Quality of Life Research

, Volume 18, Issue 2, pp 157–161

Exploring household income as a predictor of psychological well-being among long-term colorectal cancer survivors

  • J. Jason Lundy
  • Stephen Joel Coons
  • Christopher Wendel
  • Mark C. Hornbrook
  • Lisa Herrinton
  • Marcia Grant
  • Robert S. Krouse
Brief Communication

DOI: 10.1007/s11136-008-9432-4

Cite this article as:
Lundy, J.J., Coons, S.J., Wendel, C. et al. Qual Life Res (2009) 18: 157. doi:10.1007/s11136-008-9432-4

Abstract

Purpose

The purpose of this analysis was to determine the unique contribution of household income to the variance explained in psychological well-being (PWB) among a sample of colorectal cancer (CRC) survivors.

Methods

This study is a secondary analysis of data collected as part of the Health-Related Quality of Life in Long-Term Colorectal Cancer Survivors Study, which included CRC survivors with (cases) and without (controls) ostomies. The dataset included socio-demographic, health status, and health-related quality of life (HRQOL) information. HRQOL was assessed with the modified City of Hope Quality of Life (mCOH-QOL)-Ostomy questionnaire and SF-36v2. To assess the relationship between income and PWB, a hierarchical linear regression model was constructed combining data from both cases and controls.

Results

After accounting for the proportion of variance in PWB explained by the other independent variables in the model, the additional variance explained by income was significant (R2 increased from 0.228 to 0.250; P = 0.006).

Conclusions

Although the study design does not allow causal inference, these results demonstrate a significant relationship between income and PWB in CRC survivors. The findings suggest that for non-randomized group comparisons of HRQOL, income should, at the very least, be included as a control variable in the analysis.

Keywords

IncomePsychological well-beingPhysical well-beingColorectal cancer

Abbreviations

CRC

Colorectal cancer

SES

Socioeconomic status

mCOH-QOL-Ostomy

Modified City of Hope Quality of Life-Ostomy questionnaire

HRQOL

Health-related quality of life

PCS

SF-36 physical component summary scale

MCS

SF-36 mental component summary scale

PWB

Psychological well-being

Copyright information

© Springer Science+Business Media B.V. 2009

Authors and Affiliations

  • J. Jason Lundy
    • 1
  • Stephen Joel Coons
    • 1
  • Christopher Wendel
    • 2
  • Mark C. Hornbrook
    • 3
  • Lisa Herrinton
    • 4
  • Marcia Grant
    • 5
  • Robert S. Krouse
    • 2
  1. 1.College of PharmacyUniversity of ArizonaTucsonUSA
  2. 2.Southern Arizona Veterans Affairs Health Care SystemTucsonUSA
  3. 3.Kaiser Permanente NorthwestPortlandUSA
  4. 4.Kaiser Permanente Northern CaliforniaOaklandUSA
  5. 5.City of Hope National Medical CenterDuarteUSA