Swipe om te navigeren naar een ander artikel
We examined the main and interactive effects of race, BMI, and social support on physical and mental health-related quality of life (HRQoL) among male and female cancer survivors using the stress and coping theory to inform findings.
HRQoL issues among 1768 cancer survivors were examined using the American Cancer Society’s cross-sectional Study of Cancer Survivors II. Two-step multiple linear regressions were conducted to assess the physical and mental HRQoL of male and female cancer survivors, respectively.
The average age of participants was 67.36 (SD = 11.51); the majority were female (53.3 %; n = 941) and non-Hispanic White (85.9 %; n = 1517). The average BMI measurement for participants was 28.33 (SD = 5.90), with 41.3 % (n = 729) overweight and 30.3 % (n = 535) obese. Higher BMI was significantly associated with lower physical HRQoL across gender, while social support had significant main effects on physical and mental HRQoL across gender. Race moderated the relationship between social support and physical HRQoL among female cancer survivors and between BMI and mental HRQoL for both genders.
The results of this study contribute a unique gender- and racial-specific perspective to cancer survivorship research. While the buffering hypothesis of the stress and coping theory was not supported, the main effects of BMI and social support on HRQoL were different across gender and race.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
DeSantis, C. E., Lin, C. C., Mariotto, A. B., Siegel, R. L., Stein, K. D., Kramer, J. L., et al. (2014). Cancer treatment and survivorship statistics, 2014. CA: A Cancer Journal for Clinicians, 64(4), 252–271.
de Moor, J. S., Mariotto, A. B., Parry, C., Alfano, C. M., Padgett, L., Kent, E. E., et al. (2013). Cancer survivors in the United States: Prevalence across the survivorship trajectory and implications for care. Cancer Epidemiology, Biomarkers and Prevention, 22(4), 561–570. PubMedCentralCrossRefPubMed
Kattlove, H., & Winn, R. J. (2003). Ongoing care of patients after primary treatment for their cancer. CA: A Cancer Journal for Clinicians, 53(3), 172–196.
Schultz, P. N., Beck, M., Stava, C., & Vassilopoulou-Sellin, R. (2003). Health profiles in 5836 long-term cancer survivors. International Journal of Cancer, 104(4), 488–495. CrossRef
Sunga, A. Y., Eberl, M. M., Oeffinger, K. C., Hudson, M. M., & Mahoney, M. C. (2005). Care of cancer survivors. American Family Physician, 71(4), 699–706. PubMed
Weaver, K. E., Forsythe, L. P., Reeve, B. B., Alfano, C. M., Rodriguez, J. L., Sabatino, S. A., et al. (2012). Mental and physical health-related quality of life among US cancer survivors: Population estimates from the 2010 National Health Interview Survey. Cancer Epidemiology, Biomarkers and Prevention, 21(11), 2108–2117. PubMedCentralCrossRefPubMed
Miller, D. C., Sanda, M. G., Dunn, R. L., Montie, J. E., Pimentel, H., Sandler, H. M., et al. (2005). Long-term outcomes among localized prostate cancer survivors: Health-related quality-of-life changes after radical prostatectomy, external radiation, and brachytherapy. Journal of Clinical Oncology, 23(12), 2772–2780. CrossRefPubMed
Allart, P., Soubeyran, P., & Cousson-Gelie, F. (2013). Are psychosocial factors associated with quality of life in patients with haematological cancer? A critical review of the literature. Psychooncology, 22(2), 241–249. PubMed
Tessier, P., Lelorain, S., & Bonnaud-Antignac, A. (2012). A comparison of the clinical determinants of health-related quality of life and subjective well-being in long-term breast cancer survivors. European Journal of Cancer Care (England), 21(5), 692–700. CrossRef
Cameron, A. J., Magliano, D. J., Dunstan, D. W., Zimmet, P. Z., Hesketh, K., Peeters, A., et al. (2012). A bi-directional relationship between obesity and health-related quality of life: Evidence from the longitudinal AusDiab study. International Journal of Obesity (London), 36(2), 295–303. CrossRef
Thraen-Borowski, K. M., Trentham-Dietz, A., Edwards, D. F., Koltyn, K. F., & Colbert, L. H. (2013). Dose-response relationships between physical activity, social participation, and health-related quality of life in colorectal cancer survivors. Journal of Cancer Survivorship, 7(3), 369–378. PubMedCentralCrossRefPubMed
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. PubMedCentralCrossRefPubMed
Zhou, E. S., Penedo, F. J., Lewis, J. E., Rasheed, M., Traeger, L., Lechner, S., et al. (2010). Perceived stress mediates the effects of social support on health-related quality of life among men treated for localized prostate cancer. Journal of Psychosomatic Research, 69(6), 587–590. PubMedCentralCrossRefPubMed
Eom, C. S., Shin, D. W., Kim, S. Y., Yang, H. K., Jo, H. S., Kweon, S. S., et al. (2013). Impact of perceived social support on the mental health and health-related quality of life in cancer patients: Results from a nationwide, multicenter survey in South Korea. Psychooncology, 22(6), 1283–1290. CrossRefPubMed
Lazarus, R., & Folkman, S. (1984). Stress, appraisal and coping. New York: Springer.
Lakey, B., & Cohen, S. (2000). Social support theory and measurement. In S. Cohen, L. Underwood, & B. Gottlieb (Eds.), Measuring and intervening in social support. New York: Oxford University Press.
Monroe, S., & Kelley, J. (1995). Measurement of stress appraisal. In S. Cohen, R. Kessler, & L. Gordon (Eds.), Measuring stress: A guide for health and social scientists (pp. 122–147). New York: Oxford University Press.
World Health Organization. (2006). BMI classification. http://apps.who.int/bmi/index.jsp?introPage=intro_3.html. Accessed 2014.
Centers for Disease Control and Prevention. (2011). Healthy weight— It’s not a diet, it’s a lifestyle! About BMI for adults. http://www.cdc.gov/healthyweight/assessing/bmi/adult_bmi/index.html. Accessed 2014.
Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52(1), 30–41. CrossRef
Hays, R. D. (1998). Appendix B: Computation of scale and composite scores for the RAND-36 HSI. In RAND- 36 health status inventory. San Antonio, TX: The Psychological Corporation, Harcourt Brace and Company, pp. 61–62. http://gim.med.ucla.edu/FacultyPages/Hays/surveys/R-36%20HSI%20Hays/Title%20page%20-%20Table%20of%20contents%20-%20Introduction.pdf.
Ganz, P. A., Rowland, J. H., Desmond, K., Meyerowitz, B. E., & Wyatt, G. E. (1998). Life after breast cancer: Understanding women’s health-related quality of life and sexual functioning. Journal of Clinical Oncology, 16(2), 501–514. PubMed
Blanchard, C. M., Courneya, K. S., & Stein, K. (2004). Association between current lifestyle behaviors and health-related quality of life in breast, colorectal, and prostate cancer survivors. Psychology Health, 19(1), 1–13. CrossRef
Cohen, J., Cohen, P., West, S. G., & Aiken, L. S. (2003). Applied multiple regression/correlation analysis for the behavioral sciences (3rd ed.). Mahwah, NJ: Lawrence Erlbaum Associates.
- Gender, race, BMI, and social support in relation to the health-related quality of life of cancer survivors: a report from the American Cancer Society’s Study of Cancer Survivors II (SCS-II)
Ruth P. Westby
Carla J. Berg
- Springer International Publishing