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Gepubliceerd in: Quality of Life Research 1/2012

01-02-2012

Neighborhood foreclosures and self-rated health among breast cancer survivors

Auteurs: Mario Schootman, Anjali D. Deshpande, Sandi L. Pruitt, Donna B. Jeffe

Gepubliceerd in: Quality of Life Research | Uitgave 1/2012

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Abstract

Purpose

We determined the association of neighborhood foreclosure risk on the health status of a statewide sample of breast cancer survivors (n = 1047) and the extent to which covariates accounted for observed associations.

Methods

Measures of self-rated health and several covariates were obtained by telephone interview 1 year after diagnosis. We used the federal Housing and Urban Development agency’s estimated census-tract foreclosure-abandonment-risk score and multilevel, logistic regression to determine the association of foreclosure risk (high, moderate versus low) with self-rated health (fair-poor versus good, very good, excellent) and whether covariates could explain the observed association.

Results

Women who resided in high-foreclosure-risk (HFR) areas were 2.39 times (95% CI: 1.83–3.13) more likely to report being in fair-poor health than women who lived in low-foreclosure-risk areas. The odds ratio (OR) was reduced for women who lived in high-foreclosure-risk versus low-foreclosure-risk areas after adjusting for income (HFR OR: 1.78; 95% CI: 1.01–3.15), physical activity (HFR OR: 1.74; 95% CI: 0.98–3.08), and perceived neighborhood conditions (HFR OR: 1.76; 95% CI: 1.02–3.05).

Conclusions

Breast cancer survivors who lived in census tracts with high- versus low-foreclosure risk reported poorer health status. This association was explained by differences in household income, physical activity, and perceived neighborhood conditions.
Voetnoten
1
Foreclosure: A situation in which a homeowner is unable to make principal and/or interest payments on his or her mortgage, so the lender, be it a bank or building society, can seize and sell the property as stipulated in the terms of the mortgage contract.
 
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Metagegevens
Titel
Neighborhood foreclosures and self-rated health among breast cancer survivors
Auteurs
Mario Schootman
Anjali D. Deshpande
Sandi L. Pruitt
Donna B. Jeffe
Publicatiedatum
01-02-2012
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 1/2012
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-011-9929-0

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