Possible socioeconomic and ethnic disparities in quality of life in a cohort of breast cancer survivors
This paper describes the ethnic and socioeconomic correlates of functioning in a cohort of long-term nonrecurring breast cancer survivors. Participants (n = 804) in this study were women from the Health, Eating, Activity, and Lifestyle (HEAL) Study, a population-based, multicenter, multiethnic, pros...
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| Veröffentlicht in: | Breast cancer research and treatment 2007-11, Vol.106 (1), p.85-95 |
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| creator | BOWEN, Deborah J ALFANO, Catherine M GANZ, Patricia A MCTIERNAN, Anne BALLARD BARBASH, Rachel MCGREGOR, Bonnie A KUNIYUKI, Alan BERNSTEIN, Leslie MEESKE, Kathy BAUMGARTNER, Kathy B FETHEROLF, Josala REEVE, Bryce B WILDER SMITH, Ashley |
| description | This paper describes the ethnic and socioeconomic correlates of functioning in a cohort of long-term nonrecurring breast cancer survivors.
Participants (n = 804) in this study were women from the Health, Eating, Activity, and Lifestyle (HEAL) Study, a population-based, multicenter, multiethnic, prospective study of women newly diagnosed with in situ or Stages I to IIIA breast cancer. Measurements occurred at three timepoints following diagnosis. Outcomes included standardized measures of functioning (MOS SF-36).
Overall, these long-term survivors reported values on two physical function subscales of the SF-36 slightly lower than population norms. Black women reported statistically significantly lower physical functioning (PF) scores (P = 0.01), compared with White and Hispanic women, but higher mental health (MH) scores (P < 0.01) compared with White and Hispanic women. In the final adjusted model, race was significantly related to PF, with Black participants and participants in the "Other" ethnic category reporting poorer functioning compared to the White referent group (P < 0.01, 0.05). Not working outside the home, being retired or disabled and being unemployed (on leave, looking for work) were associated with poorer PF compared to currently working (both P < 0.01).
These data indicate that race/ethnicity influences psychosocial functioning in breast cancer survivors and can be used to identify need for targeted interventions to improve functioning. |
| doi_str_mv | 10.1007/s10549-006-9479-2 |
| format | Article |
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Participants (n = 804) in this study were women from the Health, Eating, Activity, and Lifestyle (HEAL) Study, a population-based, multicenter, multiethnic, prospective study of women newly diagnosed with in situ or Stages I to IIIA breast cancer. Measurements occurred at three timepoints following diagnosis. Outcomes included standardized measures of functioning (MOS SF-36).
Overall, these long-term survivors reported values on two physical function subscales of the SF-36 slightly lower than population norms. Black women reported statistically significantly lower physical functioning (PF) scores (P = 0.01), compared with White and Hispanic women, but higher mental health (MH) scores (P < 0.01) compared with White and Hispanic women. In the final adjusted model, race was significantly related to PF, with Black participants and participants in the "Other" ethnic category reporting poorer functioning compared to the White referent group (P < 0.01, 0.05). Not working outside the home, being retired or disabled and being unemployed (on leave, looking for work) were associated with poorer PF compared to currently working (both P < 0.01).
These data indicate that race/ethnicity influences psychosocial functioning in breast cancer survivors and can be used to identify need for targeted interventions to improve functioning.</description><identifier>ISSN: 0167-6806</identifier><identifier>EISSN: 1573-7217</identifier><identifier>DOI: 10.1007/s10549-006-9479-2</identifier><identifier>PMID: 17260096</identifier><identifier>CODEN: BCTRD6</identifier><language>eng</language><publisher>Dordrecht: Springer</publisher><subject>Adult ; African Americans - psychology ; African Americans - statistics & numerical data ; Aged ; Biological and medical sciences ; Breast cancer ; Breast Neoplasms - ethnology ; Breast Neoplasms - physiopathology ; Breast Neoplasms - psychology ; Breast Neoplasms - therapy ; Cancer research ; Cancer therapies ; Disability Evaluation ; Employment ; Ethnicity ; European Continental Ancestry Group - psychology ; European Continental Ancestry Group - statistics & numerical data ; Female ; Gynecology. Andrology. Obstetrics ; Health Status Disparities ; Hispanic Americans - psychology ; Hispanic Americans - statistics & numerical data ; Humans ; Mammary gland diseases ; Medical sciences ; Mental Health ; Middle Aged ; Population Surveillance ; Prospective Studies ; Quality of Life ; Recovery of Function ; Social