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Gepubliceerd in: Quality of Life Research 2/2012

01-03-2012

Health-related quality of life in breast cancer survivors of different sexual orientations

Auteurs: Ulrike Boehmer, Mark Glickman, Jacqui Milton, Michael Winter

Gepubliceerd in: Quality of Life Research | Uitgave 2/2012

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Abstract

Purpose

Sexual minority women, e.g., lesbians and bisexuals, are an underserved population but not much is known about their quality of life (QOL) after a breast cancer diagnosis. For this reason, this study examines the physical and mental QOL and its association with sexual orientation in a cohort of long-term nonrecurring breast cancer survivors.

Methods

Survivors were recruited from a cancer registry and additional sexual minority survivors through convenience methods. Data were collected via telephone survey from all 438 survivors, who were disease free and diagnosed with nonmetastatic breast cancer an average of 5 years earlier. Sexual orientation was the primary independent factor, and QOL, measured with the SF-12, was the outcome. Demographic and clinical factors were considered as correlates.

Results

Sexual orientation was not significantly associated with survivors’ physical or mental QOL. The majority of survivors reported good physical and mental QOL. The demographic and clinical factors explained about one-third of the variation in survivors’ physical QOL, but did not account for most of survivors’ mental QOL.

Conclusions

The lack of an association between sexual orientation and QOL suggests that if there is a link, it does not relate directly to clinical and demographic factors. Future studies need to identify areas of similarity and difference between sexual minority and heterosexual survivors and mechanisms to explain the similarity in QOL.
Literatuur
1.
go back to reference Cancer survivors—United States, 2007. (2011). MMWR. Morbidity and Mortality Weekly Report, 60(9), 269–272. Cancer survivors—United States, 2007. (2011). MMWR. Morbidity and Mortality Weekly Report, 60(9), 269–272.
2.
go back to reference Kornblith, A. B., & Ligibel, J. (2003). Psychosocial and sexual functioning of survivors of breast cancer. Seminars in Oncology, 30(6), 799–813.PubMedCrossRef Kornblith, A. B., & Ligibel, J. (2003). Psychosocial and sexual functioning of survivors of breast cancer. Seminars in Oncology, 30(6), 799–813.PubMedCrossRef
3.
go back to reference Hewitt, M., Herdman, R., & Holland, J. (Eds.). (2004). Meeting psychosocial needs of women with breast cancer. Washington, D.C.: The National Academies Press. Hewitt, M., Herdman, R., & Holland, J. (Eds.). (2004). Meeting psychosocial needs of women with breast cancer. Washington, D.C.: The National Academies Press.
4.
go back to reference Kornblith, A. B., Herndon, J. E., I. I., Weiss, R. B., Zhang, C., Zuckerman, E. L., Rosenberg, S., et al. (2003). Long-term adjustment of survivors of early-stage breast carcinoma, 20 years after adjuvant chemotherapy. Cancer, 98(4), 679–689.PubMedCrossRef Kornblith, A. B., Herndon, J. E., I. I., Weiss, R. B., Zhang, C., Zuckerman, E. L., Rosenberg, S., et al. (2003). Long-term adjustment of survivors of early-stage breast carcinoma, 20 years after adjuvant chemotherapy. Cancer, 98(4), 679–689.PubMedCrossRef
5.
go back to reference Deimling, G. T., Bowman, K. F., Sterns, S., Wagner, L. J., & Kahana, B. (2006). Cancer-related health worries and psychological distress among older adult, long-term cancer survivors. Psycho-Oncology, 15(4), 306–320.PubMedCrossRef Deimling, G. T., Bowman, K. F., Sterns, S., Wagner, L. J., & Kahana, B. (2006). Cancer-related health worries and psychological distress among older adult, long-term cancer survivors. Psycho-Oncology, 15(4), 306–320.PubMedCrossRef
6.
