Division of Health Behavior Research, Department of Medicine, Washington University School of Medicine, Box 8504, 4444 Forest Park Avenue, Saint Louis, MO 63108, USA.
Qual Life Res. 2012 Feb;21(1):133-41. doi: 10.1007/s11136-011-9929-0. Epub 2011 May 18.
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.
我们确定了邻里丧失抵押品赎回权风险与全州范围内乳腺癌幸存者（n=1047）健康状况之间的关联，以及协变量在多大程度上解释了观察到的关联。
在诊断后 1 年通过电话访谈获得了自我评估健康状况和几个协变量的测量值。我们使用联邦住房和城市发展署（Housing and Urban Development）估计的普查区丧失抵押品赎回权风险评分和多层次逻辑回归来确定丧失抵押品赎回权风险（高、中与低）与自我评估健康状况（差-差与好、很好、优秀）之间的关联，以及协变量是否可以解释观察到的关联。
居住在高丧失抵押品赎回权风险（HFR）地区的女性报告健康状况不佳的可能性是居住在低丧失抵押品赎回权风险地区的女性的 2.39 倍（95%置信区间：1.83-3.13）。在调整了收入（HFR 比值比[OR]：1.78；95%置信区间：1.01-3.15）、体力活动（HFR OR：1.74；95% CI：0.98-3.08）和感知邻里条件（HFR OR：1.76；95% CI：1.02-3.05）后，居住在高丧失抵押品赎回权风险与低丧失抵押品赎回权风险地区的女性之间的 OR 降低。
居住在丧失抵押品赎回权风险较高与较低的普查区的乳腺癌幸存者报告的健康状况较差。这种关联可以用家庭收入、体力活动和感知邻里条件的差异来解释。
