Health-Related Quality of Life Differences between African Americans and Non-Hispanic Whites with Head and Neck Cancer
Journal Article
Reeve, Bryce B.
Cai, Jianwen
Zhang, Hongtao
Choi, Jaeun
Weissler, Mark C.
Cella, David
Olshan, Andrew F.
Forthcoming
Head and Neck
10.1002/hed.23115
PMC Journal - In Process
5442
BACKGROUND: Cancers of the head and neck are associated with detriments in health-related quality of life (HRQOL); however, little is known about different experiences between African Americans and non-Hispanic whites. METHODS: HRQOL was measured by the Functional Assessment of Cancer Therapy - Head and Neck (FACT-H&N) approximately 5 months postdiagnosis among 222 patients with cancer from North Carolina. Higher scores represent better HRQOL. Regression models included sociodemographic characteristics and clinical factors. RESULTS: African Americans reported higher physical well-being than whites (adjusted means, 23.1 vs 20.9). African Americans with incomes <$20,000 reported higher emotional well-being (21.4) and fewer head and neck symptoms (22.0). Non-Hispanic whites making <$20,000 reported the poorest emotional well-being (17.3), whereas African Americans making >$20,000 reported the most head and neck symptoms (18.7). CONCLUSIONS: Further investigation is needed to explore variation in HRQOL experiences among different race and socioeconomic groups that may inform resource allocation to improve cancer care. (c) 2012 Wiley Periodicals, Inc. Head Neck, 2012.
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