Document Detail


Estimated effects of potential interventions to prevent decreases in self-rated health among breast cancer survivors.
MedLine Citation:
PMID:  22226030     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To estimate the effect of hypothetical changes in modifiable predictors on the incidence of fair-to-poor self-rated health (SRH) in breast cancer survivors.
METHODS: In 2007-2008, we interviewed 832 breast cancer survivors 1 year after diagnosis (baseline) and 1 year later. First, multivariable logistic regression models estimated the association between the predictors (sociodemographic factors, access to medical care, comorbid conditions, psychosocial factors, perceived neighborhood conditions, cancer-related behaviors, clinical factors) and SRH. Second, we estimated the probabilities of fair-to-poor SRH for values of the predictors for each breast cancer survivor. Third, we estimated the population-wide effect of potential changes in modifiable predictors on the incidence of fair-to-poor SRH.
RESULTS: A total of 7.6% of participants (92.4% white; mean age, 58.0 years) whose SRH was rated good-to-excellent at baseline reported fair-to-poor SRH 1 year later. The largest potential reduction in incidence of fair-to-poor SRH could be obtained by eliminating surgical side effects (27.8% reduction) and comorbidity (21.8% reduction) and by engaging in any physical activity (19.6% reduction).
CONCLUSIONS: A significant portion of the decline in SRH can be avoided by reducing surgical side effects, preventing comorbidity, and improving physical activity with the use of evidence-based strategies.
Authors:
Mario Schootman; Anjali D Deshpande; Sandi Pruitt; Rebecca Aft; Donna B Jeffe
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Annals of epidemiology     Volume:  22     ISSN:  1873-2585     ISO Abbreviation:  Ann Epidemiol     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-01-09     Completed Date:  2012-05-01     Revised Date:  2013-06-26    
Medline Journal Info:
Nlm Unique ID:  9100013     Medline TA:  Ann Epidemiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  79-86     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Elsevier Inc. All rights reserved.
Affiliation:
Departments of Medicine and Pediatrics, Division of Health Behavior Research, Washington University School of Medicine, Saint Louis, MO 63108, USA. mschootm@im.wustl.edu
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MeSH Terms
Descriptor/Qualifier:
Breast Neoplasms / psychology*,  surgery
Comorbidity
Female
Follow-Up Studies
Health Services Accessibility / economics*
Health Status*
Humans
Insurance, Health
Interviews as Topic
Logistic Models
Middle Aged
Missouri
Motor Activity*
Multivariate Analysis
Postoperative Complications / prevention & control,  psychology
Self Report
Socioeconomic Factors
Survivors / psychology*
Grant Support
ID/Acronym/Agency:
CA112159/CA/NCI NIH HHS; CA91842/CA/NCI NIH HHS; KL2 RR024994/RR/NCRR NIH HHS; KL2 RR024994-05/RR/NCRR NIH HHS; P30 CA091842/CA/NCI NIH HHS; P30 CA091842-11/CA/NCI NIH HHS; R01 CA112159-05/CA/NCI NIH HHS
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