257852 Subgroup Differences in Health-Related Quality of Life among Asian-American Breast Cancer Survivors: A Prospective Study

Tuesday, October 30, 2012 : 9:10 AM - 9:30 AM

Kimlin Ashing-Giwa, PhD , Division of Population Sciences, City of Hope Comprehensive Cancer Center, Duarte, CA
Mayra Serrano, MPH (c) , CCARE, City of Hope, Duarte, CA
     
Title: Subgroup Differences in Health-Related Quality of Life among Asian-American Breast Cancer Survivors: A Prospective Study Abstract

Introduction: This study examined the predictors of change in health-related quality of life (DHRQOL) among Asian-American breast cancer survivors (BCS). Methods: We employed a prospective cohort design with BCS recruited from hospitals and community organizations.

Results: Participants included 116 BCS: 73 (63%) Chinese-, 25 (21%) Korean-, and 18 (16%) Filipina-Americans who were 1-3 years post diagnosis. Filipina-Americans reported the most favorable HRQOL, while Chinese-Americans endorsed moderated HRQOL and Koreans expressed poor HRQOL (p<0.001). The regression model explained 64% of variance in DHRQOL. Income, native-language, headache, distress level, DCo-Morbidity, DDistress, and DGeneral Health Perception were significant DHRQOL determinants. Asian-American subgroup differences in predicting HRQOL were noted. Our results showed no notable change in HRQOL over 1-year. Conclusions: Regression analyses demonstrated that change in socio-ecological factors in conjunction with medical-characteristics dictates DHRQOL outcomes. Further, the influences of culture, immigration and social-ecology are complex; hence research with larger samples is necessary to understand the survivorship experience of our diverse Asian-American population.

Learning Areas:
Administer health education strategies, interventions and programs
Assessment of individual and community needs for health education
Diversity and culture

Learning Objectives:
Describe differences in change of Health related Quality of Life(HRQOL) among Chinese-, Korean-, and Filipina- American Breast Cancer survivors.

Keywords: Breast Cancer, Quality of Life

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been a clinical research assistant and community health educator at City of Hope for the past 5 years and have conducted research focused on Health Related Quality of Life in underserved populations. My future projects are focusing on advancing our overall knowledge, and integrating behavioral science and increasing community participation in clinical, personalized medicine and genetics research locally and nationally.
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.

Back to: 4014.0: Impact of Social Determinants on Cancer Morbidity and Mortality