Supportive Care in Cancer

, Volume 24, Issue 11, pp 4669–4678

Worry about recurrence in a multi-ethnic population of breast cancer survivors and their partners

  • Nancy K. Janz
  • Yun Li
  • Lauren J. Beesley
  • Lauren P. Wallner
  • Ann S. Hamilton
  • Rebecca A. Morrison
  • Sarah T. Hawley
Original Article

DOI: 10.1007/s00520-016-3314-z

Cite this article as:
Janz, N.K., Li, Y., Beesley, L.J. et al. Support Care Cancer (2016) 24: 4669. doi:10.1007/s00520-016-3314-z

Abstract

Purpose

The objectives of this study are to describe racial/ethnic differences and clinical/treatment correlates of worry about recurrence and examine modifiable factors in the health care experience to reduce worry among breast cancer survivors, partners, and pairs.

Methods

Women with non-metastatic breast cancer identified by the Detroit and Los Angeles SEER registries between 6/05 and 2/07 were surveyed at 9 months and 4 years. Latina and Black women were oversampled. Partners were surveyed at time 2. Worry about recurrence was regressed on sociodemographics, clinical/treatment, and modifiable factors (e.g., emotional support received by providers) among survivors, partners, and pairs.

Results

The final sample included 510 pairs. Partners reported more worry about recurrence than survivors. Compared to Whites, Latinas(os) were more likely to report worry and Blacks were less likely to report worry (all p < 0.05). Partners of survivors who received chemotherapy reported more worry (OR = 2.47 [1.45, 4.22]). Among modifiable factors, survivors and pairs who received more emotional support from providers were less likely to report worry than those survivors and pairs who did not receive such support (OR = 0.56 [0.32, 0.97]) and (OR = 0.45 [0.23,0.85]), respectively.

Conclusions

Early identification of survivors and partners who are reporting considerable worry about recurrence can lead to targeted culturally sensitive interventions to avoid poorer outcomes. Interventions focused on health care providers offering information on risk and emotional support to survivors and partners is warranted.

Keywords

Worry about recurrenceSurvivors and partnersBreast cancer

Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  • Nancy K. Janz
    • 1
  • Yun Li
    • 2
  • Lauren J. Beesley
    • 2
  • Lauren P. Wallner
    • 3
  • Ann S. Hamilton
    • 4
  • Rebecca A. Morrison
    • 3
  • Sarah T. Hawley
    • 3
    • 5
  1. 1.Department of Health Behavior and Health Education, School of Public HealthUniversity of MichiganAnn ArborUSA
  2. 2.Department of Biostatistics, School of Public HealthUniversity of MichiganAnn ArborUSA
  3. 3.University of Michigan Medical SchoolAnn ArborUSA
  4. 4.Keck School of MedicineUniversity of Southern CaliforniaLos AngelesUSA
  5. 5.Ann Arbor VA Medical CenterAnn ArborUSA