go back to reference Ganz, P. A., Desmond, K. A., Leedham, B., Rowland, J. H., Meyerowitz, B. E., & Belin, T. R. (2002). Quality of life in long-term, disease-free survivors of breast cancer: a follow-up study. Journal of the National Cancer Institute, 94(1), 39–49.PubMedCrossRef Ganz, P. A., Desmond, K. A., Leedham, B., Rowland, J. H., Meyerowitz, B. E., & Belin, T. R. (2002). Quality of life in long-term, disease-free survivors of breast cancer: a follow-up study. Journal of the National Cancer Institute, 94(1), 39–49.PubMedCrossRef
7.
go back to reference Kornblith, A. B., Powell, M., Regan, M. M., Bennett, S., Krasner, C., Moy, B., et al. (2007). Long-term psychosocial adjustment of older vs younger survivors of breast and endometrial cancer. Psychooncology, 16(10), 895–903.PubMedCrossRef Kornblith, A. B., Powell, M., Regan, M. M., Bennett, S., Krasner, C., Moy, B., et al. (2007). Long-term psychosocial adjustment of older vs younger survivors of breast and endometrial cancer. Psychooncology, 16(10), 895–903.PubMedCrossRef
8.
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
9.
go back to reference Deimling, G. T., Schaefer, M. L., Kahana, B., Bowman, K. F., & Reardon, J. (2002). Racial differences in the health of older-adult long-term cancer survivors. Journal of Psychosocial Oncology, 20(4), 71–94.CrossRef Deimling, G. T., Schaefer, M. L., Kahana, B., Bowman, K. F., & Reardon, J. (2002). Racial differences in the health of older-adult long-term cancer survivors. Journal of Psychosocial Oncology, 20(4), 71–94.CrossRef
10.
go back to reference Bowen, D. J., Alfano, C. M., McGregor, B. A., Kuniyuki, A., Bernstein, L., Meeske, K., et al. (2007). Possible socioeconomic and ethnic disparities in quality of life levels in a cohort of breast cancer survivors. Breast Cancer Research and Treatment, 106(1), 85–95.PubMedCrossRef Bowen, D. J., Alfano, C. M., McGregor, B. A., Kuniyuki, A., Bernstein, L., Meeske, K., et al. (2007). Possible socioeconomic and ethnic disparities in quality of life levels in a cohort of breast cancer survivors. Breast Cancer Research and Treatment, 106(1), 85–95.PubMedCrossRef
11.
go back to reference Ashing-Giwa, K. T., & Lim, J. W. (2009). Examining the impact of socioeconomic status and socioecologic stress on physical and mental health quality of life among breast cancer survivors. Oncology Nursing Forum, 36(1), 79–88.PubMedCrossRef Ashing-Giwa, K. T., & Lim, J. W. (2009). Examining the impact of socioeconomic status and socioecologic stress on physical and mental health quality of life among breast cancer survivors. Oncology Nursing Forum, 36(1), 79–88.PubMedCrossRef
12.
go back to reference Brown, J. P., & Tracy, J. K. (2008). Lesbians and cancer: an overlooked health disparity. Cancer Causes and Control, 19(10), 1009–1020.PubMedCrossRef Brown, J. P., & Tracy, J. K. (2008). Lesbians and cancer: an overlooked health disparity. Cancer Causes and Control, 19(10), 1009–1020.PubMedCrossRef
13.
go back to reference Bowen, D. J., Boehmer, U., & Russo, M. (2006). Cancer and sexual minority women. In I. Meyer & M. Northridge (Eds.), The health of sexual minorities: public health perspectives on lesbian, gay, bisexual, and transgender populations (pp. 523–538). New York: Springer. Bowen, D. J., Boehmer, U., & Russo, M. (2006). Cancer and sexual minority women. In I. Meyer & M. Northridge (Eds.), The health of sexual minorities: public health perspectives on lesbian, gay, bisexual, and transgender populations (pp. 523–538). New York: Springer.
14.
go back to reference Blank, T. O. (2005). Gay men and prostate cancer: invisible diversity. Journal of Clinical Oncology, 23(12), 2593–2596.PubMedCrossRef Blank, T. O. (2005). Gay men and prostate cancer: invisible diversity. Journal of Clinical Oncology, 23(12), 2593–2596.PubMedCrossRef
15.
go back to reference Egleston, B. L., Dunbrack, R. L., Jr., & Hall, M. J. (2010). Clinical trials that explicitly exclude gay and lesbian patients. New England Journal of Medicine, 362(11), 1054–1055.PubMedCrossRef Egleston, B. L., Dunbrack, R. L., Jr., & Hall, M. J. (2010). Clinical trials that explicitly exclude gay and lesbian patients. New England Journal of Medicine, 362(11), 1054–1055.PubMedCrossRef
