Abstract

Purpose

To examine predictors of health-related quality of life (HRQoL) in Hispanic and non-Hispanic White (NHW) breast cancer (BC) survivors.

Design

Cross-sectional study using survey data.

Participants

Women diagnosed with BC at ages 21-79 years, between 2012-2014, recruited from the New Jersey State Cancer Registry.

Methods

HRQoL was assessed using the Functional Assessment Cancer Therapy (FACT-G) instrument. Descriptive statistics compared Hispanics and NHWs, and multivariate regression analyses identified predictors of HRQoL.

Results

HRQoL was significantly higher scores among NHW (85.7 ± 18.5) than Hispanics (79.4 ± 20.1) (p < 0.05). In multivariate analyses, comorbidities (β: −13.3, 95%CI: −20.6, −5.92), late-stage diagnosis (β: −5.67, 95%CI: −10.7, −0.62), lower income (β: −13.9, 95%CI: −19.8, −7.97) and younger age at diagnosis were associated with lower HRQoL.

Conclusion

Socio-demographic and clinic characteristics were significant predictors of HRQoL among diverse BC survivors.

Implications for Psychosocial Oncology

Supportive psychosocial care interventions tailored to the needs of young, low-income BC survivors with comorbidities are needed.

中文翻译：

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新泽西州西班牙裔和非西班牙裔白人乳腺癌幸存者健康相关生活质量的预测因素

摘要

目的

研究西班牙裔和非西班牙裔白人 (NHW) 乳腺癌 (BC) 幸存者的健康相关生活质量 (HRQoL) 预测因子。

设计

使用调查数据的横断面研究。

参与者

2012-2014 年间被诊断为 21-79 岁的 BC 女性，从新泽西州癌症登记处招募。

方法

HRQoL 使用功能评估癌症治疗 (FACT-G) 仪器进行评估。描述性统计比较了西班牙裔和 NHW，多元回归分析确定了 HRQoL 的预测因子。

结果

NHW (85.7 ± 18.5) 的 HRQoL 得分显着高于西班牙裔 (79.4 ± 20.1) (p < 0.05)。在多变量分析中，合并症（β：-13.3，95%CI：-20.6，-5.92），晚期诊断（β：-5.67，95%CI：-10.7，-0.62），低收入（β：-13.9 , 95%CI: -19.8, -7.97) 和较年轻的诊断年龄与较低的 HRQoL 相关。

结论

社会人口统计学和临床​​特征是不同 BC 幸存者 HRQoL 的重要预测因素。

对心理社会肿瘤学的影响

需要针对患有合并症的年轻、低收入 BC 幸存者的需求量身定制的支持性心理社会护理干预措施。