Health-related quality of life among Indigenous Australians diagnosed with cancer
- 1 February 2016
- journal article
- research article
- Published by Springer Science and Business Media LLC in Quality of Life Research
- Vol. 25 (8), 1999-2008
- https://doi.org/10.1007/s11136-016-1233-6
Abstract
Purpose Health-related quality of life (HRQoL) and associated factors were assessed among 155 Indigenous Australian adult cancer patients 6 months post-diagnosis. Methods The Assessment of Quality of Life-4D Questionnaire was used to assess HRQoL. Differences in the median utility score among subgroups of interest were examined using nonparametric tests. Factors associated with excellent HRQoL were assessed through logistic regression. Results Participants’ mean age was 52 years (range 20–78), and the majority were female (60 %), unemployed (72 %), and recruited from outpatients clinics (64 %). Breast cancer (27 %) was the most common diagnosis. The median HRQoL score was 0.62; 14 % of participants reported excellent HRQoL (>0.90). After adjusting for age, admission status, and treatment, excellent HRQoL was more likely among participants of Torres Strait Islander origin [adjusted odds ratio (AOR) 3.68; 95 % CI 1.23–11.01], those living in regional areas (AOR 5.59; 95 % CI 1.42–22.06), and those whose main language spoken at home was not English (AOR 3.60; 95 % CI 1.08–11.99) and less likely among those reporting less contact with Indigenous people (AOR 0.23; 95 % CI 0.68–0.81). Conclusion Assessing HRQoL is important to identifying and improving the length and quality of cancer survivorship, especially in groups that have significantly poorer cancer outcomes, such as Indigenous Australians. Acknowledging the study’s observational nature, we found HRQoL was lower than reported for other Australians, and we identified some socio-demographic factors that were associated with excellent HRQoL. Such assessments are an important component of identifying and evaluating appropriate interventions to improve the health and well-being of Indigenous cancer patients.Keywords
Funding Information
- National Health and Medical Research Council (#1004643, #1041111, #1058244, #1083090, #1045247)
- Cancer Council NSW (13-01)
- Charles Darwin University
- Department of Health, Rural Clinical Training Support Program
This publication has 30 references indexed in Scilit:
- The relationship between economic characteristics and health-related quality of life in newly diagnosed cancer patients in Southeast Asia: results from an observational studyQuality of Life Research, 2014
- Effect of general symptom level, specific adverse events, treatment patterns, and patient characteristics on health-related quality of life in patients with multiple myeloma: results of a European, multicenter cohort studySupportive Care in Cancer, 2013
- Population norms for the AQoL derived from the 2007 Australian National Survey of Mental Health and WellbeingAustralian and New Zealand Journal of Public Health, 2013
- Construction of the descriptive system for the assessment of quality of life AQoL-6D utility instrumentHealth and Quality of Life Outcomes, 2012
- Quality of life assessment as a predictor of survival in non-small cell lung cancerBMC Cancer, 2011
- Indigenous health part 2: the underlying causes of the health gapThe Lancet, 2009
- Population norms and meaningful differences for the Assessment of Quality of Life (AQoL) measureAustralian and New Zealand Journal of Public Health, 2005
- Quality of Life in Rectal Cancer PatientsAnnals of Surgery, 2003
- Conceptualization and measurement of quality of life as an outcome variable for health care intervention and researchJournal of Advanced Nursing, 1999
- A new method of classifying prognostic comorbidity in longitudinal studies: Development and validationJournal of Chronic Diseases, 1987