16.
go back to reference Bowen, D. J., & Boehmer, U. (2007). The lack of cancer surveillance data on sexual minorities and strategies for change. Cancer Causes and Control, 18(4), 343–349.PubMedCrossRef Bowen, D. J., & Boehmer, U. (2007). The lack of cancer surveillance data on sexual minorities and strategies for change. Cancer Causes and Control, 18(4), 343–349.PubMedCrossRef
17.
go back to reference Review of NIH support for LGBT research (2010). Review of NIH support for LGBT research (2010).
18.
go back to reference Boehmer, U., Clark, M., Glickman, M., Timm, A., Sullivan, M., Bradford, J., et al. (2010). Using cancer registry data for recruitment of sexual minority women: successes and limitations. Journal of Women’s Health, 19(7), 1289–1297.PubMedCrossRef Boehmer, U., Clark, M., Glickman, M., Timm, A., Sullivan, M., Bradford, J., et al. (2010). Using cancer registry data for recruitment of sexual minority women: successes and limitations. Journal of Women’s Health, 19(7), 1289–1297.PubMedCrossRef
19.
go back to reference Arena, P. L., Carver, C. S., Antoni, M. H., Weiss, S., Ironson, G., & Durán, R. E. (2006). Psychosocial responses to treatment for breast cancer among lesbian and heterosexual women. Women and Health, 44(2), 81–102. Arena, P. L., Carver, C. S., Antoni, M. H., Weiss, S., Ironson, G., & Durán, R. E. (2006). Psychosocial responses to treatment for breast cancer among lesbian and heterosexual women. Women and Health, 44(2), 81–102.
20.
go back to reference Boehmer, U., Linde, R., & Freund, K. M. (2005). Sexual minority women’s coping and psychological adjustment after a diagnosis of breast cancer. Journal of Women’s Health, 14(3), 214–224.PubMedCrossRef Boehmer, U., Linde, R., & Freund, K. M. (2005). Sexual minority women’s coping and psychological adjustment after a diagnosis of breast cancer. Journal of Women’s Health, 14(3), 214–224.PubMedCrossRef
21.
go back to reference Fobair, P., O’Hanlan, K., Koopman, C., Classen, C., Dimiceli, S., Drooker, N., et al. (2001). Comparison of lesbian and heterosexual women’s response to newly diagnosed breast cancer. Psycho-Oncology, 10(1), 40–51.PubMedCrossRef Fobair, P., O’Hanlan, K., Koopman, C., Classen, C., Dimiceli, S., Drooker, N., et al. (2001). Comparison of lesbian and heterosexual women’s response to newly diagnosed breast cancer. Psycho-Oncology, 10(1), 40–51.PubMedCrossRef
22.
go back to reference Boehmer, U., & Case, P. (2006). Sexual minority women’s interactions with breast cancer providers. Women and Health, 44(2), 41–58. Boehmer, U., & Case, P. (2006). Sexual minority women’s interactions with breast cancer providers. Women and Health, 44(2), 41–58.
23.
go back to reference Boehmer, U., & Case, P. (2004). Physicians don’t ask, some patients tell: Disclosure of sexual orientation among women with breast cancer. Cancer, 101(8), 1882–1889.PubMedCrossRef Boehmer, U., & Case, P. (2004). Physicians don’t ask, some patients tell: Disclosure of sexual orientation among women with breast cancer. Cancer, 101(8), 1882–1889.PubMedCrossRef
24.
go back to reference Mays, V. M., & Cochran, S. D. (2001). Mental health correlates of perceived discrimination among lesbian, gay, and bisexual adults in the United States. American Journal of Public Health, 91(11), 1869–1876.PubMedCrossRef Mays, V. M., & Cochran, S. D. (2001). Mental health correlates of perceived discrimination among lesbian, gay, and bisexual adults in the United States. American Journal of Public Health, 91(11), 1869–1876.PubMedCrossRef
25.
go back to reference Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychological Bulletin, 129(5), 674–697.PubMedCrossRef Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychological Bulletin, 129(5), 674–697.PubMedCrossRef
26.
