246190 Association between life satisfaction, social support and general health status: A comparison of cancer survivors and respondents without cancer, BRFSS, 2009

Tuesday, November 1, 2011

Angela Hickman, MPH , Division of Behavioral Surveillance, Northrop Grumman, Atlanta, GA
Laurie D. Elam-Evans, PhD, MPH , Division of Behavioral Surveillance, CDC, Atlanta, GA
Temeika Fairley, PhD , Division of Cancer Prevention and Control, Centers for Disease Control & Prevention, Atlanta, GA
Lina S. Balluz, ScD, MPH , Office of Surveillance, Epidemiology, and Laboratory Services, Centers for disease Control and Prevention, Atlanta, GA
Background: Research has shown a relationship between life satisfaction, social support, and self-reported health status among persons with chronic illnesses. We examined these associations using data from the 2009 Core Section of the Behavioral Risk Factor Surveillance System (BRFSS), with a focus on cancer.Methods: BRFSS is a state based-random digit dialing telephone survey among non-institutionalized adults aged >=18 years. In 2009, 58,699 individuals responded yes to “Ever being told by a health professional that they had cancer” (cancer survivors) and 340,919 individuals responded no to the question. Logistic regression models adjusted for current age, gender, insurance, employment, education, marital status and race. SUDAAN software accounted for the complex sampling design.Results: Overall, 15% of the respondents were cancer survivors. Higher percentages of cancer survivors were older than 64 (28% vs. 16%), had health insurance (95% vs. 89%) and reported their health status as fair/poor (29% vs. 17%) compared to respondents without cancer. Cancer survivors and respondents without cancer had similar percentages of suboptimal social/emotional support (21.5 vs. 22.1%, respectively) and life satisfaction (6%). Those reporting life dissatisfaction were 3.7 times more likely to report fair/poor health (OR [95%CI] = 3.7 [3.38-3.97]). This association between life satisfaction and health status did not differ for cancer survivors and those without cancer. Conclusions: Life dissatisfaction was a key determinant in persons reporting fair/poor health, independent of cancer status. These findings emphasize the need for strategies to promote overall well-being, especially life satisfaction, for the improvement of general health.

Learning Areas:
Chronic disease management and prevention

Learning Objectives:
Describe the association between life satisfaction,social support and self-reported health status among cancer survivors and those without cancer.

Keywords: Cancer, Behavioral Research

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am an Epidemiologist working on the analysis of the BRFSS data.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.