Examining the Impact of Socioeconomic Status and Socioecologic Stress on Physical and Mental Health Quality of Life Among Breast Cancer Survivors
Examining the Impact of Socioeconomic Status and Socioecologic Stress on Physical and Mental Health Quality of Life Among Breast Cancer Survivors
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DOI：
10.1188/09.onf.79-88
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发表时间：
2009-01-01
影响因子：
1.9
通讯作者：
Lim, Jung-Won
中科院分区：
文献类型：
--
作者：
Ashing-Giwa, Kimlin T.;Lim, Jung-Won
目的/目标：研究乳腺癌幸存者的身心健康生活质量（QOL）如何随社会经济地位和种族而变化；确定影响结果的关键社会生态因素。设计:横断面。环境：参与者从加州癌症监测项目、医院登记处和南加州社区机构中招募。样本：703名不同种族的乳腺癌幸存者，包括欧洲人、非洲人、拉丁裔和亚裔美国人。方法：参与者填写邮寄问卷或回答电话调查。为了确定社会经济地位和社会生态压力，使用了四种测量方法：家庭收入、教育程度、工作类型和生活压力量表。主要研究变量：身心健康生活质量、社会经济地位（收入、教育、工作类型）、社会生态压力。结果：在控制人口统计学和医学信息后，健康相关的生活质量与社会经济地位显著相关，社会经济地位越高的群体生活质量越好。不同社会经济地位的人在生活质量上存在种族差异。社会生态应激是影响身心健康生活质量的最重要因素。结论：低社会经济地位和高社会生态压力加重了不良生活质量后遗症。对护理的启示：实践和研究的启示包括需要更多地关注风险较低社会经济地位幸存者的生活质量结果，并认识到社会经济地位、社会生态压力和种族对身心健康生活质量的独特贡献。
Purpose/Objectives: To examine how physical and mental health quality of life (QOL) varies in relation to the socioeconomic status and ethnicity among breast cancer survivors; to determine key socioecologic factors influencing outcomes.Design: Cross-sectional.Setting: Participants were recruited from the California Cancer Surveillance Program, from hospital registries, and from community agencies in southern California.Sample: 703 rnultiethnic population-based breast cancer survivors, including European, African, Latina, and Asian Americans.Methods: Participants completed a mailed questionnaire or answered a telephone survey. To identify socioeconomic status and socioecologic stress, four measures were used: household income, education, job type, and the Life Stress Scale.Main Research Variables: Physical and mental health QOL, socioeconomic status (income, education, and job type), and socioecologic stress.Findings: After controlling for the demographic and medical information, health-related QOL was significantly correlated to socioeconomic status, such that higher socioeconomic status groups expressed better QOL. Ethnic variations existed in QOL according to socioeconomic status. Socioecologic stress was the most important factor influencing physical and mental health QOL.Conclusions: The findings provide additional evidence that low socioeconomic status and high socioecologic stress exacerbate negative QOL sequelae.Implications for Nursing: Practice and research implications include the need for greater attention to QOL outcomes among at-risk lower socioeconomic status survivors and the recognition of the unique contributions of socioeconomic status, socioecologic stress, and ethnicity on physical and mental health QOL.