go back to reference Herek, G. M., Gillis, J. R., & Cogan, J. C. (1999). Psychological sequelae of hate-crime victimization among lesbian, gay, and bisexual adults. Journal of Consulting and Clinical Psychology, 67(6), 945–951.PubMedCrossRef Herek, G. M., Gillis, J. R., & Cogan, J. C. (1999). Psychological sequelae of hate-crime victimization among lesbian, gay, and bisexual adults. Journal of Consulting and Clinical Psychology, 67(6), 945–951.PubMedCrossRef
28.
go back to reference Boehmer, U., Clark, M. A., Timm, A., Sullivan, M., & Glickman, M. (in press). Comparing cancer survivors recruited through a cancer registry to convenience methods of recruitment Women’s Health Issues. Boehmer, U., Clark, M. A., Timm, A., Sullivan, M., & Glickman, M. (in press). Comparing cancer survivors recruited through a cancer registry to convenience methods of recruitment Women’s Health Issues.
29.
go back to reference Krieger, N. (1990). Racial and gender discrimination: risk factors for high blood pressure? Social Science and Medicine, 30(12), 1273–1281.PubMedCrossRef Krieger, N. (1990). Racial and gender discrimination: risk factors for high blood pressure? Social Science and Medicine, 30(12), 1273–1281.PubMedCrossRef
30.
go back to reference Stuber, J., Galea, S., Ahern, J., Blaney, S., & Fuller, C. (2003). The association between multiple domains of discrimination and self-assessed health: A multilevel analysis of latinos and blacks in four low-income New York City neighborhoods. Health Services Research, 38, 1735–1760.PubMedCrossRef Stuber, J., Galea, S., Ahern, J., Blaney, S., & Fuller, C. (2003). The association between multiple domains of discrimination and self-assessed health: A multilevel analysis of latinos and blacks in four low-income New York City neighborhoods. Health Services Research, 38, 1735–1760.PubMedCrossRef
31.
go back to reference Ware, J., Kosinski, M., & Keller, S. (1996). A 12-Item Short-Form Health Survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34(3), 220–233.PubMedCrossRef Ware, J., Kosinski, M., & Keller, S. (1996). A 12-Item Short-Form Health Survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34(3), 220–233.PubMedCrossRef
32.
go back to reference Black, D., Gates, G., Sanders, S., & Taylor, L. (2000). Demographics of the gay and lesbian populations in the United States: Evidence from available systematic data sources. Demography, 37(2), 139–154.PubMedCrossRef Black, D., Gates, G., Sanders, S., & Taylor, L. (2000). Demographics of the gay and lesbian populations in the United States: Evidence from available systematic data sources. Demography, 37(2), 139–154.PubMedCrossRef
33.
go back to reference Herek, G. M. (2004). Beyond “Homophobia”: thinking about sexual prejudice and stigma in the twenty-first Century. Sexuality Research & Social Policy, 1(2), 6–24.CrossRef Herek, G. M. (2004). Beyond “Homophobia”: thinking about sexual prejudice and stigma in the twenty-first Century. Sexuality Research & Social Policy, 1(2), 6–24.CrossRef
34.
go back to reference Herek, G. (2009). Sexual stigma and sexual prejudice in the United States: A conceptual framework. In D. A. Hope (Ed.), Contemporary perspectives on lesbian, gay, and bisexual identities: the 54th nebraska symposium on motivation (Vol. 54, pp. 65–111). New York: Springer.CrossRef Herek, G. (2009). Sexual stigma and sexual prejudice in the United States: A conceptual framework. In D. A. Hope (Ed.), Contemporary perspectives on lesbian, gay, and bisexual identities: the 54th nebraska symposium on motivation (Vol. 54, pp. 65–111). New York: Springer.CrossRef
35.
go back to reference Herek, G. M., Chopp, R., & Strohl, D. (2006). Sexual stigma: Putting sexual minority health issues in context. In I. Meyer & M. Northridge (Eds.), The health of sexual minorities: public health perspectives on lesbian, gay, bisexual, and transgender populations (pp. 171–208). New York: Springer. Herek, G. M., Chopp, R., & Strohl, D. (2006). Sexual stigma: Putting sexual minority health issues in context. In I. Meyer & M. Northridge (Eds.), The health of sexual minorities: public health perspectives on lesbian, gay, bisexual, and transgender populations (pp. 171–208). New York: Springer.
