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The objective of this study is to determine the prevalence of psychological distress (PD) among cancer patients and to investigate the association of PD with various socio-demographic factors. We consider the 2013 National Health Interview Survey, which is a large survey of the US non-institutionalized civilian population. PD is determined with a standardized questionnaire (K6). Cancer diagnoses are determined on the basis of self-report. For the purpose of this study, four different types of cancer are selected based on the leading number of deaths caused by them. We fit three commonly used ordinal regression models to the ordinal response PD for overall cancer patients. According to the goodness of fit criterion, AIC, we select the adjacent category model as best model for PD. All the predictors along with affliction by cancer are found to be significant determinants of PD. Additional analysis shows that the psychological distress does not differ across the four subtypes of cancer, breast, colon, lung and prostate cancer. However, psychological distress differs across the race of the respondents.

Psychological Distress and the Leading Cancers among American Adults: An Evidence from the 2013 National Health Interview Survey