TY - JOUR
T1 - Inferior health-related quality of life and psychological well-being in immigrant cancer survivors: A population-based study
AU - Butow, P.N.
AU - Aldridge, L.J.
AU - Bell, M.L.L.
AU - Sze, M.
AU - Eisenbruch, M.
AU - Jefford, M.J.
AU - Schofield, P.E.
AU - Girgis, A.
AU - King, M.
AU - Duggal-Beri, P.
AU - McGrane, Joshua
AU - Goldstein, D.A.
PY - 2013
Y1 - 2013
N2 - 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.
AB - 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.
U2 - 10.1016/j.ejca.2013.01.011
DO - 10.1016/j.ejca.2013.01.011
M3 - Article
C2 - 23465493
SN - 0959-8049
VL - 49
SP - 1948
EP - 1956
JO - European Journal of Cancer
JF - European Journal of Cancer
IS - 8
ER -
