Jean A. McDougall|Cindy K. Blair|Charles L. Wiggins|Michael Goodwin|Vi K. Chiu|Ashwani Rajput|Anita Y. Kinney
Socioeconomic disparities in health-related quality of life among colorectal cancer survivors
New Mexico Cancer Center|University of New Mexico|New Mexico Cancer Center|University of New Mexico|New Mexico Cancer Center|University of New Mexico|University of New Mexico|New Mexico Cancer Center|University of New Mexico|New Mexico Cancer Center|University of New Mexico|Rutgers, The State University of New Jersey
improvements colorectal cancer crc prevention early detection treatment resulted substantial gains survival however healthrelated quality life hrqol crc survivors often depends access supportive care differs survivors socioeconomic characteristics purpose study investigate relationship socioeconomic characteristics hrqol diverse group crc survivorswe conducted populationbased crosssectional study examine association socioeconomic factors household income health literacy insurance status hrqol domains pain interference fatigue physical function sleep disturbance anxiety depression promis short forms v20 used assess domains hrqol linear regression modeling used estimate coefficient representing average hrqol domain score 95 confidence interval cithree hundred one crc survivors participated survey lowincome 30000 crc survivors average 470point 95 ci 110828 higher pain interference score 702point 95 ci 3271077 higher fatigue score 513point 95 ci 856 171 lower physical function score 444point 95 140749 higher depression score crc survivors income 70000 survivors medicaid insurance reported significantly greater pain interference worse physical function privately insured survivors survivors low health literacy reported significantly greater pain interference compared survivors high health literacysubstantial socioeconomic disparities hrqol observed diverse population crc survivorsdesigning supportive care interventions improve hrqol among lowincome medicaidinsured crc survivors critical eliminating disparities crc outcomes