Author(s): Matthews AK, Tejeda S, Johnson TP, Berbaum ML, Manfredi C
Background: African Americans continue to suffer disproportionately from cancer morbidity and mortality, with emerging evidence suggesting potential quality of life (QOL) disparities in the survivorship period.
Objective: The objective of the study was to assess sociodemographic, clinical, and psychosocial factors associated with physical and mental health QOL (PHQOL and MHQOL) among African American and white cancer survivors.
Methods: Patients were recruited from tumor registries. Telephone interviews were conducted with 248 African American and 244 white respondents with a history of breast, prostate, or colorectal cancers. Multivariate regression models were used to assess what factors were associated with PHQOL and MHQOL.
Results: Key racial differences in adjusted analyses included poorer MHQOL scores among African Americans compared with white survivors. Furthermore, race moderated the relationship between perceived social support and MHQOL, where higher social support levels were associated with increased MHQOL among African Americans. Other correlates of QOL impacted racial groups similarly. For example, factors associated with PHQOL scores included being unemployed, being uninsured, the presence of medical comorbidities, a longer time since diagnosis, and higher levels of cancer-related stress appraisals. Factors associated with MHQOL scores included being unemployed, higher levels of daily stress, higher levels of stress associated with the diagnosis, higher levels of education, higher levels of perceived social support, and higher levels of spirituality.
Conclusion: Interventions aimed at increasing social support may have important implications for improving QOL outcomes among African Americans.
Implications for practice: Measuring and understanding factors associated with QOL have important implications for patient adjustment and clinical decision making.
Referred From: https://www.ncbi.nlm.nih.gov/pubmed/22495496
Author(s): National Cancer Institute
Author(s): American Cancer Society
Author(s): Mellon S, Northouse LL
Author(s): Mertens DM
Author(s): Schmidt JE, Andrykowski MA
Author(s): Buki LP, Garces DM, Hinestrosa MC, Kogan L, Carrillo IY,
Author(s): Galván N, Buki LP, Garcés DM
Author(s): Clark R, Anderson NB, Clark VR, Williams DR
Author(s): Cooper LA, Hill MN, Powe NR
Author(s): Kreps GL, Sparks L
Author(s): Hall IJ, Rim SH, Johnson-Turbes CA, Vanderpool R, Kamalu NN
Author(s): Joseph G, Kaplan C, Luce J, Lee R, Stewart S, et al.
Author(s): Banegas MP, Li CI
Author(s): Luckett T, Goldstein D, Butow PN, Gebski V, Aldridge LJ, et al.
Author(s): Mujahid MS, Janz NK, Hawley ST, Griggs JJ, Hamilton AS, et al.
Author(s): Janz NK, Hawley ST, Mujahid MS, Griggs JJ, Alderman A, et al.
Author(s): Mujahid MS, Janz NK, Hawley ST, Griggs JJ, Hamilton AS, et al.
Author(s): DeSantis C, Jemal A, Ward E
Author(s): Barry J, Breen N, Barrett M
Author(s): Fagundes CP, Bennett JM, Alfano CM, Glaser R, Povoski SP, et al.
Author(s): Berz JP, Johnston K, Backus B, Doros G, Rose AJ, et al.
Author(s): Burton LM, Bonilla-Silva E, Ray V, Buckelew R, Freeman EH
Author(s): Kuo TM, Mobley LR, Anselin L
Author(s): Kravdal H, Syse A
Author(s): Nayeri K, Pitaro G, Feldman JG
Author(s): Osborne C, Ostir GV, Du X, Peek MK, Goodwin JS
Author(s): Taira N, Shimozuma K, Shiroiwa T, Ohsumi S, Kuroi K, et al
Author(s): Wittenberg L, Yutsis M, Taylor S, Giese-Davis J, Bliss-Isberg C, et al.
Author(s): McColl MA, Skinner H
Author(s): Glanz K, Lewis FM, Rimer BK
Author(s): Jensen KP, Bäck-Pettersson S, Segesten K
Author(s): Trinkaus M, Burman D, Barmala N, Rodin G, Jones J, et al.
