Racial/ethnic differences in health-related quality of life among female breast cancer survivors: cross-sectional findings from the Medical Expenditure Panel Survey
Breast cancer survivors have reported worse health-related quality of life (HRQoL) outcomes on some subscales when compared with members of the general population. However, the increased attention to breast cancer survivorship should have improved the HRQoL of these survivors. Our aim was to examine...
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| Veröffentlicht in: | Public health (London) 2021-07, Vol.196, p.74-81 |
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| creator | Jackson, I. Rowan, P. Padhye, N. Hwang, L.Y. Vernon, S.W. |
| description | Breast cancer survivors have reported worse health-related quality of life (HRQoL) outcomes on some subscales when compared with members of the general population. However, the increased attention to breast cancer survivorship should have improved the HRQoL of these survivors. Our aim was to examine whether physical and mental component scores (PCS-12 and MCS-12) using the Short Form (SF-12) questionnaire were different for racial/ethnic minorities, specifically for Black and Hispanic women relative to White women. Furthermore, we stratified the data by age group to evaluate these racial/ethnic differences in HRQoL of breast cancer survivors.
Cross-sectional study.
Pooled cross-sectional analyses using data from the Medical Expenditure Panel Survey between 2008 and 2016 were conducted. Pooled ordinary least squares (OLS) regression was used to examine the racial/ethnic differences in PCS-12 and MCS-12 scores of breast cancer survivors. Furthermore, stratified analyses by age group were conducted to evaluate racial/ethnic differences in HRQoL by the age of breast cancer survivors.
After adjusting for confounders, there was no association between race/ethnicity and PCS-12 scores. However, Hispanic breast cancer survivors had statistically significantly lower MCS-12 scores (by 1.9 points [95% confidence interval {CI}: −3.53 to −0.37]) when compared with White breast cancer survivors. For PCS-12, after stratifying by age, the adjusted analyses showed no significant differences in PCS-12 scores when White female breast cancer survivors were compared with the other racial/ethnic categories. On the other hand, Black female survivors aged |
| doi_str_mv | 10.1016/j.puhe.2021.05.021 |
| format | Article |
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Cross-sectional study.
Pooled cross-sectional analyses using data from the Medical Expenditure Panel Survey between 2008 and 2016 were conducted. Pooled ordinary least squares (OLS) regression was used to examine the racial/ethnic differences in PCS-12 and MCS-12 scores of breast cancer survivors. Furthermore, stratified analyses by age group were conducted to evaluate racial/ethnic differences in HRQoL by the age of breast cancer survivors.
After adjusting for confounders, there was no association between race/ethnicity and PCS-12 scores. However, Hispanic breast cancer survivors had statistically significantly lower MCS-12 scores (by 1.9 points [95% confidence interval {CI}: −3.53 to −0.37]) when compared with White breast cancer survivors. For PCS-12, after stratifying by age, the adjusted analyses showed no significant differences in PCS-12 scores when White female breast cancer survivors were compared with the other racial/ethnic categories. On the other hand, Black female survivors aged <50 years had 4.3 points (95% CI: 0.46–8.13) higher MCS-12 scores when compared with their White counterparts, while Hispanic breast cancer survivors aged <50 years had 3.1 points (95% CI: −0.40–6.69) higher MCS-12 scores relative to White women. Furthermore, among female breast cancer survivors aged ≥50 years, Hispanic women had 3.2 points (95% CI: −4.98 to −1.40) lower MCS-12 scores than White women.
