Financial strain, neighborhood cohesion, and health-related quality of life among rural and urban Spanish-speaking Latina breast cancer survivors.

IF 3.1 2区医学 Q2 ONCOLOGY

Journal of Cancer Survivorship Pub Date : 2024-08-01 Epub Date: 2023-03-29 DOI:10.1007/s11764-023-01369-2

Jasmine Santoyo-Olsson, Anita L Stewart, Anna María Nápoles

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引用次数: 0

Abstract

Purpose: Among Latina breast cancer survivors, explore associations between rural/urban residence and health-related quality of life (HRQL), and whether associations are moderated by financial strain and low neighborhood cohesion.

Methods: We combined baseline data from two randomized controlled trials of a stress management intervention conducted among 151 urban and 153 rural dwelling Latinas with nonmetastatic breast cancer. Generalized linear models estimated associations between rural/urban status and HRQL (overall, emotional, social-family, physical, and functional well-being), and we examined moderation effects of financial strain and low neighborhood cohesion, controlling for age, marital status, and breast cancer characteristics.

Results: Rural women reported better emotional (β = 1.85; 95% CI = 0.37, 3.33), functional (β = 2.23; 95% CI = 0.69, 3.77), and overall (β = 5.68; 95% CI = 1.12, 10.25) well-being than urban women, regardless of degree of financial strain or neighborhood cohesion; moderation effects were not statistically significant. Financial strain was inversely associated with emotional (β = -2.34; 95% CI = 3.63, -1.05), physical (β = -2.56; 95% CI = -4.12, -1.01), functional (β = -1.61; 95% CI = -2.96, -0.26), and overall (β = -6.67; 95% CI = -10.96, -2.98) well-being. Low neighborhood cohesion was inversely associated with emotional (β = -1.27; 95% CI = -2.50, -0.04), social-family (β = -1.72; 95% CI = -3.02, -0.42), functional (β = -1.63; 95% CI = -2.92, -0.34), and overall (β = -5.95; 95% CI = 9.76, -2.14) well-being.

Conclusions: Rural Latina breast cancer survivors reported better emotional, functional and overall well-being than their urban counterparts. Greater financial strain and less neighborhood cohesion were associated with worse HRQL on most domains regardless of rural/urban context.

Implications for cancer survivors: Interventions that focus on increasing perceived neighborhood cohesion and reducing or better managing financial strain, could help improve Latina cancer survivors' well-being.

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农村和城市讲西班牙语的拉丁裔乳腺癌幸存者的经济压力、邻里凝聚力和与健康相关的生活质量。

目的：在拉美裔乳腺癌幸存者中，探讨城乡居住地与健康相关生活质量（HRQL）之间的关联，以及经济压力和邻里凝聚力低是否会调节这种关联：我们合并了两项随机对照试验的基线数据，这两项试验分别对 151 名城市和 153 名居住在农村的非转移性乳腺癌拉美女性进行了压力管理干预。广义线性模型估计了农村/城市状况与 HRQL（整体、情感、社会-家庭、身体和功能性福祉）之间的关系，我们还研究了经济压力和邻里凝聚力低的调节作用，并控制了年龄、婚姻状况和乳腺癌特征：无论经济压力或邻里凝聚力的程度如何，农村妇女的情绪（β = 1.85; 95% CI = 0.37, 3.33）、功能（β = 2.23; 95% CI = 0.69, 3.77）和总体（β = 5.68; 95% CI = 1.12, 10.25）幸福感均优于城市妇女；调节效应在统计学上并不显著。经济压力与情绪（β = -2.34；95% CI = 3.63，-1.05）、身体（β = -2.56；95% CI = -4.12，-1.01）、功能（β = -1.61；95% CI = -2.96，-0.26）和总体（β = -6.67；95% CI = -10.96，-2.98）幸福感呈反向关系。邻里凝聚力低与情感（β = -1.27; 95% CI = -2.50, -0.04）、社会-家庭（β = -1.72; 95% CI = -3.02, -0.42）、功能（β = -1.63; 95% CI = -2.92, -0.34）和总体（β = -5.95; 95% CI = 9.76, -2.14）幸福感呈反向关系：农村拉丁裔乳腺癌幸存者的情感、功能和总体幸福感均优于城市幸存者。无论农村/城市背景如何，经济压力较大和邻里凝聚力较低与大多数领域的 HRQL 较差有关：对癌症幸存者的启示：以提高邻里凝聚力、减少或更好地管理经济压力为重点的干预措施有助于改善拉丁裔癌症幸存者的幸福感。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Cancer Survivorship ONCOLOGY-

CiteScore

7.00

自引率

10.80%

发文量

149

审稿时长

>12 weeks

期刊介绍： Cancer survivorship is a worldwide concern. The aim of this multidisciplinary journal is to provide a global forum for new knowledge related to cancer survivorship. The journal publishes peer-reviewed papers relevant to improving the understanding, prevention, and management of the multiple areas related to cancer survivorship that can affect quality of care, access to care, longevity, and quality of life. It is a forum for research on humans (both laboratory and clinical), clinical studies, systematic and meta-analytic literature reviews, policy studies, and in rare situations case studies as long as they provide a new observation that should be followed up on to improve outcomes related to cancer survivors. Published articles represent a broad range of fields including oncology, primary care, physical medicine and rehabilitation, many other medical and nursing specialties, nursing, health services research, physical and occupational therapy, public health, behavioral medicine, psychology, social work, evidence-based policy, health economics, biobehavioral mechanisms, and qualitative analyses. The journal focuses exclusively on adult cancer survivors, young adult cancer survivors, and childhood cancer survivors who are young adults. Submissions must target those diagnosed with and treated for cancer.