Racial/Ethnic Disparities in HRQoL and Associated Risk Factors in Colorectal Cancer Survivors: With a Focus on Social Determinants of Health (SDOH)

• Published in: Journal of gastrointestinal cancer 2024-09, Vol.55 (3), p.1179-1189
• Main Authors: Han, Claire J., Tounkara, Fode, Kalady, Matthew F., Noonan, Anne M., Paskett, Electra D., Von Ah, Diane
• Format: Article
• Language: English
• Subjects: Adult; Aged; Black or African American - psychology; Cancer Research; Cancer Survivors - psychology; Colorectal Neoplasms - ethnology; Colorectal Neoplasms - psychology; Ethnicity; Female; Gastroenterology; Health Status Disparities; Hispanic or Latino - psychology; Humans; Internal Medicine; Male; Medicine; Medicine & Public Health; Middle Aged; Oncology; Quality of Life; Radiotherapy; Risk Factors; Social Determinants of Health; United States - epidemiology; White - psychology
• ISSN: 1941-6628; 1941-6636; 1941-6636
• DOI: 10.1007/s12029-024-01070-2

Purpose This study aimed to understand how health-related quality of life (HRQoL) differs by race/ethnicity in colorectal (CRC) survivors. We aimed to 1) examine racial/ethnic disparities in HRQoL, and 2) explore the roles of social determinants of health (SDOH) risk factors for HRQoL differ by racial/ethnic groups. Methods In 2,492 adult CRC survivors using Behavioral Risk Factor Surveillance System (BRFSS) survey data (from 2014 to 2021, excluding 2015 due to the absence of CRC data), we used the Centers for Disease Control and Prevention (CDC) HRQoL measure, categorized into “better” and “poor.” Multivariate logistic regressions with prevalence risk (PR) were employed for our primary analyses. Results Compared with non-Hispanic Whites (NHW), non-Hispanic Blacks (NHB) (PR = 0.61, p = .045) and Hispanics (PR = 0.32, p