Dataset Information

Understanding racial/ethnic differences in breast cancer-related physical well-being: the role of patient-provider interactions.

ABSTRACT: PURPOSE:Racial/ethnic differences in cancer symptom burden are well documented, but limited research has evaluated modifiable factors underlying these differences. Our objective was to examine the role of patient-provider interactions to help explain the relationship between race/ethnicity and cancer-specific physical well-being (PWB) among women with breast cancer. METHODS:The Pathways Study is a prospective cohort study of 4505 women diagnosed with breast cancer at Kaiser Permanente Northern California between 2006 and 2013. Our analysis included white, black, Hispanic, and Asian participants who completed baseline assessments of PWB, measured using the Functional Assessment of Cancer Therapy for Breast Cancer, and patient-provider interactions, measured by the Interpersonal Processes of Care Survey (IPC) (N?=?4002). Using step-wise linear regression, we examined associations of race/ethnicity with PWB, and changes in associations when IPC domains were added. RESULTS:We observed racial/ethnic differences in PWB, with minorities reporting lower scores than whites (beta, black: -?1.79; beta, Hispanic: -?1.92; beta, Asian: -?1.68; p?

SUBMITTER: Check DK

PROVIDER: S-EPMC6528788 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Understanding racial/ethnic differences in breast cancer-related physical well-being: the role of patient-provider interactions.

Check Devon K DK Chawla Neetu N Kwan Marilyn L ML Pinheiro Laura L Roh Janise M JM Ergas Isaac J IJ Stewart Anita L AL Kolevska Tatjana T Ambrosone Christine C Kushi Lawrence H LH

Breast cancer research and treatment 20180405 3

<h4>Purpose</h4>Racial/ethnic differences in cancer symptom burden are well documented, but limited research has evaluated modifiable factors underlying these differences. Our objective was to examine the role of patient-provider interactions to help explain the relationship between race/ethnicity and cancer-specific physical well-being (PWB) among women with breast cancer.<h4>Methods</h4>The Pathways Study is a prospective cohort study of 4505 women diagnosed with breast cancer at Kaiser Perman ...[more]

PMID: 29623576

Similar Datasets

Project description:BackgroundTo date, research evaluating the association between minimum wage and health has been heterogenous and varies based on the specific subpopulation or health outcomes under evaluation while associations across racial, ethnic, and gender identities have been understudied.MethodsA triple difference-in-differences strategy using modified Poisson regression was used to evaluate the associations between minimum wage and obesity, hypertension, fair or poor general health, and moderate psychological distress in 25-64-year-old adults with a high school education/GED or less. Data from the 1999-2017 Panel Study of Income Dynamics was linked to state policies and characteristics to estimate the risk ratio (RR) associated with a $1 increase in current and 2-year lagged state minimum wages overall and by race, ethnicity, and gender (non-Hispanic or non-Latino (NH) White men, NH White women, Black, indigenous, or people of color (BIPOC) men, and BIPOC women) adjusting for individual and state-level confounding.ResultsNo associations between minimum wage and health were observed overall. Among NH White men 2-year lagged minimum wage was associated with reduced risk of obesity (RR = 0.82, 95% CI = 0.67, 0.99). Among NH White women, current minimum wage was associated lower risk of moderate psychological distress (RR = 0.73, 95% CI = 0.54, 1.00) while 2-year lagged minimum wage was associated with higher obesity risk (RR = 1.35, 95% CI = 1.12, 1.64) and lower risk of moderate psychological distress (RR = 0.75, 95% CI = 0.56, 1.00). Among BIPOC women, current minimum wage was associated with higher risk of fair or poor health (RR = 1.19, 95% CI = 1.02, 1.40). No associations were observed among BIPOC men.ConclusionWhile no associations were observed overall, heterogeneous associations between minimum wage, obesity, and psychological distress by racial, ethnic, and gender strata warrant further study and have implications for health equity research.

Dataset Information

Understanding racial/ethnic differences in breast cancer-related physical well-being: the role of patient-provider interactions.

Publications

Understanding racial/ethnic differences in breast cancer-related physical well-being: the role of patient-provider interactions.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets