Abstract
Purpose
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.
Methods
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.
Results
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.
Conclusions
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.
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References
Centers for Disease Control and Prevention. Breast cancer. (2016). Accessed April 22, 2016, from http://www.cdc.gov/cancer/breast/index.htm.
American Cancer Society. (2016) Cancer facts and figures for African Americans 2016–2018. Atlanta, GA: American Cancer Society.
What are the key statistics about breast cancer? American Cancer Society (2014). Accessed May 14, 2015, from http://www.cancer.org/cancer/breastcancer/detailedguide/breast-cancer-key-statistics.
Paskett, E. D., Alfano, C. M., Davidson, M. A., Andersen, B. L., Naughton, M. J., Sherman, A., et al. (2008). Breast cancer survivors’ health-related quality of life: Racial differences and comparisons with noncancer controls. Cancer, 113(11), 3222–3230. https://doi.org/10.1002/cncr.23891.
Thompson, W. W., Zack, M. M., Krahn, G. L., Andresen, E. M., & Barile, J. P. (2012). Health-related quality of life among older adults with and without functional limitations. American Journal of Public Health, 102(3), 496–502. https://doi.org/10.2105/AJPH.2011.300500PubMed.
Kindig, D. A., Asada, Y., & Booske, B. (2008). A population health framework for setting national and state health goals. JAMA, 299(17), 2081–2083. https://doi.org/10.1001/jama.299.17.2081.
Bottomley, A., & Therasse, P. (2002). Quality of life in patients undergoing systemic therapy for advanced breast cancer. The Lancet Oncology, 3(10), 620–628.
US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion. Health-related quality of life. Accessed May 14, 2015, from http://www.cdc.gov/hrqol/hrqol14_measure.htm.
Hays, R. D., Bjorner, J. B., Revicki, D. A., Spritzer, K. L., & Cella, D. (2009). Development of physical and mental health summary scores from the patient-reported outcomes measurement information system (PROMIS) global items. Quality of Life Research, 18(7), 873–880. https://doi.org/10.1007/s11136-009-9496-9.
US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics. National Health Interview Survey. Accessed May 14, 2015, from http://www.cdc.gov/nchs/nhis.htm.
Paxton, R. J., Phillips, K. L., Jones, L. A., Chang, S., Taylor, W. C., Courneya, K. S. et al. (2012). Associations among physical activity, body mass index, and health-related quality of life by race/ethnicity in a diverse sample of breast cancer survivors. Cancer, 118(16):4024–4031. https://doi.org/10.1002/cncr.27389.
Russell, K. M., Von Ah, D. M., Giesler, R. B., Storniolo, A. M., & Haase, J. E. (2008). Quality of life of African American breast cancer survivors: How much do we know? Cancer Nursing, 31(6):E36–E45.
Ashing-Giwa, K. T., Padilla, G., Tejero, J., Kraemer, J., Wright, K., Coscarelli, A., et al. (2004). Understanding the breast cancer experience of women: A qualitative study of African American, Asian American, Latina and Caucasian cancer survivors. Psychooncology, 13(6):408–428. https://doi.org/10.1002/pon.750.
Matthews, A. K., Tejeda, S., Johnson, T. P., Berbaum, M. L., & Manfredi, C. (2012). Correlates of quality of life among African American and white cancer survivors. Cancer Nursing, 35(5), 355–364. https://doi.org/10.1097/NCC.0b013e31824131d9.
Von Ah, D. M., Russell, K. M., Carpenter, J., Monahan, P. O., Qianqian, Z., Tallman, E., et al. (2012). Health-related quality of life of African American breast cancer survivors compared with healthy African American women. Cancer Nursing, 35(5):337–346. https://doi.org/10.1097/NCC.0b013e3182393de3.
Schoormans, D., Czene, K., Hall, P., & Brandberg, Y. (2015). The impact of co-morbidity on health-related quality of life in breast cancer survivors and controls. Acta Oncologia, 54(5):727–734. https://doi.org/10.3109/0284186X.2014.998277.
Duijts, S. F., Faber, M. M., Oldenburg, H. S., Van Beurden, M., & Aaronson, N. K. (2011). Effectiveness of behavioral techniques and physical exercise on psychosocial functioning and health-related quality of life in breast cancer patients and survivors: A meta-analysis. Psychooncology, 20(2):115–126. https://doi.org/10.1002/pon.1728.
Lengacher, C. A., Johnson-Mallard, V., Post-White, J., Moscoso, M. S., Jacobsen, P. B., Klein, T. W., et al. (2009). Randomized controlled trial of mindfulness-based stress reduction (MBSR) for survivors of breast cancer. Psychooncology, 18(12):1261–1272. https://doi.org/10.1002/pon.1529.
Matchim, Y., Armer, J. M., & Stewart, B. R. (2011). Effects of mindfulness-based stress reduction (MBSR) on health among breast cancer survivors. Western Journal Nursing Research, 33(8):996–1016. https://doi.org/10.1177/0193945910385363.
Mishra, S. I., Scherer, R. W., Snyder, C., Geigle, P., & Gotay, C. (2015). The effectiveness of exercise interventions for improving health-related quality of life from diagnosis through active cancer treatment. Oncology Nursing Forum, 42(1), E33–E53. https://doi.org/10.1188/15.ONF.E33-E53.
Funding
This study was funded by The National Cancer Institute (U54CA118638) and (RO1CA166785) and the National Institute on Minority Health and Health Disparities (P20MD006881).
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Claridy, M.D., Ansa, B., Damus, F. et al. Health-related quality of life of African-American female breast cancer survivors, survivors of other cancers, and those without cancer. Qual Life Res 27, 2067–2075 (2018). https://doi.org/10.1007/s11136-018-1862-z
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DOI: https://doi.org/10.1007/s11136-018-1862-z