Evaluating the association of self-reported psychological distress and self-rated health on survival times among women with breast cancer in the U.S.
<h4>Background</h4>Psychological distress and self-rated health status may create additional complexities in patients already diagnosed with breast cancer. This study aims to assess the association of self-report-based assessment of psychological distress and self-rated health on surviva...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2021-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0260481 |
| _version_ | 1798013776872603648 |
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| author | Oluwaseun John Adeyemi Tasha Leimomi Gill Rajib Paul Larissa Brunner Huber |
| author_facet | Oluwaseun John Adeyemi Tasha Leimomi Gill Rajib Paul Larissa Brunner Huber |
| author_sort | Oluwaseun John Adeyemi |
| collection | DOAJ |
| description | <h4>Background</h4>Psychological distress and self-rated health status may create additional complexities in patients already diagnosed with breast cancer. This study aims to assess the association of self-report-based assessment of psychological distress and self-rated health on survival times among women with breast cancer diagnoses.<h4>Methods</h4>Seventeen-year data from the Integrated Public Use Microdata Series-National Health Interview Survey (IPUMS-NHIS) were pooled and analyzed. Women who were aged 30 to 64 years old, with breast cancer diagnosis were selected (n = 2,819). The outcome variable was time to death. The independent variables were self-reported assessment of psychological distress and self-rated health. Psychological distress was defined using the Kessler-6 scale while self-rated health was measured on a 3-point Likert scale: Poor, Fair, and Good-to-Excellent (referred to as good for brevity). We computed unadjusted and adjusted hazard ratios (HR) using Cox-Proportional Hazard regression models with sociodemographic characteristics and measures of health care access used as potential confounders. Significance was set at alpha = 0.05.<h4>Results</h4>Women with breast cancer assessed as having psychological distress had 46% (Adjusted HR: 1.46; 95% CI: 1.02-2.09) increased risks of mortality. Also, women who rated their health as poor or fair had a significantly elevated mortality risk (Poor Health: Adjusted HR: 3.05; 95% CI: 2.61-4.69; Fair Health: Adjusted HR: 1.83; 95% CI: 1.43-2.35) as compared to women with good health status.<h4>Conclusions</h4>Self-reported psychological distress and fair and poor self-rated health are associated with reduced survival times among women with breast cancer diagnoses. |
| first_indexed | 2024-04-11T15:08:06Z |
| format | Article |
| id | doaj.art-2d72fdc99b774e3994a5147107bb8c61 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-11T15:08:06Z |
| publishDate | 2021-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-2d72fdc99b774e3994a5147107bb8c612022-12-22T04:16:44ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-011612e026048110.1371/journal.pone.0260481Evaluating the association of self-reported psychological distress and self-rated health on survival times among women with breast cancer in the U.S.Oluwaseun John AdeyemiTasha Leimomi GillRajib PaulLarissa Brunner Huber<h4>Background</h4>Psychological distress and self-rated health status may create additional complexities in patients already diagnosed with breast cancer. This study aims to assess the association of self-report-based assessment of psychological distress and self-rated health on survival times among women with breast cancer diagnoses.<h4>Methods</h4>Seventeen-year data from the Integrated Public Use Microdata Series-National Health Interview Survey (IPUMS-NHIS) were pooled and analyzed. Women who were aged 30 to 64 years old, with breast cancer diagnosis were selected (n = 2,819). The outcome variable was time to death. The independent variables were self-reported assessment of psychological distress and self-rated health. Psychological distress was defined using the Kessler-6 scale while self-rated health was measured on a 3-point Likert scale: Poor, Fair, and Good-to-Excellent (referred to as good for brevity). We computed unadjusted and adjusted hazard ratios (HR) using Cox-Proportional Hazard regression models with sociodemographic characteristics and measures of health care access used as potential confounders. Significance was set at alpha = 0.05.<h4>Results</h4>Women with breast cancer assessed as having psychological distress had 46% (Adjusted HR: 1.46; 95% CI: 1.02-2.09) increased risks of mortality. Also, women who rated their health as poor or fair had a significantly elevated mortality risk (Poor Health: Adjusted HR: 3.05; 95% CI: 2.61-4.69; Fair Health: Adjusted HR: 1.83; 95% CI: 1.43-2.35) as compared to women with good health status.<h4>Conclusions</h4>Self-reported psychological distress and fair and poor self-rated health are associated with reduced survival times among women with breast cancer diagnoses.https://doi.org/10.1371/journal.pone.0260481 |
| spellingShingle | Oluwaseun John Adeyemi Tasha Leimomi Gill Rajib Paul Larissa Brunner Huber Evaluating the association of self-reported psychological distress and self-rated health on survival times among women with breast cancer in the U.S. PLoS ONE |
| title | Evaluating the association of self-reported psychological distress and self-rated health on survival times among women with breast cancer in the U.S. |
| title_full | Evaluating the association of self-reported psychological distress and self-rated health on survival times among women with breast cancer in the U.S. |
| title_fullStr | Evaluating the association of self-reported psychological distress and self-rated health on survival times among women with breast cancer in the U.S. |
| title_full_unstemmed | Evaluating the association of self-reported psychological distress and self-rated health on survival times among women with breast cancer in the U.S. |
| title_short | Evaluating the association of self-reported psychological distress and self-rated health on survival times among women with breast cancer in the U.S. |
| title_sort | evaluating the association of self reported psychological distress and self rated health on survival times among women with breast cancer in the u s |
| url | https://doi.org/10.1371/journal.pone.0260481 |
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