Our study generated findings showing the racial/ethnic differences in HRQoL of breast cancer survivors and presented results stratified by age group. These findings provide the much-needed rationale for targeted and racial/ethnic-specific HRQoL improvement strategies among breast cancer survivors.</description><identifier>ISSN: 0033-3506</identifier><identifier>EISSN: 1476-5616</identifier><identifier>DOI: 10.1016/j.puhe.2021.05.021</identifier><language>eng</language><publisher>Houndsmill: Elsevier Ltd</publisher><subject>Age ; Age group differences ; Age groups ; Black people ; Breast cancer ; Breast cancer survivors ; Confidence intervals ; Cultural differences ; Ethnic differences ; Ethnic groups ; Ethnicity ; Evaluation ; Expenditures ; Females ; Health care expenditures ; Health status ; Health-related quality of life ; Hispanic people ; Mental component scores ; Minority & ethnic groups ; Minority groups ; Physical component scores ; Polls & surveys ; Quality of life ; Race ; Racial/ethnic differences ; Statistical analysis ; Survival ; Survivor ; White people ; Women ; Womens health</subject><ispartof>Public health (London), 2021-07, Vol.196, p.74-81</ispartof><rights>2021 The Royal Society for Public Health</rights><rights>Copyright Elsevier Science Ltd. Jul 2021</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c361t-cf4a86bfcb239199fcb9752b5189bf9d67ddf67c15fa52b82890e5debe630c53</citedby><cites>FETCH-LOGICAL-c361t-cf4a86bfcb239199fcb9752b5189bf9d67ddf67c15fa52b82890e5debe630c53</cites><orcidid>0000-0002-6783-7847 ; 0000-0001-5738-7486 ; 0000-0002-0670-4960</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0033350621002079$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,30976,65306</link.rule.ids></links><search><creatorcontrib>Jackson, I.</creatorcontrib><creatorcontrib>Rowan, P.</creatorcontrib><creatorcontrib>Padhye, N.</creatorcontrib><creatorcontrib>Hwang, L.Y.</creatorcontrib><creatorcontrib>Vernon, S.W.</creatorcontrib><title>Racial/ethnic differences in health-related quality of life among female breast cancer survivors: cross-sectional findings from the Medical Expenditure Panel Survey</title><title>Public health (London)</title><description>Breast cancer survivors have reported worse health-related quality of life (HRQoL) outcomes on some subscales when compared with members of the general population. However, the increased attention to breast cancer survivorship should have improved the HRQoL of these survivors. Our aim was to examine whether physical and mental component scores (PCS-12 and MCS-12) using the Short Form (SF-12) questionnaire were different for racial/ethnic minorities, specifically for Black and Hispanic women relative to White women. Furthermore, we stratified the data by age group to evaluate these racial/ethnic differences in HRQoL of breast cancer survivors.
Cross-sectional study.
Pooled cross-sectional analyses using data from the Medical Expenditure Panel Survey between 2008 and 2016 were conducted. Pooled ordinary least squares (OLS) regression was used to examine the racial/ethnic differences in PCS-12 and MCS-12 scores of breast cancer survivors. Furthermore, stratified analyses by age group were conducted to evaluate racial/ethnic differences in HRQoL by the age of breast cancer survivors.
After adjusting for confounders, there was no association between race/ethnicity and PCS-12 scores. However, Hispanic breast cancer survivors had statistically significantly lower MCS-12 scores (by 1.9 points [95% confidence interval {CI}: −3.53 to −0.37]) when compared with White breast cancer survivors. For PCS-12, after stratifying by age, the adjusted analyses showed no significant differences in PCS-12 scores when White female breast cancer survivors were compared with the other racial/ethnic categories. On the other hand, Black female survivors aged <50 years had 4.3 points (95% CI: 0.46–8.13) higher MCS-12 scores when compared with their White counterparts, while Hispanic breast cancer survivors aged <50 years had 3.1 points (95% CI: −0.40–6.69) higher MCS-12 scores relative to White women. Furthermore, among female breast cancer survivors aged ≥50 years, Hispanic women had 3.2 points (95% CI: −4.98 to −1.40) lower MCS-12 scores than White women.
