi.org\/10.1136\/bmjph\u20102025\u2010002765."},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/ijph.2022.1604591"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dadr.2023.100135"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1200\/CCI.20.00134"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1200\/OP.20.00752"},{"key":"e_1_2_11_14_1","unstructured":"Post COVID\u201019 Condition (Long COVID)[Internet]. 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