Estimated effects of potential interventions to prevent declines in self-rated health among breast cancer survivors
Identifieur interne : 004329 ( Main/Exploration ); précédent : 004328; suivant : 004330Estimated effects of potential interventions to prevent declines in self-rated health among breast cancer survivors
Auteurs : Mario Schootman [États-Unis] ; Anjali D. Deshpande [États-Unis] ; Sandi Pruitt [États-Unis] ; Rebecca Aft [États-Unis] ; Donna B. Jeffe [États-Unis]Source :
- Annals of Epidemiology [ 1047-2797 ] ; 2012.
Abstract
To estimate the effect of hypothetical changes in modifiable predictors on the incidence of fair-poor self-rated health (SRH) in breast cancer survivors.
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-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-poor SRH.
7.6% of participants (92.4% white; mean age: 58.0 years) whose SRH was rated good-excellent at baseline reported fair-poor SRH one year later. The largest potential reduction in incidence of fair-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).
A significant portion of the decline in SRH can be avoided by reducing surgical side effects, preventing comorbidity and improving physical activity using evidence-based strategies.
Url:
DOI: 10.1016/j.annepidem.2011.10.011
PubMed: 22226030
PubMed Central: 3255081
Affiliations:
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Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine, Saint Louis, MO 63110</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName><wicri:cityArea>Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine, Saint Louis</wicri:cityArea></affiliation></author><author><name sortKey="Deshpande, Anjali D" sort="Deshpande, Anjali D" uniqKey="Deshpande A" first="Anjali D." last="Deshpande">Anjali D. Deshpande</name><affiliation wicri:level="2"><nlm:aff id="A1">Washington University School of Medicine, Departments of Medicine and Pediatrics, Division of Health Behavior Research, Box 8504, Saint Louis, MO 63108</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName><wicri:cityArea>Washington University School of Medicine, Departments of Medicine and Pediatrics, Division of Health Behavior Research, Box 8504, Saint Louis</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A2">Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine, Saint Louis, MO 63110</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName><wicri:cityArea>Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine, Saint Louis</wicri:cityArea></affiliation></author><author><name sortKey="Pruitt, Sandi" sort="Pruitt, Sandi" uniqKey="Pruitt S" first="Sandi" last="Pruitt">Sandi Pruitt</name><affiliation wicri:level="2"><nlm:aff id="A1">Washington University School of Medicine, Departments of Medicine and Pediatrics, Division of Health Behavior Research, Box 8504, Saint Louis, MO 63108</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName><wicri:cityArea>Washington University School of Medicine, Departments of Medicine and Pediatrics, Division of Health Behavior Research, Box 8504, Saint Louis</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A2">Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine, Saint Louis, MO 63110</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName><wicri:cityArea>Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine, Saint Louis</wicri:cityArea></affiliation></author><author><name sortKey="Aft, Rebecca" sort="Aft, Rebecca" uniqKey="Aft R" first="Rebecca" last="Aft">Rebecca Aft</name><affiliation wicri:level="2"><nlm:aff id="A1">Washington University School of Medicine, Departments of Medicine and Pediatrics, Division of Health Behavior Research, Box 8504, Saint Louis, MO 63108</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName><wicri:cityArea>Washington University School of Medicine, Departments of Medicine and Pediatrics, Division of Health Behavior Research, Box 8504, Saint Louis</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A2">Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine, Saint Louis, MO 63110</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName><wicri:cityArea>Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine, Saint Louis</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A3">John Cochran VA Medical Center, Saint Louis, MO</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName><wicri:cityArea>John Cochran VA Medical Center, Saint Louis</wicri:cityArea></affiliation></author><author><name sortKey="Jeffe, Donna B" sort="Jeffe, Donna B" uniqKey="Jeffe D" first="Donna B." last="Jeffe">Donna B. Jeffe</name><affiliation wicri:level="2"><nlm:aff id="A1">Washington University School of Medicine, Departments of Medicine and Pediatrics, Division of Health Behavior Research, Box 8504, Saint Louis, MO 63108</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName><wicri:cityArea>Washington University School of Medicine, Departments of Medicine and Pediatrics, Division of Health Behavior Research, Box 8504, Saint Louis</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A2">Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine, Saint Louis, MO 63110</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName><wicri:cityArea>Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine, Saint Louis</wicri:cityArea></affiliation></author></analytic><series><title level="j">Annals of Epidemiology</title><idno type="ISSN">1047-2797</idno><idno type="eISSN">1873-2585</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Purpose</title><p id="P1">To estimate the effect of hypothetical changes in modifiable predictors on the incidence of fair-poor self-rated health (SRH) in breast cancer survivors.</p></sec><sec sec-type="methods" id="S2"><title>Methods</title><p id="P2">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-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-poor SRH.</p></sec><sec id="S3"><title>Results</title><p id="P3">7.6% of participants (92.4% white; mean age: 58.0 years) whose SRH was rated good-excellent at baseline reported fair-poor SRH one year later. The largest potential reduction in incidence of fair-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).</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">A significant portion of the decline in SRH can be avoided by reducing surgical side effects, preventing comorbidity and improving physical activity using evidence-based strategies.</p></sec></div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Missouri (État)</li></region></list><tree><country name="États-Unis"><region name="Missouri (État)"><name sortKey="Schootman, Mario" sort="Schootman, Mario" uniqKey="Schootman M" first="Mario" last="Schootman">Mario Schootman</name></region><name sortKey="Aft, Rebecca" sort="Aft, Rebecca" uniqKey="Aft R" first="Rebecca" last="Aft">Rebecca Aft</name><name sortKey="Aft, Rebecca" sort="Aft, Rebecca" uniqKey="Aft R" first="Rebecca" last="Aft">Rebecca Aft</name><name sortKey="Aft, Rebecca" sort="Aft, Rebecca" uniqKey="Aft R" first="Rebecca" last="Aft">Rebecca Aft</name><name sortKey="Deshpande, Anjali D" sort="Deshpande, Anjali D" uniqKey="Deshpande A" first="Anjali D." last="Deshpande">Anjali D. Deshpande</name><name sortKey="Deshpande, Anjali D" sort="Deshpande, Anjali D" uniqKey="Deshpande A" first="Anjali D." last="Deshpande">Anjali D. Deshpande</name><name sortKey="Jeffe, Donna B" sort="Jeffe, Donna B" uniqKey="Jeffe D" first="Donna B." last="Jeffe">Donna B. Jeffe</name><name sortKey="Jeffe, Donna B" sort="Jeffe, Donna B" uniqKey="Jeffe D" first="Donna B." last="Jeffe">Donna B. Jeffe</name><name sortKey="Pruitt, Sandi" sort="Pruitt, Sandi" uniqKey="Pruitt S" first="Sandi" last="Pruitt">Sandi Pruitt</name><name sortKey="Pruitt, Sandi" sort="Pruitt, Sandi" uniqKey="Pruitt S" first="Sandi" last="Pruitt">Sandi Pruitt</name><name sortKey="Schootman, Mario" sort="Schootman, Mario" uniqKey="Schootman M" first="Mario" last="Schootman">Mario Schootman</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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