Inferior health-related quality of life and psychological well-being in immigrant cancer survivors: A population-based study

P.N. Butow, L.J. Aldridge, M.L.L. Bell, M. Sze, M. Eisenbruch, M.J. Jefford, P.E. Schofield, A. Girgis, M. King, P. Duggal-Beri, Joshua McGrane, D.A. Goldstein

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    Abstract

    This study compared health-related quality of life (QOL) and psychological morbidity in a population-based sample of first generation immigrant and Anglo-Australian cancer survivors. Eligible participants, recruited via three State Cancer Registries, included those: with a new diagnosis of one of 12 most incident cancers (all stages) 1-6 years earlier; aged 18-80 at diagnosis; born in a Chinese, Arabic, or Greek speaking country and able to speak one of these languages. A random sample of English-speaking Anglo-Australian-born controls frequency matched for cancer diagnosis was recruited. 596 patients (277 of whom were immigrants) participated (a 26% response rate). In multiple linear regression models adjusted for age, sex, education, marital status, socio-economic status, time since diagnosis and type of cancer, immigrants had clinically significantly worse QOL (5.4-8.5 points on Functional Assessment of Cancer Therapy-General (FACT-G), P <0·0001), higher depression (P <0·0001) and higher incidence of clinical depression (P <0·01) than Anglo-Australians. Understanding the health system partially mediated this relationship for depression (P = 0·0004) and QOL (P = 0·001). Immigrant survivors of cancer have worse psychological and QOL outcomes than Anglo-Australians. Potential targets for intervention include assistance in navigating the health system, translated information and cultural competency training for health professionals. © 2013 Elsevier Ltd. All rights reserved.
    Original languageEnglish
    Pages (from-to)1948-1956
    JournalEuropean Journal of Cancer
    Volume49
    Issue number8
    DOIs
    Publication statusPublished - 2013

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    Butow, P. N., Aldridge, L. J., Bell, M. L. L., Sze, M., Eisenbruch, M., Jefford, M. J., ... Goldstein, D. A. (2013). Inferior health-related quality of life and psychological well-being in immigrant cancer survivors: A population-based study. European Journal of Cancer, 49(8), 1948-1956. https://doi.org/10.1016/j.ejca.2013.01.011