Estimated effects of potential interventions to prevent declines in self-rated health among breast cancer survivors
Identifieur interne : 004952 ( Ncbi/Merge ); précédent : 004951; suivant : 004953Estimated 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
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<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>
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<article-id pub-id-type="manuscript">NIHMS337159</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Estimated effects of potential interventions to prevent declines in self-rated health among breast cancer survivors</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Schootman</surname>
<given-names>Mario</given-names>
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<xref rid="A1" ref-type="aff">1</xref>
<xref rid="A2" ref-type="aff">2</xref>
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<contrib contrib-type="author"><name><surname>Deshpande</surname>
<given-names>Anjali D.</given-names>
</name>
<xref rid="A1" ref-type="aff">1</xref>
<xref rid="A2" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pruitt</surname>
<given-names>Sandi</given-names>
</name>
<xref rid="A1" ref-type="aff">1</xref>
<xref rid="A2" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Aft</surname>
<given-names>Rebecca</given-names>
</name>
<xref rid="A1" ref-type="aff">1</xref>
<xref rid="A2" ref-type="aff">2</xref>
<xref rid="A3" ref-type="aff">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jeffe</surname>
<given-names>Donna B.</given-names>
</name>
<xref rid="A1" ref-type="aff">1</xref>
<xref rid="A2" ref-type="aff">2</xref>
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<aff id="A1"><label>1</label>
Washington University School of Medicine, Departments of Medicine and Pediatrics, Division of Health Behavior Research, Box 8504, Saint Louis, MO 63108</aff>
<aff id="A2"><label>2</label>
Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine, Saint Louis, MO 63110</aff>
<aff id="A3"><label>3</label>
John Cochran VA Medical Center, Saint Louis, MO</aff>
<author-notes><corresp id="FN1">Mario Schootman (address for correspondence): Washington University School of Medicine, Departments of Medicine and Pediatrics, Division of Health Behavior Research, Box 8504, 4444 Forest Park Avenue, Saint Louis, MO 63108</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>8</day>
<month>11</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="ppub"><month>2</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>1</day>
<month>2</month>
<year>2013</year>
</pub-date>
<volume>22</volume>
<issue>2</issue>
<fpage>79</fpage>
<lpage>86</lpage>
<permissions><copyright-statement>© 2011 Elsevier Inc. All rights reserved.</copyright-statement>
<copyright-year>2011</copyright-year>
</permissions>
<abstract><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>
</abstract>
<kwd-group><kwd>Breast Cancer</kwd>
<kwd>Intervention</kwd>
<kwd>Disability</kwd>
</kwd-group>
<funding-group><award-group><funding-source country="United States">National Cancer Institute : NCI</funding-source>
<award-id>R01 CA112159-05 || CA</award-id>
</award-group>
</funding-group>
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