psychology ; Socioeconomic Factors ; Surveys and Questionnaires ; Survivor ; Survivors - psychology ; Survivors - statistics & numerical data ; Time Factors ; Treatment Outcome ; Tumors ; United States - epidemiology</subject><ispartof>Breast cancer research and treatment, 2007-11, Vol.106 (1), p.85-95</ispartof><rights>2008 INIST-CNRS</rights><rights>Springer Science+Business Media, LLC. 2007</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c454t-92e6fcdb190f649a07de8921fb9688a628aa604caa3692be9b5690d4dd9497903</citedby><cites>FETCH-LOGICAL-c454t-92e6fcdb190f649a07de8921fb9688a628aa604caa3692be9b5690d4dd9497903</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19372148$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17260096$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>BOWEN, Deborah J</creatorcontrib><creatorcontrib>ALFANO, Catherine M</creatorcontrib><creatorcontrib>GANZ, Patricia A</creatorcontrib><creatorcontrib>MCTIERNAN, Anne</creatorcontrib><creatorcontrib>BALLARD BARBASH, Rachel</creatorcontrib><creatorcontrib>MCGREGOR, Bonnie A</creatorcontrib><creatorcontrib>KUNIYUKI, Alan</creatorcontrib><creatorcontrib>BERNSTEIN, Leslie</creatorcontrib><creatorcontrib>MEESKE, Kathy</creatorcontrib><creatorcontrib>BAUMGARTNER, Kathy B</creatorcontrib><creatorcontrib>FETHEROLF, Josala</creatorcontrib><creatorcontrib>REEVE, Bryce B</creatorcontrib><creatorcontrib>WILDER SMITH, Ashley</creatorcontrib><title>Possible socioeconomic and ethnic disparities in quality of life in a cohort of breast cancer survivors</title><title>Breast cancer research and treatment</title><addtitle>Breast Cancer Res Treat</addtitle><description>This paper describes the ethnic and socioeconomic correlates of functioning in a cohort of long-term nonrecurring breast cancer survivors.
Participants (n = 804) in this study were women from the Health, Eating, Activity, and Lifestyle (HEAL) Study, a population-based, multicenter, multiethnic, prospective study of women newly diagnosed with in situ or Stages I to IIIA breast cancer. Measurements occurred at three timepoints following diagnosis. Outcomes included standardized measures of functioning (MOS SF-36).
Overall, these long-term survivors reported values on two physical function subscales of the SF-36 slightly lower than population norms. Black women reported statistically significantly lower physical functioning (PF) scores (P = 0.01), compared with White and Hispanic women, but higher mental health (MH) scores (P < 0.01) compared with White and Hispanic women. In the final adjusted model, race was significantly related to PF, with Black participants and participants in the "Other" ethnic category reporting poorer functioning compared to the White referent group (P < 0.01, 0.05). Not working outside the home, being retired or disabled and being unemployed (on leave, looking for work) were associated with poorer PF compared to currently working (both P < 0.01).
These data indicate that race/ethnicity influences psychosocial functioning in breast cancer survivors and can be used to identify need for targeted interventions to improve functioning.</description><subject>Adult</subject><subject>African Americans - psychology</subject><subject>African Americans - statistics & numerical data</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - ethnology</subject><subject>Breast Neoplasms - physiopathology</subject><subject>Breast Neoplasms - psychology</subject><subject>Breast Neoplasms - therapy</subject><subject>Cancer research</subject><subject>Cancer therapies</subject><subject>Disability Evaluation</subject><subject>Employment</subject><subject>Ethnicity</subject><subject>European Continental Ancestry Group - psychology</subject><subject>European Continental Ancestry Group - statistics & numerical data</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Health Status Disparities</subject><subject>Hispanic Americans - psychology</subject><subject>Hispanic Americans - statistics & numerical data</subject><subject>Humans</subject><subject>Mammary gland diseases</subject><subject>Medical sciences</subject><subject>Mental Health</subject><subject>Middle Aged</subject><subject>Population Surveillance</subject><subject>Prospective Studies</subject><subject>Quality of Life</subject><subject>Recovery of Function</subject><subject>Social psychology</subject><subject>Socioeconomic Factors</subject><subject>Surveys and Questionnaires</subject><subject>Survivor</subject><subject>Survivors - psychology</subject><subject>Survivors - statistics & numerical data</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Tumors</subject><subject>United States - epidemiology</subject><issn>0167-6806</issn><issn>1573-7217</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpdkU2PFCEQQInRuOPqD_BiiIneWguaga6Lidn4lWyiBz2TapreYdMDs9A9yf576czEVbkAxaNSVY-xlwLeCQDzvgjYKmwAdIPKYCMfsY3YmrYxUpjHbANCm0Z3oC_Ys1JuAQAN4FN2IYzU9aI37OZHKiX0k-cluZC8SzHtg-MUB-7nXazHIZQD5TAHX3iI_G6hKcz3PI18CqNfQ8Rd2qU8r7E-eyozdxSdz7ws-RiOKZfn7MlIU_Evzvsl-_X508-rr8319y_frj5eN05t1dyg9Hp0Qy8QRq2QwAy-QynGHnXXkZYdkQbliFqNsvfYbzXCoIYBFRqE9pJ9OOU9LP3eD87HOdNkDznsKd_bRMH--xLDzt6ko5VYl5Y1wdtzgpzuFl9muw_F-Wmi6NNSrO7aVraoKvj6P_A2LTnW5qwUUimNAiskTpDLdc7Zj38qEWBXh_bk0FaHdnVo1wpe_d3Cw4-ztAq8OQNUHE1jrrMO5YHDtvpXXfsbV4OmRg</recordid><startdate>20071101</startdate><enddate>20071101</enddate><creator>BOWEN, Deborah J</creator><creator>ALFANO, Catherine M</creator><creator>GANZ, Patricia A</creator><creator>MCTIERNAN, Anne</creator><creator>BALLARD BARBASH, Rachel</creator><creator>MCGREGOR, Bonnie A</creator><creator>KUNIYUKI, Alan</creator><creator>BERNSTEIN, Leslie</creator><creator>MEESKE, Kathy</creator><creator>BAUMGARTNER, Kathy B</creator><creator>FETHEROLF, Josala</creator><creator>REEVE, Bryce B</creator><creator>WILDER SMITH, Ashley</creator><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9-</scope><scope>K9.</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20071101</creationdate><title>Possible socioeconomic and ethnic disparities in quality of life in a cohort of breast cancer survivors</title><author>BOWEN, Deborah J ; ALFANO, Catherine M ; GANZ, Patricia A ; MCTIERNAN, Anne ; BALLARD BARBASH, Rachel ; MCGREGOR, Bonnie A ; KUNIYUKI, Alan ; BERNSTEIN, Leslie ; MEESKE, Kathy ; BAUMGARTNER, Kathy B ; FETHEROLF, Josala ; REEVE, Bryce B ; WILDER SMITH, Ashley</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c454t-92e6fcdb190f649a07de8921fb9688a628aa604caa3692be9b5690d4dd9497903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>African Americans - psychology</topic><topic>African Americans - statistics & numerical data</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - ethnology</topic><topic>Breast Neoplasms - physiopathology</topic><topic>Breast Neoplasms - psychology</topic><topic>Breast Neoplasms - therapy</topic><topic>Cancer research</topic><topic>Cancer therapies</topic><topic>Disability Evaluation</topic><topic>Employment</topic><topic>Ethnicity</topic><topic>European Continental Ancestry Group - psychology</topic><topic>European Continental Ancestry Group - statistics & numerical data</topic><topic>Female</topic><topic>Gynecology. 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Participants (n = 804) in this study were women from the Health, Eating, Activity, and Lifestyle (HEAL) Study, a population-based, multicenter, multiethnic, prospective study of women newly diagnosed with in situ or Stages I to IIIA breast cancer. Measurements occurred at three timepoints following diagnosis. Outcomes included standardized measures of functioning (MOS SF-36).
Overall, these long-term survivors reported values on two physical function subscales of the SF-36 slightly lower than population norms. Black women reported statistically significantly lower physical functioning (PF) scores (P = 0.01), compared with White and Hispanic women, but higher mental health (MH) scores (P < 0.01) compared with White and Hispanic women. In the final adjusted model, race was significantly related to PF, with Black participants and participants in the "Other" ethnic category reporting poorer functioning compared to the White referent group (P < 0.01, 0.05). Not working outside the home, being retired or disabled and being unemployed (on leave, looking for work) were associated with poorer PF compared to currently working (both P < 0.01).
These data indicate that race/ethnicity influences psychosocial functioning in breast cancer survivors and can be used to identify need for targeted interventions to improve functioning.</abstract><cop>Dordrecht</cop><pub>Springer</pub><pmid>17260096</pmid><doi>10.1007/s10549-006-9479-2</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult African Americans - psychology African Americans - statistics & numerical data Aged Biological and medical sciences Breast cancer Breast Neoplasms - ethnology Breast Neoplasms - physiopathology Breast Neoplasms - psychology Breast Neoplasms - therapy Cancer research Cancer therapies Disability Evaluation Employment Ethnicity European Continental Ancestry Group - psychology European Continental Ancestry Group - statistics & numerical data Female Gynecology. Andrology. Obstetrics Health Status Disparities Hispanic Americans - psychology Hispanic Americans - statistics & numerical data Humans Mammary gland diseases Medical sciences Mental Health Middle Aged Population Surveillance Prospective Studies Quality of Life Recovery of Function Social psychology Socioeconomic Factors Surveys and Questionnaires Survivor Survivors - psychology Survivors - statistics & numerical data Time Factors Treatment Outcome Tumors United States - epidemiology |
| title | Possible socioeconomic and ethnic disparities in quality of life in a cohort of breast cancer survivors |
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