142 THE IMPACT OF PSYCHOSOCIAL FACTORS ON ACCESS TO CARE IN ADULT MINORITY SURVIVORS OF CHILDHOOD CANCER: A CHILDHOOD CANCER SURVIVOR STUDY.

Introduction This analysis examined the influence of ethnicity on health care access received and planned for the future and the effect of ethnicity on health concerns in adult minority childhood cancer survivors. Methods Cross-sectional data from 77 black, 118 Hispanic, 40 Asian, and 718 non-Hispanic white (NHW) adult childhood cancer survivors. Four self-reported measures defined health care access: general contact with the health care system in the past 2 years, cancer related follow-up (CRFU) care in the past 2 years, planning a CRFU in next 2 years, and ever had a CRFU. Health locus of control variables: concern about future health, worry about cancer recurrence, and perceived parental or spousal concern about survivor9s health. Odds ratios (OR) and 95% confidence intervals (CI) were estimated (NHW = referent). Results Mean age of survivors at time of interview = 31 years (range 18-51). Asians (18%) were less likely to report ever having had a CRFU ( p Conclusions Different etiologies including internal factors, such as concern for recurrence of malignancy, as well as external factors, such as parental or spousal concern about the survivor9s health, may explain the varied patterns in access to cancer-related follow-up care in minority survivors of childhood cancer.