Health-related quality of life among Indigenous Australians diagnosed with cancer

Garvey, G., Cunningham, J., He, V. Yf, Janda, M., Baade, P., Sabesan, S., Martin, J. H., Fay, M., Adams, J., Kondalsamy-Chennakesavan, S. and Valery, P. C. (2016) Health-related quality of life among Indigenous Australians diagnosed with cancer. Quality of Life Research, 25 8: 1999-2008. doi:10.1007/s11136-016-1233-6


Author Garvey, G.
Cunningham, J.
He, V. Yf
Janda, M.
Baade, P.
Sabesan, S.
Martin, J. H.
Fay, M.
Adams, J.
Kondalsamy-Chennakesavan, S.
Valery, P. C.
Title Health-related quality of life among Indigenous Australians diagnosed with cancer
Journal name Quality of Life Research   Check publisher's open access policy
ISSN 1573-2649
0962-9343
Publication date 2016-08-01
Year available 2016
Sub-type Article (original research)
DOI 10.1007/s11136-016-1233-6
Open Access Status Not yet assessed
Volume 25
Issue 8
Start page 1999
End page 2008
Total pages 10
Place of publication Dordrecht, Netherlands
Publisher Springer Netherlands
Language eng
Abstract Health-related quality of life (HRQoL) and associated factors were assessed among 155 Indigenous Australian adult cancer patients 6 months post-diagnosis.
Formatted 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.
Keyword Australian
Cancer
Indigenous
Quality of life
Q-Index Code C1
Q-Index Status Provisional Code
Grant ID 1004643
1041111
SRP 13-01
1083090
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
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