Racial differences in quality of life and employment outcomes in insured women with breast cancer.
Racial differences in quality of life and employment outcomes in insured women with breast cancer.
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患有乳腺癌的受保女性的生活质量和就业结果存在种族差异。
DOI：
10.1007/s11764-013-0316-4
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发表时间：
2014-03
期刊：
影响因子：
--
通讯作者：
Wilk A
中科院分区：
文献类型：
--
作者：
Bradley CJ;Wilk A
先前的研究表明，种族差异不仅存在于癌症生存中，而且存在于癌症生存质量中。我们估计了癌症及其治疗对两项生存质量指标的影响：与健康相关的生活质量和最初就业和新诊断为乳腺癌的投保妇女的就业情况。我们从2007年到2011年收集了548名女性的就业数据; 22%是非洲裔美国人。结果是对SF-36、CES-D、就业的反应，以及从诊断前到治疗开始后2个月和9个月每周工作时间的变化。在两个月和九个月的访谈中，非裔美国妇女的精神成分评分分别高出2.77（0.94）和1.96（0.92）分。在两个月的访谈中，她们也报告了较少的抑郁症状，但与非西班牙裔白色女性相比，她们被雇用的可能性超过一半（OR=0.43; 95%CI =0.26至0.71）。在9个月的访谈中，非裔美国妇女的身体成分评分低2.33（1.06）分。非裔美国人和非西班牙裔白色女性之间的健康相关生活质量差异很小，尽管具有统计学显著性，但很可能在临床上不显著。就业方面的差异是巨大的，这表明需要进一步研究，以确定差异的原因和干预措施，以减少乳腺癌及其治疗对非裔美国妇女的就业影响。非裔美国乳腺癌幸存者更有可能在治疗的早期阶段停止工作。这些妇女及其主治医生需要了解减少工作损失的选择，并采取措施尽量减少长期就业后果。
Prior studies indicate that racial disparities are not only present in cancer survival, but also in the quality of cancer survivorship. We estimated the effect of cancer and its treatment on two measures of survivorship quality: health-related quality of life and employment worked for initially employed and insured women newly diagnosed with breast cancer. We collected employment data from 548 women from 2007 to 2011; 22% were African American. The outcomes were responses to the SF-36, CES-D, employment, and change in weekly hours worked from pre-diagnosis to two- and nine-months following treatment initiation. African American women reported a 2.77 (0.94) and 1.96 (0.92) higher score on the Mental Component Score at the two- and nine-month interviews, respectively. They also report fewer depression symptoms at the two-month interview, but were over half as likely to be employed as non-Hispanic white women (OR=0.43; 95% CI=0.26 to 0.71). At the nine-month interview, African American women had 2.33 (1.06) lower scores on the Physical Component Score. Differences in health-related quality of life were small and although statistically significant, were most likely clinically insignificant between African American and non-Hispanic white women. Differences in employment were substantial, suggesting the need for future research to identify reasons for disparities and interventions to reduce the employment effects of breast cancer and its treatment on African American women. African American breast cancer survivors are more likely to stop working during the early phases of their treatment. These women and their treating physicians need to be aware of options to reduce work loss and take steps to minimize long-term employment consequences.
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影响因子：
5.9
作者：
Blinder, V. S.;Murphy, M. M.;Mazumdar, M.
通讯作者：
Mazumdar, M.
影响因子：
4
作者：
Samsa, GP;Matchar, DB
通讯作者：
Matchar, DB
影响因子：
2.1
作者：
Lewis, Pamela E.;Sheng, Melissa;Schover, Leslie R.
通讯作者：
Schover, Leslie R.
影响因子：
--
作者：
Irwin, M;Artin, KHH;Oxman, MN
通讯作者：
Oxman, MN
影响因子：
3.3
作者：
Fantoni, Sophie Quinton;Peugniez, Charlotte;Leroyer, Ariane
通讯作者：
Leroyer, Ariane