Correlates of worry about recurrence in a multiethnic population-based sample of women with breast cancer
dc.contributor.author | Janz, Nancy K. | en_US |
dc.contributor.author | Hawley, Sarah T. | en_US |
dc.contributor.author | Mujahid, Mahasin S. | en_US |
dc.contributor.author | Griggs, Jennifer J. | en_US |
dc.contributor.author | Alderman, Amy K. | en_US |
dc.contributor.author | Hamilton, Ann S. | en_US |
dc.contributor.author | Graff, John J. | en_US |
dc.contributor.author | Jagsi, Reshma | en_US |
dc.contributor.author | Katz, Steven J. | en_US |
dc.date.accessioned | 2011-05-06T15:39:03Z | |
dc.date.available | 2012-06-15T14:07:14Z | en_US |
dc.date.issued | 2011-05-01 | en_US |
dc.identifier.citation | Janz, Nancy K.; Hawley, Sarah T.; Mujahid, Mahasin S.; Griggs, Jennifer J.; Alderman, Amy; Hamilton, Ann S.; Graff, John J.; Jagsi, Reshma; Katz, Steven J. (2011). "Correlates of worry about recurrence in a multiethnic population-based sample of women with breast cancer." Cancer 117(9): 1827-1836. <http://hdl.handle.net/2027.42/83744> | en_US |
dc.identifier.issn | 0008-543X | en_US |
dc.identifier.issn | 1097-0142 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/83744 | |
dc.description.abstract | BACKGROUND: Worry about recurrence (worry) is a persistent concern of breast cancer survivors. Little is known about whether race/ethnicity or healthcare experiences are associated with worry. METHODS: Women with nonmetastatic breast cancer diagnosed from June 2005 to February 2007 and reported to Detroit or Los Angeles Surveillance, Epidemiology, and End Results registries were surveyed (mean 9 months postdiagnosis); 2290 responded (73%). Latinas and African Americans were oversampled. A worry scale was constructed as the mean score of 3 items (on 5-point Likert, higher = more worry): worry about cancer returning to the same breast, occurring in the other breast, or spreading to other parts of the body. Race/ethnicity categories were white, African American, and Latina (categorized into low vs high acculturation). The worry scale was regressed on sociodemographics, clinical/treatment, and healthcare experience factors (eg, care coordination collapsed into low, medium, high). RESULTS: Low acculturated Latinas reported more worry and African Americans less worry than whites ( P < .001). Other factors independently associated with more worry were younger age, being employed, more pain and fatigue, and radiation ( P s < .05). With all factors in the model, less worry was associated (all P s < .05) with greater ease of understanding information (2.89, 2.99, 2.81 for low, medium, high), better symptom management (3.19, 2.89, 2.87 for low, medium, high), and more coordinated care (3.36, 2.94, 2.82 for low, medium, high). Race/ethnicity remained significant controlling for all factors ( P < .001). CONCLUSIONS: Less acculturated Latina breast cancer patients are vulnerable to high levels of worry. Interventions that improve information exchange, symptom management, and coordinating care hold promise in reducing worry. Cancer 2011. © 2011 American Cancer Society. | en_US |
dc.publisher | Wiley Subscription Services, Inc., A Wiley Company | en_US |
dc.subject.other | Life and Medical Sciences | en_US |
dc.subject.other | Cancer Research, Oncology and Pathology | en_US |
dc.title | Correlates of worry about recurrence in a multiethnic population-based sample of women with breast cancer | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Oncology and Hematology | en_US |
dc.subject.hlbsecondlevel | Public Health | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, Michigan ; Fax: (734) 763-9115 ; UM School of Public Health, 1415 Washington Heights, Ann Arbor, MI 48109-2029 | en_US |
dc.contributor.affiliationum | Veterans Administration Center for Practice Management and Outcomes Research, Ann Arbor VA Health Care System, Ann Arbor, Michigan ; Division of General Medicine, Department of Internal Medicine, University of Michigan Medical Center, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationum | Division of General Medicine, Department of Internal Medicine, University of Michigan Medical Center, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationum | Department of Surgery, University of Michigan, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationum | Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationum | Veterans Administration Center for Practice Management and Outcomes Research, Ann Arbor VA Health Care System, Ann Arbor, Michigan ; Division of General Medicine, Department of Internal Medicine, University of Michigan Medical Center, Ann Arbor, Michigan ; Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationother | Division of Epidemiology, University of California Berkeley, School of Public Health, Berkeley, California | en_US |
dc.contributor.affiliationother | Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California | en_US |
dc.contributor.affiliationother | Cancer Institute of New Jersey, Robert Wood Johnson Medical School, New Brunswick, New Jersey | en_US |
dc.identifier.pmid | 21445916 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/83744/1/25740_ftp.pdf | |
dc.identifier.doi | 10.1002/cncr.25740 | en_US |
dc.identifier.source | Cancer | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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