がんを患う若年成人、受診の先延ばしや医師に訴えを軽視される経験を報告(Study: Young adults with cancer report putting off appointments, getting dismissed by doctors)

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2026-10-23 バッファロー大学(UB)

米国のバッファロー大学の研究者ナターシャ・アラード氏らは、若年成人のがん診断に至る過程を調査し、症状に気づいてから受診するまでの遅れや、医療機関で訴えを十分に受け止めてもらえない問題を明らかにした。研究では、20~39歳でがんと診断された30人に聞き取り調査を実施した。その結果、多くの患者が身体の異変をストレスのせいだと考え、受診を数か月から数年先延ばしにしていた。また、インターネット上の情報が症状を軽視する判断につながった例や、受診しても医師から十分な検査を受けられず、診断までに複数回の受診を要した例が報告された。研究チームは、若年成人ががんの警告症状を認識し、医療機関で自分の懸念を伝えられるよう、公衆衛生教育や情報発信を強化する必要性を指摘している。医療従事者側にも、患者の訴えを丁寧に聞き、検査を行わない場合にはその理由や今後の対応を明確に説明することが求められる。AIなどのデジタルツールも自己診断の代わりではなく、症状の経過や医師への質問を整理する手段として活用できる。

がんを患う若年成人、受診の先延ばしや医師に訴えを軽視される経験を報告(Study: Young adults with cancer report putting off appointments, getting dismissed by doctors)
Young adults often attribute troublesome physical symptoms to stress and put off making an apppointment with a physician. Photo: Douglas Levere

<関連情報>

「医者に相談しようとは思いもしなかった」:若年がん患者における症状評価、受診行動、診断遅延の検証 “I never thought to bring them up to the doctor”: examining symptom appraisal, help-seeking behaviors, and diagnostic delays among young adults with cancer

Natasha C. Allard, Elizabeth G. Bouchard, Jennifer S. Ford, Thomas Hugh Feeley, Denise Rokitka & Heather Orom
Cancer Causes & Control  Published:22 August 2026
DOI:https://doi.org/10.1007/s10552-026-02231-3

Abstract

Purpose
Cancer incidence is rising among young adults (20–39 years), and it is one of the top five causes of death for this age group. Young adults often experience longer delays in diagnosis than children and older adults, which negatively impacts survival and quality of life. Communication interventions might help reduce these delays, but understanding the factors driving delays is crucial for developing effective strategies.

Methods
We conducted semi-structured interviews with 30 young adults diagnosed with cancer to explore factors contributing to delays across three intervals: symptom appraisal, help-seeking, and diagnostic. Interviews were conducted in January and February 2023 and analyzed using template analysis by three independent coders.

Results
Most young adults misattributed symptoms to stress, lifestyle, or minor issues, and thus delayed seeking medical evaluation. Many used online information to inform care-seeking decisions but encountered content that minimized symptom severity or offered unclear guidance. Upon seeking care, several young adults had to self-advocate for diagnostic testing after providers initially dismissed their concerns.

Conclusion
These patterns highlight potentially modifiable targets for future communication interventions. Strategies to improve young adults’ awareness of potential cancer symptoms, address misconceptions about cancer risk, and promote timely care-seeking are warranted. Efforts should also focus on improving the quality of online symptom information and equipping young adults with tools to communicate more effectively with providers. While systemic changes are also needed, individual-level communication campaigns could help shorten time to diagnosis and improve outcomes for young adults with cancer.

医療・健康
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