PURPOSE: To estimate the effect of hypothetical changes in modifiable predictors on the incidence of fair-to-poor self-rated health (SRH) in breast cancer survivors. METHODS: 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-to-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-to-poor SRH. RESULTS: A total of 7.6% of participants (92.4% white; mean age, 58.0 years) whose SRH was rated good-to-excellent at baseline reported fair-to-poor SRH 1 year later. The largest potential reduction in incidence of fair-to-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). CONCLUSIONS: A significant portion of the decline in SRH can be avoided by reducing surgical side effects, preventing comorbidity, and improving physical activity with the use of evidence-based strategies.
PURPOSE: To estimate the effect of hypothetical changes in modifiable predictors on the incidence of fair-to-poor self-rated health (SRH) in breast cancer survivors. METHODS: 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-to-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-to-poor SRH. RESULTS: A total of 7.6% of participants (92.4% white; mean age, 58.0 years) whose SRH was rated good-to-excellent at baseline reported fair-to-poor SRH 1 year later. The largest potential reduction in incidence of fair-to-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). CONCLUSIONS: A significant portion of the decline in SRH can be avoided by reducing surgical side effects, preventing comorbidity, and improving physical activity with the use of evidence-based strategies.
Authors: Scarlett Lin Gomez; Salma Shariff-Marco; Mindy DeRouen; Theresa H M Keegan; Irene H Yen; Mahasin Mujahid; William A Satariano; Sally L Glaser Journal: Cancer Date: 2015-04-06 Impact factor: 6.860
Authors: Michael T Halpern; Matthew P Urato; Lisa M Lines; Julia B Cohen; Neeraj K Arora; Erin E Kent Journal: J Geriatr Oncol Date: 2017-12-15 Impact factor: 3.599
Authors: Jordi Alonso; Gemma Vilagut; Núria D Adroher; Somnath Chatterji; Yanling He; Laura Helena Andrade; Evelyn Bromet; Ronny Bruffaerts; John Fayyad; Silvia Florescu; Giovanni de Girolamo; Oye Gureje; Josep Maria Haro; Hristo Hinkov; Chiyi Hu; Noboru Iwata; Sing Lee; Daphna Levinson; Jean Pierre Lépine; Herbert Matschinger; Maria Elena Medina-Mora; Siobhan O'Neill; J Hans Ormel; J Hormel; Jose A Posada-Villa; Nezar Ismet Taib; Miguel Xavier; Ronald C Kessler Journal: PLoS One Date: 2013-06-06 Impact factor: 3.240