Understanding Quality of Life and Physical Activity in Black Breast Cancer Survivors

项目摘要/摘要 乳腺癌是最常见的癌症类型，也是 美国的女性。随着有效的治疗和技术的进步， 乳腺癌存活五年及以上的女性人数正在增加。尽管在以下方面继续取得进展 生存，黑人女性经历不理想的五年乳腺癌特定生存期，不良癌症 治疗效果(淋巴水肿引起的疼痛和肿胀)和生活质量(QOL)。大多数干预措施都是针对 体力活动(PA)已被证明可以改善以白人为主的癌症幸存者的生活质量。有一些关键的 有乳腺癌病史的黑人女性在治疗后对PA和QOL的理解上存在差距。 首先，没有足够的证据来证明PA对生活质量的影响是小还是大 女性与白人女性的对比。其次，对生活质量的关注和体验的描述有限 黑人女性与PA的关系。这项研究将从以下几个方面解决这些问题：1) PA对治疗后社会幸福感、情绪幸福感和身体形象的影响 黑人和白人乳腺癌幸存者淋巴水肿在女性稳定期运动中的研究 (WISER)幸存者试验，2)描述黑人中与PA有关的生活质量经历和担忧 宾夕法尼亚州有乳腺癌病史的妇女使用半结构化访谈和叙事 方法，以及3)评估PA、社交、情感、精神、心理和身体之间的联系 有乳腺癌病史且无淋巴水肿的黑人女性的幸福感 健康研究。这一奖学金的长期目标是了解这种联系，以增加 医疗和健康专业人员建议使用PA并宣传PA的重要性的潜力 改善黑人女性的生活质量。这一奖学金的另一个长期目标是提高人们对 影响生活质量和生活质量的因素，个体对生活质量的感知和描述，以及独特的生活质量 帮助改善黑人女性乳腺癌幸存者生活质量的担忧和经验 健康结果。该奖学金将有助于为临床实践提供信息，完善锻炼计划，促进 制定行为干预措施，提高黑人对生活质量和生活质量的科学认识 女人。

Project Summary/Abstract Breast cancer is the most common type of cancer and the second leading cause of cancer death among women in the United States. With effective treatments and advancements in technology, the proportion of women who survive breast cancer five years and beyond is increasing. Despite the continued progress in survival, black women experience suboptimal five-year breast cancer specific survival, adverse cancer treatment effects (pain and swelling from lymphedema), and quality of life (QOL). Most interventions targeting physical activity (PA) have shown to improve QOL in predominantly white cancer survivors. There are critical gaps in our understanding of PA and QOL among post treatment black women with a history of breast cancer. First, there is not enough evidence to establish whether the effect of PA on QOL is smaller or larger in black women compared to white women. Second, there are limited descriptions of QOL concerns and experiences in relation to PA among black women. This study will address these issues in the following aims by: 1) investigating the effect of PA on social wellbeing, emotional wellbeing, and body image among post treatment black and white breast cancer survivors with lymphedema in the Women In Steady Exercise Research (WISER) Survivor Trial, 2) describing the QOL experiences and concerns in relation to PA among black women with a history of breast cancer in Pennsylvania using semi structured interviews and a narrative approach, and 3) assessing the association between PA, social, emotional, spiritual, mental, and physical wellbeing among black women with a history of breast cancer without lymphedema in the Black Women’s Health Study. The long term objective of this fellowship is to understand this association to increase the potential for medical and health professionals to recommend the use and promote the importance of PA to improve QOL among black women. Another long term objective of this fellowship is to increase awareness on the factors that influence QOL and PA, individual perceptions and descriptions of QOL, and unique QOL concerns and experiences to help improve QOL among black women breast cancer survivors who have worse health outcomes. This fellowship will help to inform clinical practice, refine exercise programs, promote the development of behavioral interventions, and advance scientific knowledge on QOL and PA among black women.