Our study generated findings showing the racial/ethnic differences in HRQoL of breast cancer survivors and presented results stratified by age group. These findings provide the much-needed rationale for targeted and racial/ethnic-specific HRQoL improvement strategies among breast cancer survivors.</description><subject>Age</subject><subject>Age group differences</subject><subject>Age groups</subject><subject>Black people</subject><subject>Breast cancer</subject><subject>Breast cancer survivors</subject><subject>Confidence intervals</subject><subject>Cultural differences</subject><subject>Ethnic differences</subject><subject>Ethnic groups</subject><subject>Ethnicity</subject><subject>Evaluation</subject><subject>Expenditures</subject><subject>Females</subject><subject>Health care expenditures</subject><subject>Health status</subject><subject>Health-related quality of life</subject><subject>Hispanic people</subject><subject>Mental component scores</subject><subject>Minority & ethnic groups</subject><subject>Minority groups</subject><subject>Physical component scores</subject><subject>Polls & surveys</subject><subject>Quality of life</subject><subject>Race</subject><subject>Racial/ethnic differences</subject><subject>Statistical analysis</subject><subject>Survival</subject><subject>Survivor</subject><subject>White people</subject><subject>Women</subject><subject>Womens health</subject><issn>0033-3506</issn><issn>1476-5616</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNp9kc9u1DAQxiMEEkvhBThZ4sIlqf_EToK4oKpApSIQ9G459rjxyom3trPqvg8PisP2xIHTZ3l-32hmvqp6S3BDMBGX--awTtBQTEmDeVPkWbUjbSdqLoh4Xu0wZqxmHIuX1auU9hhj2jG-q37_VNopfwl5WpxGxlkLERYNCbkFTaB8nuoIXmUw6GFV3uUTChZ5ZwGpOSz3yMKsPKAxgkoZaVXMEaU1Ht0xxPQB6RhSqhPo7MKiPLJuMW65T8jGMKM8AfoGxulSuX48QKnlNQL6oRbw6FdpA6fX1QurfII3T3pR3X2-vrv6Wt9-_3Jz9em21kyQXGvbql6MVo-UDWQYymPoOB056YfRDkZ0xljRacKtKt897QcM3MAIgmHN2UX1_tz2EMPDCinL2SUN3pdRwpok5W3b96RlXUHf_YPuwxrLdhslhpaQlvaFomfq7wkiWHmIblbxJAmWW25yL7fc5JabxFwWKaaPZxOUTY8OokzabYkYF8sNpQnuf_Y_BPulGQ</recordid><startdate>202107</startdate><enddate>202107</enddate><creator>Jackson, I.</creator><creator>Rowan, P.</creator><creator>Padhye, N.</creator><creator>Hwang, L.Y.</creator><creator>Vernon, S.W.</creator><general>Elsevier Ltd</general><general>Elsevier Science Ltd</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7QL</scope><scope>7T2</scope><scope>7U9</scope><scope>ASE</scope><scope>C1K</scope><scope>FPQ</scope><scope>H94</scope><scope>K6X</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6783-7847</orcidid><orcidid>https://orcid.org/0000-0001-5738-7486</orcidid><orcidid>https://orcid.org/0000-0002-0670-4960</orcidid></search><sort><creationdate>202107</creationdate><title>Racial/ethnic differences in health-related quality of life among female breast cancer survivors: cross-sectional findings from the Medical Expenditure Panel Survey</title><author>Jackson, I. ; Rowan, P. ; Padhye, N. ; Hwang, L.Y. ; Vernon, S.W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c361t-cf4a86bfcb239199fcb9752b5189bf9d67ddf67c15fa52b82890e5debe630c53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Age</topic><topic>Age group differences</topic><topic>Age groups</topic><topic>Black people</topic><topic>Breast cancer</topic><topic>Breast cancer survivors</topic><topic>Confidence intervals</topic><topic>Cultural differences</topic><topic>Ethnic differences</topic><topic>Ethnic groups</topic><topic>Ethnicity</topic><topic>Evaluation</topic><topic>Expenditures</topic><topic>Females</topic><topic>Health care expenditures</topic><topic>Health status</topic><topic>Health-related quality of life</topic><topic>Hispanic people</topic><topic>Mental component scores</topic><topic>Minority & ethnic groups</topic><topic>Minority groups</topic><topic>Physical component scores</topic><topic>Polls & surveys</topic><topic>Quality of life</topic><topic>Race</topic><topic>Racial/ethnic differences</topic><topic>Statistical analysis</topic><topic>Survival</topic><topic>Survivor</topic><topic>White people</topic><topic>Women</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jackson, I.</creatorcontrib><creatorcontrib>Rowan, P.</creatorcontrib><creatorcontrib>Padhye, N.</creatorcontrib><creatorcontrib>Hwang, L.Y.</creatorcontrib><creatorcontrib>Vernon, S.W.