Estimated Effects of Potential Interventions to Prevent Decreases in Self-Rated Health Among Breast Cancer Survivors

Mario Schootman; Anjali D Deshpande; Sandi Pruitt; Rebecca Aft; Donna B Jeffe

doi:10.1016/j.annepidem.2011.10.011

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Estimated Effects of Potential Interventions to Prevent Decreases in Self-Rated Health Among Breast Cancer Survivors

Journal article

Peer reviewed

Estimated Effects of Potential Interventions to Prevent Decreases in Self-Rated Health Among Breast Cancer Survivors

Mario Schootman, Anjali D Deshpande, Sandi Pruitt, Rebecca Aft and Donna B Jeffe

Annals of epidemiology, Vol.22(2), pp.79-86

2012

DOI: 10.1016/j.annepidem.2011.10.011

PMCID: PMC3255081

PMID: 22226030

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https://www.ncbi.nlm.nih.gov/pmc/articles/3255081View

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Abstract

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. 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. 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). 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.

Breast Cancer

Intervention

Disability

Details

Title: Subtitle: Estimated Effects of Potential Interventions to Prevent Decreases in Self-Rated Health Among Breast Cancer Survivors
Creators: Mario Schootman - Departments of Medicine and Pediatrics, Division of Health Behavior Research, Washington University School of Medicine, Saint Louis, MO
Anjali D Deshpande - Departments of Medicine and Pediatrics, Division of Health Behavior Research, Washington University School of Medicine, Saint Louis, MO
Sandi Pruitt - Departments of Medicine and Pediatrics, Division of Health Behavior Research, Washington University School of Medicine, Saint Louis, MO
Rebecca Aft - Departments of Medicine and Pediatrics, Division of Health Behavior Research, Washington University School of Medicine, Saint Louis, MO
Donna B Jeffe - Departments of Medicine and Pediatrics, Division of Health Behavior Research, Washington University School of Medicine, Saint Louis, MO
Resource Type: Journal article
Publication Details: Annals of epidemiology, Vol.22(2), pp.79-86
DOI: 10.1016/j.annepidem.2011.10.011
PMID: 22226030
PMCID: PMC3255081
NLM abbreviation: Ann Epidemiol
ISSN: 1047-2797
eISSN: 1873-2585
Publisher: Elsevier Inc
Grant note: CA112159, CA91842 / National Cancer Institute at the National Institutes of Health KL2 RR024994 / National Center for Research Resources Washington University-ICTS
Language: English
Date published: 2012
Academic Unit: Epidemiology
Record Identifier: 9983995139302771

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