非裔美国人和白人乳腺癌幸存者社会支持方面与健康相关生活质量领域的关联。
Association between aspects of social support and health-related quality of life domains among African American and White breast cancer survivors.
机构信息
Department of Oncology, Georgetown University Medical Center, Washington, DC, USA.
Fisher Center for Hereditary Cancer and Clinical Cancer Genomics, Georgetown Lombardi Comprehensive Cancer Center, Washington, DC, USA.
出版信息
J Cancer Surviv. 2022 Dec;16(6):1379-1389. doi: 10.1007/s11764-021-01119-2. Epub 2021 Oct 16.
PURPOSE
Social support is associated with breast cancer survivors' health-related quality of life (HRQoL). More nuanced information is needed regarding aspects of social support associated with different HRQoL domains among diverse populations. We assessed the association between emotional/informational and tangible support and five HRQoL domains and evaluated race as an effect modifier.
METHODS
African American and White women (n = 545) diagnosed with hormone-receptor-positive breast cancer completed a survey that assessed sociodemographic, clinical, and psychosocial factors. We assessed bivariate relationships between emotional/informational and tangible support along with overall HRQoL and each HRQoL domain.We tested interactions between race and emotional/informational and tangible social support using linear regression.
RESULTS
The sample included African American (29%) and White (71%) breast cancer survivors. Emotional/informational social support had a statistically significant positive association with emotional well-being (β = .08, p = 0.005), social well-being (β = 0.36, p < 0.001), functional well-being (β = .22, p < .001), breast cancer concerns (β = .16, p = 0.002), and overall HRQoL (β = .83, p < .001). Similarly, tangible social support had a statistically significant positive association with emotional well-being (β = .14, p = 0.004), social well-being (β = .51, p < .001), functional well-being (β = .39, p < .001), and overall HRQoL (β = 1.27, p < .001). The interactions between race and social support were not statistically significant (p > 0.05).
CONCLUSIONS
Results underscore the importance of the different social support types among breast cancer survivors, regardless of survivors' race.
IMPLICATIONS FOR CANCER SURVIVORS
Population-based interventions can be standardized and disseminated to provide guidance on how to increase emotional/information and tangible support for all breast cancer survivors by caregivers, health providers, and communities.
目的
社会支持与乳腺癌幸存者的健康相关生活质量（HRQoL）有关。在不同人群中，需要更细致的信息来了解与不同 HRQoL 领域相关的社会支持方面。我们评估了情感/信息和有形支持与五个 HRQoL 领域之间的关联，并评估了种族作为效应修饰剂。
方法
545 名被诊断患有激素受体阳性乳腺癌的非裔美国人和白人女性完成了一项调查，该调查评估了社会人口统计学、临床和心理社会因素。我们评估了情感/信息和有形支持与整体 HRQoL 以及每个 HRQoL 领域之间的双变量关系。我们使用线性回归测试了种族与情感/信息和有形社会支持之间的相互作用。
结果
该样本包括 29%的非裔美国人和 71%的白人乳腺癌幸存者。情感/信息社会支持与情绪健康（β=0.08，p=0.005）、社会健康（β=0.36，p<0.001）、功能健康（β=0.22，p<.001）、乳腺癌担忧（β=0.16，p=0.002）和整体 HRQoL（β=0.83，p<.001）呈统计学显著正相关。同样，有形社会支持与情绪健康（β=0.14，p=0.004）、社会健康（β=0.51，p<.001）、功能健康（β=0.39，p<.001）和整体 HRQoL（β=1.27，p<.001）呈统计学显著正相关。种族和社会支持之间的相互作用不具有统计学意义（p>.05）。
结论
研究结果强调了不同类型的社会支持在乳腺癌幸存者中的重要性，而与幸存者的种族无关。
对癌症幸存者的影响
基于人群的干预措施可以标准化和传播，为护理人员、医疗保健提供者和社区提供指导，以增加所有乳腺癌幸存者的情感/信息和有形支持。
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