Skip to main content
Journal cover image

Health-related quality of life by race, ethnicity, and country of origin among cancer survivors.

Publication ,  Journal Article
Reeve, BB; Graves, KD; Lin, L; Potosky, AL; Ahn, J; Henke, DM; Pan, W; Fall-Dickson, JM
Published in: J Natl Cancer Inst
March 9, 2023

BACKGROUND: Typical cancer research studies of health-related quality of life (HRQOL) in the United States do not include country of origin when examining race and ethnic group differences. This population-based, cross-sectional study used an innovative methodology to examine how self-reported racial and ethnic groups, by country of origin, report differential HRQOL experiences after adjusting for clinical and demographic characteristics, including socioeconomic status. METHODS: Recruited from 4 cancer registries in California, Louisiana, and New Jersey, cancer survivors completed Patient-Reported Outcomes Measurement Information System measures of fatigue, pain interference, anxiety, depression, sleep disturbance, physical function, ability to participate in social roles, and cognitive function. Latent profile analysis clustered survivors in HRQOL clusters based on including all the Patient-Reported Outcomes Measurement Information System domains. RESULTS: The 5366 participants (60% female; 40% male; average age of 59.8 years) included 17% Asian, 18% Black, 21% Hispanic, and 41% White survivors. Survivors were grouped into 4 clusters: high HRQOL (26%), average HRQOL (34%), low HRQOL (29%), and very low HRQOL (11%). Among many differences by race, ethnicity, and country of origin, Caribbean cancer survivors were more likely to be in the very low HRQOL cluster (odds ratio = 2.67, 95% confidence interval = 1.31 to 5.43) compared with non-Hispanic White survivors. Similarly, American Indian and Alaska Native, Cuban, Dominican, and Puerto Rican cancer survivors had relatively high percentages in the very low HRQOL cluster. CONCLUSIONS: This study found statistically significant differences in HRQOL experience by race, ethnicity, and country of origin, even after adjusting for social determinants of health. These findings inform future HRQOL research to include these self-reported factors.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

J Natl Cancer Inst

DOI

EISSN

1460-2105

Publication Date

March 9, 2023

Volume

115

Issue

3

Start / End Page

258 / 267

Location

United States

Related Subject Headings

  • United States
  • Quality of Life
  • Oncology & Carcinogenesis
  • Neoplasms
  • Middle Aged
  • Male
  • Humans
  • Female
  • Ethnicity
  • Cross-Sectional Studies
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Reeve, B. B., Graves, K. D., Lin, L., Potosky, A. L., Ahn, J., Henke, D. M., … Fall-Dickson, J. M. (2023). Health-related quality of life by race, ethnicity, and country of origin among cancer survivors. J Natl Cancer Inst, 115(3), 258–267. https://doi.org/10.1093/jnci/djac230
Reeve, Bryce B., Kristi D. Graves, Li Lin, Arnold L. Potosky, Jaeil Ahn, Debra M. Henke, Wei Pan, and Jane M. Fall-Dickson. “Health-related quality of life by race, ethnicity, and country of origin among cancer survivors.J Natl Cancer Inst 115, no. 3 (March 9, 2023): 258–67. https://doi.org/10.1093/jnci/djac230.
Reeve BB, Graves KD, Lin L, Potosky AL, Ahn J, Henke DM, et al. Health-related quality of life by race, ethnicity, and country of origin among cancer survivors. J Natl Cancer Inst. 2023 Mar 9;115(3):258–67.
Reeve, Bryce B., et al. “Health-related quality of life by race, ethnicity, and country of origin among cancer survivors.J Natl Cancer Inst, vol. 115, no. 3, Mar. 2023, pp. 258–67. Pubmed, doi:10.1093/jnci/djac230.
Reeve BB, Graves KD, Lin L, Potosky AL, Ahn J, Henke DM, Pan W, Fall-Dickson JM. Health-related quality of life by race, ethnicity, and country of origin among cancer survivors. J Natl Cancer Inst. 2023 Mar 9;115(3):258–267.
Journal cover image

Published In

J Natl Cancer Inst

DOI

EISSN

1460-2105

Publication Date

March 9, 2023

Volume

115

Issue

3

Start / End Page

258 / 267

Location

United States

Related Subject Headings

  • United States
  • Quality of Life
  • Oncology & Carcinogenesis
  • Neoplasms
  • Middle Aged
  • Male
  • Humans
  • Female
  • Ethnicity
  • Cross-Sectional Studies