</creatorcontrib><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Virology and AIDS Abstracts</collection><collection>British Nursing Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>British Nursing Index</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Public health (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jackson, I.</au><au>Rowan, P.</au><au>Padhye, N.</au><au>Hwang, L.Y.</au><au>Vernon, S.W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Racial/ethnic differences in health-related quality of life among female breast cancer survivors: cross-sectional findings from the Medical Expenditure Panel Survey</atitle><jtitle>Public health (London)</jtitle><date>2021-07</date><risdate>2021</risdate><volume>196</volume><spage>74</spage><epage>81</epage><pages>74-81</pages><issn>0033-3506</issn><eissn>1476-5616</eissn><abstract>Breast cancer survivors have reported worse health-related quality of life (HRQoL) outcomes on some subscales when compared with members of the general population. However, the increased attention to breast cancer survivorship should have improved the HRQoL of these survivors. Our aim was to examine whether physical and mental component scores (PCS-12 and MCS-12) using the Short Form (SF-12) questionnaire were different for racial/ethnic minorities, specifically for Black and Hispanic women relative to White women. Furthermore, we stratified the data by age group to evaluate these racial/ethnic differences in HRQoL of breast cancer survivors.
Cross-sectional study.
Pooled cross-sectional analyses using data from the Medical Expenditure Panel Survey between 2008 and 2016 were conducted. Pooled ordinary least squares (OLS) regression was used to examine the racial/ethnic differences in PCS-12 and MCS-12 scores of breast cancer survivors. Furthermore, stratified analyses by age group were conducted to evaluate racial/ethnic differences in HRQoL by the age of breast cancer survivors.
After adjusting for confounders, there was no association between race/ethnicity and PCS-12 scores. However, Hispanic breast cancer survivors had statistically significantly lower MCS-12 scores (by 1.9 points [95% confidence interval {CI}: −3.53 to −0.37]) when compared with White breast cancer survivors. For PCS-12, after stratifying by age, the adjusted analyses showed no significant differences in PCS-12 scores when White female breast cancer survivors were compared with the other racial/ethnic categories. On the other hand, Black female survivors aged <50 years had 4.3 points (95% CI: 0.46–8.13) higher MCS-12 scores when compared with their White counterparts, while Hispanic breast cancer survivors aged <50 years had 3.1 points (95% CI: −0.40–6.69) higher MCS-12 scores relative to White women. Furthermore, among female breast cancer survivors aged ≥50 years, Hispanic women had 3.2 points (95% CI: −4.98 to −1.40) lower MCS-12 scores than White women.
Our study generated findings showing the racial/ethnic differences in HRQoL of breast cancer survivors and presented results stratified by age group. These findings provide the much-needed rationale for targeted and racial/ethnic-specific HRQoL improvement strategies among breast cancer survivors.</abstract><cop>Houndsmill</cop><pub>Elsevier Ltd</pub><doi>10.1016/j.puhe.2021.05.021</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-6783-7847</orcidid><orcidid>https://orcid.org/0000-0001-5738-7486</orcidid><orcidid>https://orcid.org/0000-0002-0670-4960</orcidid></addata></record> |
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| ispartof | Public health (London), 2021-07, Vol.196, p.74-81 |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Elsevier ScienceDirect Journals |
| subjects | Age Age group differences Age groups Black people Breast cancer Breast cancer survivors Confidence intervals Cultural differences Ethnic differences Ethnic groups Ethnicity Evaluation Expenditures Females Health care expenditures Health status Health-related quality of life Hispanic people Mental component scores Minority & ethnic groups Minority groups Physical component scores Polls & surveys Quality of life Race Racial/ethnic differences Statistical analysis Survival Survivor White people Women Womens health |
| title | Racial/ethnic differences in health-related quality of life among female breast cancer survivors: cross-sectional findings from the Medical Expenditure Panel Survey |
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