Full Citation
Title: Evaluating the association of self-reported psychological distress and self-rated health on survival times among women with breast cancer in the U.S.
Citation Type: Journal Article
Publication Year: 2021
ISBN: 1111111111
ISSN: 1932-6203
DOI: 10.1371/JOURNAL.PONE.0260481
NSFID:
PMCID:
PMID: 34852013
Abstract: Background Psychological distress and self-rated health status may create additional complexities in patients already diagnosed with breast cancer. This study aims to assess the association of self-report-based assessment of psychological distress and self-rated health on survival times among women with breast cancer diagnoses. Methods Seventeen-year data from the Integrated Public Use Microdata Series—National Health Interview Survey (IPUMS-NHIS) were pooled and analyzed. Women who were aged 30 to 64 years old, with breast cancer diagnosis were selected (n = 2,819). The outcome variable was time to death. The independent variables were self-reported assessment of psychological distress and self-rated health. Psychological distress was defined using the Kessler-6 scale while self-rated health was measured on a 3-point Likert scale: Poor, Fair, and Good-to-Excellent (referred to as good for brevity). We computed unadjusted and adjusted hazard ratios (HR) using Cox-Proportional Hazard regression models with sociodemographic characteristics and measures of health care access used as potential confounders. Significance was set at alpha = 0.05. Results Women with breast cancer assessed as having psychological distress had 46% (Adjusted HR: 1.46; 95% CI: 1.02–2.09) increased risks of mortality. Also, women who rated their health as poor or fair had a significantly elevated mortality risk (Poor Health: Adjusted HR: 3.05; 95% CI: 2.61–4.69; Fair Health: Adjusted HR: 1.83; 95% CI: 1.43–2.35) as compared to women with good health status. Conclusions Self-reported psychological distress and fair and poor self-rated health are associated with reduced survival times among women with breast cancer diagnoses.
Url: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0260481
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Authors: Adeyemi, Oluwaseun John; Gill, Tasha Leimomi; Paul, Rajib; Huber, Larissa Brunner
Periodical (Full): PLOS ONE
Issue: 12
Volume: 16
Pages: 1-16
Data Collections: IPUMS Health Surveys - NHIS
Topics: Gender, Health
Countries: