Neighborhood foreclosures and self-rated health among breast cancer survivors

Mario Schootman; Anjali D Deshpande; Sandi L Pruitt; Donna B Jeffe

doi:10.1007/s11136-011-9929-0

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Neighborhood foreclosures and self-rated health among breast cancer survivors

Journal article

Peer reviewed

Neighborhood foreclosures and self-rated health among breast cancer survivors

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

Quality of life research, Vol.21(1), pp.133-141

02/2012

DOI: 10.1007/s11136-011-9929-0

PMCID: PMC3183409

PMID: 21590510

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Abstract

We determined the association of neighborhood foreclosure risk on the health status of a statewide sample of breast cancer survivors (n = 1047) and the extent to which covariates accounted for observed associations. Measures of self-rated health and several covariates were obtained by telephone interview 1 year after diagnosis. We used the federal Housing and Urban Development agency's estimated census-tract foreclosure-abandonment-risk score and multilevel, logistic regression to determine the association of foreclosure risk (high, moderate versus low) with self-rated health (fair-poor versus good, very good, excellent) and whether covariates could explain the observed association. Women who resided in high-foreclosure-risk (HFR) areas were 2.39 times (95% CI: 1.83-3.13) more likely to report being in fair-poor health than women who lived in low-foreclosure-risk areas. The odds ratio (OR) was reduced for women who lived in high-foreclosure-risk versus low-foreclosure-risk areas after adjusting for income (HFR OR: 1.78; 95% CI: 1.01-3.15), physical activity (HFR OR: 1.74; 95% CI: 0.98-3.08), and perceived neighborhood conditions (HFR OR: 1.76; 95% CI: 1.02-3.05). Breast cancer survivors who lived in census tracts with high- versus low-foreclosure risk reported poorer health status. This association was explained by differences in household income, physical activity, and perceived neighborhood conditions.

Economic Recession

Ownership

United States

Humans

Middle Aged

Self Report

Breast Neoplasms

Housing

Aged, 80 and over

Adult

Female

Surveys and Questionnaires

Aged

Survivors - psychology

Health Status

Details

Title: Subtitle: Neighborhood foreclosures and self-rated health among breast cancer survivors
Creators: Mario Schootman - Division of Health Behavior Research, Department of Medicine, Washington University School of Medicine, Box 8504, 4444 Forest Park Avenue, Saint Louis, MO 63108, USA. mschootm@dom.wustl.edu
Anjali D Deshpande
Sandi L Pruitt
Donna B Jeffe
Resource Type: Journal article
Publication Details: Quality of life research, Vol.21(1), pp.133-141
DOI: 10.1007/s11136-011-9929-0
PMID: 21590510
PMCID: PMC3183409
NLM abbreviation: Qual Life Res
ISSN: 0962-9343
eISSN: 1573-2649
Publisher: Netherlands
Grant note: CA91842 / NCI NIH HHS P30 CA091842 / NCI NIH HHS KL2 TR000450 / NCATS NIH HHS R01 CA112159 / NCI NIH HHS CA112159 / NCI NIH HHS R01 CA112159-05 / NCI NIH HHS
Language: English
Date published: 02/2012
Academic Unit: Epidemiology
Record Identifier: 9983996082602771

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