Association Between Household Income and Self-Perceived Health Status and Poor Mental and Physical Health Among Cancer Survivors

Background: The objective of this study was to determine the association between health-related quality of life (HRQoL) in adults in Metropolitan Lima, Peru, with experienced social isolation during the coronavirus disease 2019 (COVID-19) pandemic regardless of if the person was infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) adjusted by age, sex and body mass index (BMI). Methods: This cross-sectional study evaluated 256 men and 382 women living in Metropolitan Lima, who were administered the Health-Related Quality of Life (HRQoL) questionnaire (SF-20) virtually to assess their health-related quality of life. A Generalized Linear Model (GLM) was used to determine the relationship between HRQoL with BMI, sex, age, COVID-19 status and obligatory social isolation; with a significance level of p<0.05. Results: Obesity (beta coefficient, 95%CI [95% confidence interval]: -262 – -116), female sex (beta coefficient, 95%CI: -151 – -59), the longest time of mandatory social confinement (beta coefficient, 95%CI: -6.8 – -0.2), and the existence of chronic disease (beta coefficient, 95%CI: -147 – -44) were associated with a low total score of the HRQoL questionnaire. Conclusions: Mandatory social confinement may have harmed the perception of health-related quality of life.

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“…A history of chronic illness is also associated with lower scores on the HRQoL questionnaire. 47,48 The same has been confirmed in our study.…”

Section: Discussionsupporting

confidence: 90%

The social isolation enforced by the COVID-19 pandemic reduces the Health-Related Quality of Life score in the adult population of Metropolitan Lima, Peru

et al. 2023

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“…Most of existing studies conclude that there is a linear relationship between income and mental health, which is proved to be positive in both earlier studies (e.g., Diener et al, 1993;Marks and Fleming, 1999;Graham et al, 2004;Judge et al, 2010;Lund et al, 2010;Sareen et al, 2011;Sun et al, 2011;De Neve and Oswald, 2012) and more recent ones (e.g., Arvind et al, 2019;Elwell-Sutton et al, 2019;Macchia et al, 2020;Ridley et al, 2020;Swift et al, 2020;Tran et al, 2020;Hertz-Palmor et al, 2021;Hynek et al, 2021;New York: UN Sustainable Development Solutions Network, 2021;Pan et al, 2021;Su et al, 2021;Thomson et al, 2021;Hajek et al, 2022;Shields-Zeeman and Smit, 2022;Thomson et al, 2022). The conclusion drawn in this paper that income has a U-shaped impact on depression is consistent with findings of these studies to some extent, because as income increases mental health improves within a certain range of income.…”

Section: Conclusion and Discussionmentioning

confidence: 93%

More income, less depression? Revisiting the nonlinear and heterogeneous relationship between income and mental health

Ning

Wang

et al. 2022

Front. Psychol.

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This paper uses a large-scale nationally representative dataset to examine the nonlinear effect of income on mental health. To investigate their causal relationship, the exogenous impact of automation on income is utilized as the instrument variable (IV). In addition, to explore their nonlinear relationship, both income and its quadratic term are included in regressions. It is found that the impact of income on mental health is U-shaped rather than linear. The turning point (7.698) of this nonlinear relation is near the midpoint of the income interval ([0, 16.113]). This suggests that depression declines as income increases at the lower-income level. However, beyond middle income, further increases in income take pronounced mental health costs, leading to a positive relationship between the two factors. We further exclude the possibility of more complex nonlinear relationships by testing higher order terms of income. In addition, robustness checks, using other instrument variables and mental health indicators, different IV models and placebo analysis, all support above conclusions. Heterogeneity analysis demonstrates that males, older workers, ethnic minorities and those with lower health and socioeconomic status experience higher levels of depression. Highly educated and urban residents suffer from greater mental disorders after the turning point. Religious believers and Communist Party of China members are mentally healthier at lower income levels, meaning that religious and political beliefs moderate the relationship between income and mental health.

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“…For example, they are at a greater risk of developing depressive disorders and experiencing symptoms of mental and emotional distress, even several years postdiagnosis or cancer treatment [8][9][10]. While the quality of life for cancer survivors varies based on several factors, including physical and mental health, existing supports and resources, and demographics, many survivors in general have a poorer quality of life [11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Caregiving responsibility and psychological distress among community-dwelling cancer survivors in the United States

Mahmood,

Kim,

Kedia

et al. 2024

Preprint

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Purpose. There are more than 18 million cancer survivors in the US, with a projected increase of 24.4% over the next decade. Currently, little is known about the relationship between a cancer survivor’s caregiving responsibility and psychological distress. This study examines whether cancer-survivor caregivers experience increased psychological distress compared to cancer survivors without caregiving responsibilities. Methods. Data were drawn from the National Cancer Institute’s Health Information National Trends Survey (HINTS5, Cycles 1 through 4, 2017–2020). The analytical sample includes 2,579 US cancer survivors (aged ≥65 years=50.5%, females=57.1%). Caregiving responsibility was self-reported, and psychological distress was assessed through the Patient Health Questionnaire-4 (PHQ-4). Accounting for the complex design features of HINTS and jackknife replicate weights, a multivariable multinomial logistic regression model was fit to compute adjusted odds ratios (aORs) and their associated 95% confidence intervals (CIs). Results. About 19.1% (n=377) of cancer survivors self-reported caregiving responsibilities. Overall, 19.3% (n=438) of cancer survivors had mild, and 10.9% (n=252) had moderate to severe psychological distress. Compared to cancer survivors with no caregiving responsibilities, caregivers had more than two-fold higher odds of experiencing mild (aOR=2.25; 95% CI: 1.17, 4.29), and moderate to severe (aOR=2.18; 95% CI: 1.07, 4.46) psychological distress. Conclusions. Our findings indicate that caregiving responsibilities among cancer survivors have a substantial adverse impact on their mental and emotional wellbeing. Implications for Cancer Survivors.Cancer-survivor caregivers are a distinct subgroup that navigates both survivorship and caregiving burdens at the same time. There is a need to identify and develop tailored interventions, programs, and resources for this vulnerable group of caregivers.

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Association Between Household Income and Self-Perceived Health Status and Poor Mental and Physical Health Among Cancer Survivors

Cited by 7 publications

References 33 publications

The social isolation enforced by the COVID-19 pandemic reduces the Health-Related Quality of Life score in the adult population of Metropolitan Lima, Peru

The social isolation enforced by the COVID-19 pandemic reduces the Health-Related Quality of Life score in the adult population of Metropolitan Lima, Peru

More income, less depression? Revisiting the nonlinear and heterogeneous relationship between income and mental health

Caregiving responsibility and psychological distress among community-dwelling cancer survivors in the United States

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