Quality of Life Research

, Volume 27, Issue 8, pp 2067–2075 | Cite as

Health-related quality of life of African-American female breast cancer survivors, survivors of other cancers, and those without cancer

  • Mechelle D. ClaridyEmail author
  • Benjamin Ansa
  • Francesca Damus
  • Ernest Alema-Mensah
  • Selina A. Smith



The purpose of this study was to compare differences in health-related quality of life (HRQOL) between African-American female breast cancer survivors, African-American female survivors of other cancers, and African-American women with no history of cancer.


Using data from the 2010 National Health Interview Survey (NHIS), the HRQOL of African-American women aged 35 years or older was compared by cancer status. Physical and mental health items from the Patient-Reported Outcomes Measurement Information System (PROMIS) global health scale were used to assess differences in HRQOL.


For summary physical and mental health measures, no significant differences were found between breast cancer survivors and women with no history of cancer; survivors of other cancers reported poorer physical and mental health than did women with no history of cancer. Similar differences were found at the item level. When we examined the two African-American female cancer survivor groups, we found that cancer survivors whose cancer was being treated reported substantially poorer physical health and mental health than did those whose cancer was not being treated. Survivors who had private insurance and were cancer free reported better physical and mental health than did those who did not have private insurance and those who were not cancer free. Breast cancer survivors reported slightly better physical and mental health than did survivors of other cancers.


Our findings highlight the need for public health agencies to adopt practices to improve the mental and physical health of African-American female survivors of cancer.


Cancer Oncology Breast cancer Health-related quality of life African American Female 



This study was funded by The National Cancer Institute (U54CA118638) and (RO1CA166785) and the National Institute on Minority Health and Health Disparities (P20MD006881).

Compliance with ethical standards

Conflict of interest

The authors have no financial conflicts of interest to report.

Research involving human participants

This article does not contain any studies with human participants performed by any of the authors.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Community Health and Preventive MedicineMorehouse School of MedicineAtlantaUSA
  2. 2.Department of Family Medicine, Medical College of GeorgiaAugusta UniversityAugustaUSA

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