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Examining the impact of socioeconomic status and socioecologic stress on physical and mental health quality of life among breast cancer survivors.
Oncol Nurs Forum 2009; 36(1):79-88ON

Abstract

PURPOSE/OBJECTIVES

To examine how physical and mental health quality of life (QOL) varies in relation to the socioeconomic status and ethnicity among breast cancer survivors; to determine key socioecologic factors influencing outcomes.

DESIGN

Cross-sectional.

SETTING

Participants were recruited from the California Cancer Surveillance Program, from hospital registries, and from community agencies in southern California.

SAMPLE

703 multiethnic population-based breast cancer survivors, including European, African, Latina, and Asian Americans.

METHODS

Participants completed a mailed questionnaire or answered a telephone survey. To identify socioeconomic status and socioecologic stress, four measures were used: household income, education, job type, and the Life Stress Scale.

MAIN RESEARCH VARIABLES

Physical and mental health QOL, socioeconomic status (income, education, and job type), and socioecologic stress.

FINDINGS

After controlling for the demographic and medical information, health-related QOL was significantly correlated to socioeconomic status, such that higher socioeconomic status groups expressed better QOL. Ethnic variations existed in QOL according to socioeconomic status. Socioecologic stress was the most important factor influencing physical and mental health QOL.

CONCLUSIONS

The findings provide additional evidence that low socioeconomic status and high socioecologic stress exacerbate negative QOL sequelae.

IMPLICATIONS FOR NURSING

Practice and research implications include the need for greater attention to QOL outcomes among at-risk lower socioeconomic status survivors and the recognition of the unique contributions of socioeconomic status, socioecologic stress, and ethnicity on physical and mental health QOL.

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    Authors+Show Affiliations

    Ashing-Giwa KT
    CCARE, Division of Population Sciences, City of Hope National Medical Center, Duarte, CA, USA. kashing@coh.org
    Lim JW
    No affiliation info available

    MeSH

    AdultAfrican AmericansAsian AmericansBreast NeoplasmsComorbidityCross-Sectional StudiesEducational StatusEmploymentEuropean Continental Ancestry GroupFemaleHealth SurveysHispanic AmericansHumansIncomeMental HealthMiddle AgedQuality of LifeSeverity of Illness IndexSocioeconomic FactorsStress, PsychologicalSurvivors

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    19136341

    Citation

    Ashing-Giwa, Kimlin T., and Jung-won Lim. "Examining the Impact of Socioeconomic Status and Socioecologic Stress On Physical and Mental Health Quality of Life Among Breast Cancer Survivors." Oncology Nursing Forum, vol. 36, no. 1, 2009, pp. 79-88.
    Ashing-Giwa KT, Lim JW. Examining the impact of socioeconomic status and socioecologic stress on physical and mental health quality of life among breast cancer survivors. Oncol Nurs Forum. 2009;36(1):79-88.
    Ashing-Giwa, K. T., & Lim, J. W. (2009). Examining the impact of socioeconomic status and socioecologic stress on physical and mental health quality of life among breast cancer survivors. Oncology Nursing Forum, 36(1), pp. 79-88. doi:10.1188/09.ONF.79-88.
    Ashing-Giwa KT, Lim JW. Examining the Impact of Socioeconomic Status and Socioecologic Stress On Physical and Mental Health Quality of Life Among Breast Cancer Survivors. Oncol Nurs Forum. 2009;36(1):79-88. PubMed PMID: 19136341.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Examining the impact of socioeconomic status and socioecologic stress on physical and mental health quality of life among breast cancer survivors. AU - Ashing-Giwa,Kimlin T, AU - Lim,Jung-won, PY - 2009/1/13/entrez PY - 2009/1/13/pubmed PY - 2009/5/9/medline SP - 79 EP - 88 JF - Oncology nursing forum JO - Oncol Nurs Forum VL - 36 IS - 1 N2 - PURPOSE/OBJECTIVES: To examine how physical and mental health quality of life (QOL) varies in relation to the socioeconomic status and ethnicity among breast cancer survivors; to determine key socioecologic factors influencing outcomes. DESIGN: Cross-sectional. SETTING: Participants were recruited from the California Cancer Surveillance Program, from hospital registries, and from community agencies in southern California. SAMPLE: 703 multiethnic population-based breast cancer survivors, including European, African, Latina, and Asian Americans. METHODS: Participants completed a mailed questionnaire or answered a telephone survey. To identify socioeconomic status and socioecologic stress, four measures were used: household income, education, job type, and the Life Stress Scale. MAIN RESEARCH VARIABLES: Physical and mental health QOL, socioeconomic status (income, education, and job type), and socioecologic stress. FINDINGS: After controlling for the demographic and medical information, health-related QOL was significantly correlated to socioeconomic status, such that higher socioeconomic status groups expressed better QOL. Ethnic variations existed in QOL according to socioeconomic status. Socioecologic stress was the most important factor influencing physical and mental health QOL. CONCLUSIONS: The findings provide additional evidence that low socioeconomic status and high socioecologic stress exacerbate negative QOL sequelae. IMPLICATIONS FOR NURSING: Practice and research implications include the need for greater attention to QOL outcomes among at-risk lower socioeconomic status survivors and the recognition of the unique contributions of socioeconomic status, socioecologic stress, and ethnicity on physical and mental health QOL. SN - 1538-0688 UR - https://www.unboundmedicine.com/medline/citation/19136341/Examining_the_impact_of_socioeconomic_status_and_socioecologic_stress_on_physical_and_mental_health_quality_of_life_among_breast_cancer_survivors_ L2 - http://store.ons.org/article/find?doi=10.1188/09.ONF.79-88 DB - PRIME DP - Unbound Medicine ER -