Author(s): Raveis VH, Pretter S
Author(s): Fobair P, Spiegel D
Author(s): Shelby RA, Crespin TR, Wells-Di Gregorio SM, Lamdan RM, Siegel JE, et al.
Author(s): Janz NK, Mujahid MS, Hawley ST, Griggs JJ, Alderman A, et al.
Author(s): Davey MP, Kissil K, Niño A, Tubbs CY
Author(s): Hamilton JB, Agarwal M, Carter JK, Crandell JL
Author(s): Hamilton JB, Sandelowski M
Author(s): Williams KP, Mullan PB, Todem D
Author(s): Ashing-Giwa KT, Ganz PA
Author(s): Ashing-Giwa KT, Padilla GV, Bohórquez DE, Tejero JS, Garcia M
Author(s): Wildes KA, Miller AR, de Majors SS, Ramirez AG
Author(s): Mullan F
Author(s): Yang HC, Schuler TA
Author(s): Fang CY, Manne SL, Pape SJ
Author(s): Vahdaninia M, Omidvari S, Montazeri A
Author(s): Karakoyun-Celik O1, Gorken I, Sahin S, Orcin E, Alanyali H, et al.
Author(s): Kneece J
Author(s): Dorval M, Maunsell E, Taylor-Brown J, Kilpatrick M
Author(s): Taylor-Brown J, Kilpatrick M, Maunsell E, Dorval M
Author(s): Antonucci TC, Birditt KS, Webster NJ
Author(s): Birditt K, Antonucci TC
Author(s): Kroenke CH, Michael Y, Tindle H, Gage E, Chlebowski R, et al.
Author(s): Talley A, Molix L, Schlegel RJ, Bettencourt A
Author(s): White JL, Boehmer U
Author(s): Boehmer U, Freund KM, Linde R
Author(s): Fergus KD, Gray RE
Author(s): Manne SL, Ostroff J, Winkel G, Grana G, Fox K
Author(s): Perz J, Ussher JM, Butow P, Wain G
Author(s): Ganz PA, Rowland JH, Desmond K, Meyerowitz BE, Wyatt GE
Author(s): Legg M, Occhipinti S, Ferguson M, Dunn J, Chambers SK
Author(s): Chou AF, Stewart SL, Wild RC, Bloom JR
Author(s): Park JH, Bae SH, Jung YS, Kim KS
Author(s): Bjorneklett HG, Lindemalm C, Rosenblad A, Ojutkangas M, Letocha H, et al.
Author(s): Friedman LC, Barber CR, Chang J, Tham YL, Kalidas M, et al.
Author(s): Levine EG, Aviv C, Yoo G, Ewing C, Au A
Author(s): Janiszewska J, Buss T, de Walden-Gałuszko K, Majkowicz M, Lichodziejewska-Niemierko M, et al.
Author(s): Braun B, Marghi JR
Author(s): Lewis KG, Moon S
Author(s): Sheppard VB, Adams IF, Lamdan R, Taylor KL
Author(s): Schreiber JA, Brockopp DY
Author(s): Dyson GJ, Thompson K, Palmer S, Thomas DM, Schofield P
Author(s): Elkins G, Fisher W, Johnson A
Author(s): Beatty LJ, Adams J, Sibbritt D, Wade TD
Author(s): Spadacio C, Barros NF
Author(s): Geue K, Goetze H, Buttstaedt M, Kleinert E, Richter D, et al.
Author(s): Bar-Sela G, Atid L, Danos S, Gabay N, Epelbaum R
Author(s): Puig A, Lee SM, Goodwin L, Sherrard PAD
Author(s): Lin K, Hu Y, Chang K, Lin H, Tsauo J
Author(s): Danhauer SC, Mihalko SL, Russell GB, Campbell CR, Felder L, et al.
Author(s): Moadel AB, Shah C, Wylie-Rosett J, Harris MS, Patel SR, et al.