Worry about recurrence in a multi-ethnic population of breast cancer survivors and their partners

Details

• Alternative Title:
  Support Care Cancer
• Personal Author:
  Janz, Nancy K. ; Li, Yun ; Beesley, Lauren J. ; Wallner, Lauren P. ; Hamilton, Ann S. ; Morrison, Rebecca A. ; Hawley, Sarah T.
• Description:
  Purpose:
  
  To describe racial/ethnic differences and clinical/treatment correlates of worry about recurrence and examine modifiable factors in the health care experience to reduce worry among breast cancer survivors, partners and pairs.
  
  Methods:
  
  Women with non-metastatic breast cancer identified by the Detroit and Los Angeles SEER registries between 6/05–2/07 were surveyed at 9 months and 4 years. Latina and black women were oversampled. Partners were surveyed at Time 2. Worry about recurrence was regressed on sociodemographics, clinical/treatment, and modifiable factors (e.g., emotional support received by providers) among survivors, partners and pairs.
  
  Results:
  
  The final sample included 510 pairs. Partners reported more worry about recurrence than survivors. Compared to whites, Latinas(os) were more likely to report worry and blacks were less likely to report worry (all p < 0.05). Partners of survivors who received chemotherapy reported more worry (OR = 2.47[1.45, 4.22]). Among modifiable factors, survivors and pairs who received more emotional support from providers were less likely to report worry than those survivors and pairs who did not receive such support (OR = 0.56 [0.32, 0.97]) and (OR=0.45 [0.23,0.85]), respectively.
  
  Conclusions:
  
  Early identification of survivors and partners who are reporting considerable worry about recurrence can lead to targeted culturally sensitive interventions to avoid poorer outcomes. Interventions focused on health care providers offering information on risk and emotional support to survivors and partners is warranted.
  
  
• Subjects:
  Adult Aged Anxiety Breast Neoplasms Ethnicity Female Humans Middle Aged Neoplasm Recurrence, Local Risk Surveys And Questionnaires Survivors Young Adult

  More +
• Source:
  Support Care Cancer. 24(11):4669-4678
• Pubmed ID:
  27378380
• Pubmed Central ID:
  PMC7821383
• Document Type:
  Journal Article
• Funding:
  R01 CA088370/CA/NCI NIH HHS/United States ; T32 CA083654/CA/NCI NIH HHS/United States ; U58 DP000807/DP/NCCDPHP CDC HHS/United States ; N01PC54404/CA/NCI NIH HHS/United States ; N01PC35145/CA/NCI NIH HHS/United States ; N01PC35139/CA/NCI NIH HHS/United States ; R01 CA109696/CA/NCI NIH HHS/United States
• Volume:
  24
• Issue:
  11
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:66e5d114f5262c7507a294614fb88a2fb6688c8ec0a02a28ab1e9b4d885cb046
• Download URL:
  https://stacks.cdc.gov/view/cdc/101073/cdc_101073_DS1.pdf
• File Type:
  [PDF - 225.69 KB ]