非裔美国人和非西班牙裔白人与头颈部癌症患者健康相关生活质量的差异。
Health-related quality of life differences between African Americans and non-Hispanic whites with head and neck cancer.
机构信息
Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599-7411, USA.
出版信息
Head Neck. 2013 Sep;35(9):1255-64. doi: 10.1002/hed.23115. Epub 2012 Aug 21.
BACKGROUND
Cancers of the head and neck are associated with detriments in health-related quality of life (HRQOL); however, little is known about different experiences between African Americans and non-Hispanic whites.
METHODS
HRQOL was measured by the Functional Assessment of Cancer Therapy - Head and Neck (FACT-H&N) approximately 5 months postdiagnosis among 222 patients with cancer from North Carolina. Higher scores represent better HRQOL. Regression models included sociodemographic characteristics and clinical factors.
RESULTS
African Americans reported higher physical well-being than whites (adjusted means, 23.1 vs 20.9). African Americans with incomes <$20,000 reported higher emotional well-being (21.4) and fewer head and neck symptoms (22.0). Non-Hispanic whites making <$20,000 reported the poorest emotional well-being (17.3), whereas African Americans making >$20,000 reported the most head and neck symptoms (18.7).
CONCLUSIONS
Further investigation is needed to explore variation in HRQOL experiences among different race and socioeconomic groups that may inform resource allocation to improve cancer care.
背景
头颈部癌症与健康相关生活质量（HRQOL）受损有关；然而，关于非裔美国人和非西班牙裔白人之间的不同经历知之甚少。
方法
大约在诊断后 5 个月，北卡罗来纳州的 222 名癌症患者使用癌症治疗功能评估 - 头颈部（FACT-H&N）测量了 HRQOL。分数越高表示 HRQOL 越好。回归模型包括社会人口统计学特征和临床因素。
结果
非裔美国人的身体幸福感评分高于白人（调整后的平均值，23.1 对 20.9）。收入<20,000 美元的非裔美国人情绪健康评分更高（21.4），头颈部症状更少（22.0）。收入<20,000 美元的非西班牙裔白人情绪健康评分最差（17.3），而收入>20,000 美元的非裔美国人头颈部症状最多（18.7）。
结论
需要进一步调查不同种族和社会经济群体之间 HRQOL 体验的差异，这可能为改善癌症护理提供资源分配信息。
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