36.
go back to reference Herek, G. M. (2009). Hate crimes and stigma-related experiences among sexual minority adults in the United States: prevalence estimates from a national probability sample. J Interpers Violence, 24(1), 54–74.PubMedCrossRef Herek, G. M. (2009). Hate crimes and stigma-related experiences among sexual minority adults in the United States: prevalence estimates from a national probability sample. J Interpers Violence, 24(1), 54–74.PubMedCrossRef
37.
go back to reference Bloom, J. R., Stewart, S. L., Chang, S., & Banks, P. J. (2004). Then and now: quality of life of young breast cancer survivors. Psychooncology, 13(3), 147–160.PubMedCrossRef Bloom, J. R., Stewart, S. L., Chang, S., & Banks, P. J. (2004). Then and now: quality of life of young breast cancer survivors. Psychooncology, 13(3), 147–160.PubMedCrossRef
38.
go back to reference Rahman, R., & et al. (2010). Determinants of quality of life in breast cancer survivors. Paper presented at the ASCO Breast Cancer Symposium. Rahman, R., & et al. (2010). Determinants of quality of life in breast cancer survivors. Paper presented at the ASCO Breast Cancer Symposium.
39.
go back to reference Janz, N. K., Mujahid, M. S., Hawley, S. T., Griggs, J. J., Alderman, A., Hamilton, A. S., et al. (2009). Racial/ethnic differences in quality of life after diagnosis of breast cancer. J Cancer Surviv, 3(4), 212–222.PubMedCrossRef Janz, N. K., Mujahid, M. S., Hawley, S. T., Griggs, J. J., Alderman, A., Hamilton, A. S., et al. (2009). Racial/ethnic differences in quality of life after diagnosis of breast cancer. J Cancer Surviv, 3(4), 212–222.PubMedCrossRef
40.
go back to reference Hewitt, M., Rowland, J., & Yancik, R. (2003). Cancer survivors in the United States: age, health, and disability. Journals of Gerontology Series A-Biological Sciences and Medical Sciences, 58(1), 82–91.CrossRef Hewitt, M., Rowland, J., & Yancik, R. (2003). Cancer survivors in the United States: age, health, and disability. Journals of Gerontology Series A-Biological Sciences and Medical Sciences, 58(1), 82–91.CrossRef
41.
go back to reference Conron, K. J., Mimiaga, M. J., & Landers, S. J. (2010). A population-based study of sexual orientation identity and gender differences in adult health. American Journal of Public Health, 100(10), 1953–1960.PubMedCrossRef Conron, K. J., Mimiaga, M. J., & Landers, S. J. (2010). A population-based study of sexual orientation identity and gender differences in adult health. American Journal of Public Health, 100(10), 1953–1960.PubMedCrossRef
42.
go back to reference Elkin, E. B. P., Ishill, N. M. M. S., Snow, J. G. B. A., Panageas, K. S. D., Bach, P. B. M. D. M., Liberman, L. M. D., et al. (2010). Geographic access and the use of screening mammography. Medical Care, 48(4), 349–356.PubMedCrossRef Elkin, E. B. P., Ishill, N. M. M. S., Snow, J. G. B. A., Panageas, K. S. D., Bach, P. B. M. D. M., Liberman, L. M. D., et al. (2010). Geographic access and the use of screening mammography. Medical Care, 48(4), 349–356.PubMedCrossRef
43.
go back to reference Sariego, J. (2009). Patterns of breast cancer presentation in the United States: does geography matter? Am Surg 75(7), 545–549; discussion 549–550. Sariego, J. (2009). Patterns of breast cancer presentation in the United States: does geography matter? Am Surg 75(7), 545–549; discussion 549–550.
Metagegevens
Titel
Health-related quality of life in breast cancer survivors of different sexual orientations
Auteurs
Ulrike Boehmer
Mark Glickman
Jacqui Milton
Michael Winter
Publicatiedatum
01-03-2012
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 2/2012
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-011-9947-y

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