Estimated effects of potential interventions to prevent decreases in self-rated health among breast cancer survivors.

Abstract:

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.

journal_name

Ann Epidemiol

journal_title

Annals of epidemiology

authors

Schootman M,Deshpande AD,Pruitt S,Aft R,Jeffe DB

doi

10.1016/j.annepidem.2011.10.011

subject

Has Abstract

pub_date

2012-02-01 00:00:00

pages

79-86

issue

2

eissn

1047-2797

issn

1873-2585

pii

S1047-2797(11)00317-6

journal_volume

22

pub_type

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