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Education as a predictor of quality of life outcomes among disadvantaged men

Prostate Cancer and Prostatic Diseases volume 12, pages 253–258 (2009)Cite this article

Abstract

Higher educational levels along with other factors such as literacy and communication with physicians have been associated with better outcomes for men with prostate cancer, but little research has focused on the relationship of educational attainment to self-efficacy for interacting with physicians been conducted on its effect on self-efficacy and health-related quality of life (HRQOL) among low-income, uninsured men. Data from 425 low-income, uninsured men with prostate cancer enrolled in UCLA's Men's Health Study were examined. We found that men with higher and lower education levels, including those who did not complete high school, had similar HRQOL and self-efficacy outcomes. Because of the close relationship between income and education, broader studies into the associations of these variables and prostate cancer outcomes are needed.

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References

  1. Jemal A, Siegel R, Ward E, Hao Y, Xu J, Murray T et al. Cancer statistics, 2008. CA Cancer J Clin 2008; 58: 71–96.

    Article  PubMed  Google Scholar 

  2. Knight SJ, Latini DM, Hart SL, Sadetsky N, Kane CJ, DuChane J et al. Education predicts quality of life among men with prostate cancer cared for in the Department of Veterans Affairs: a longitudinal quality of life analysis from CaPSURE. Cancer 2007; 109: 1769–1776.

    Article  PubMed  Google Scholar 

  3. Bennett CL, Ferreira MR, Davis TC, Kaplan J, Weinberger M, Kuzel T et al. Relation between literacy, race, and stage of presentation among low-income patients with prostate cancer. J Clin Oncol 1998; 16: 3101–3104.

    Article  CAS  PubMed  Google Scholar 

  4. Kane CJ, Lubeck DP, Knight SJ, Spitalny M, Downs TM, Grossfeld GD et al. Impact of patient educational level on treatment for patients with prostate cancer: data from CaPSURE. Urology 2003; 62: 1035–1039.

    Article  PubMed  Google Scholar 

  5. Wolf MS, Knight SJ, Lyons EA, Durazo-Arvizu R, Pickard SA, Arseven A et al. Literacy, race, and PSA level among low-income men newly diagnosed with prostate cancer. Urology 2006; 68: 89–93.

    Article  PubMed  Google Scholar 

  6. Wilkinson S, List M, Sinner M, Dai L, Chodak G . Educating African-American men about prostate cancer: impact on awareness and knowledge. Urology 2003; 61: 308–313.

    Article  PubMed  Google Scholar 

  7. Brar R, Maliski SL, Kwan L, Krupski TL, Litwin MS . Changes in quality of life among low-income men treated for prostate cancer. Urology 2005; 66: 344–349.

    Article  PubMed  Google Scholar 

  8. Deibert CM, Maliski S, Kwan L, Fink A, Connor SE, Litwin MS . Prostate cancer knowledge among low income minority men. J Urol 2007; 177: 1851–1855.

    Article  PubMed  Google Scholar 

  9. Heisler M, Bouknight R, Haywood R, Smith D, Kerr E . The relative importance of physician communication, participatory decision-making, and patient understanding in diabetes self-management. J Gen Intern Med 2002; 17: 243–252.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Zachariae R, Pedersen C, Jensen A, Ehrnrooth E, Rossen P, von der Maase H . Association of perceived physician communication style with patient satisfaction, distress, cancer-related self-efficacy, and perceived control over the disease. Br J Cancer 2003; 88: 658–665.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Brekke M, Hjortdahl P, Kvien T . Changes in self-efficacy and health status over 5 years: a longitudinal observational study of 306 patients with rheumatoid arthritis. Arthritis Rheum 2003; 49: 342–248.

    Article  PubMed  Google Scholar 

  12. Eton D, Lepore S, Helgeson V . Early quality of life in patients with localized prostate carcinoma: an examination of treatment-related, demographic, and psychosocial factors. Cancer 2001; 92: 1451–1459.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Pellino T, Tluczek A, Collins M, Trimborn S, Norwick H, Engelke Z et al. Increasing self-efficacy through empowerment: preoperative education for orthopaedic patients. Orthop Nursing 1998; 17: 48–59.

    Article  CAS  Google Scholar 

  14. Hirai K, Suzuki Y, Tsuneto S, Ikenaga M, Hosaka T, Kashiwagi T . A structural model of the relationships among self-efficacy, psychological adjustment, and physical condition in Japanese advanced cancer patients. Psychooncology 2002; 11: 221–229.

    Article  PubMed  Google Scholar 

  15. de Nooijer J, Lechner L, de Vries H . Social psychological correlates of paying attention to cancer symptoms and seeking medical help. Soc Sci Med 2003; 56: 915–920.

    Article  PubMed  Google Scholar 

  16. Merluzzi T, Nairn R, Hegde K, Sanchez M, Dunn L . Self-efficacy for coping with cancer: revision of the Cancer Behavior Inventory (version 2.0). Psychooncology 2001; 10: 206–217.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Broome B . Measurement and testing of a scale to measure self-efficacy for pelvic muscle exercises in women with urinary incontinence. Urol Nurs 1999; 19: 258–268.

    CAS  PubMed  Google Scholar 

  18. Penson DF, Stoddard ML, Pasta DJ, Lubeck DP, Flanders SC, Litwin MS . The association between socioeconomic status, health insurance coverage, and quality of life in men with prostate cancer. J Clin Epidemiol 2001; 54: 350–358.

    Article  CAS  PubMed  Google Scholar 

  19. Maliski SL, Clerkin B, Litwin MS . Describing a nurse case manager intervention to empower low-income men with prostate cancer. Oncol Nurs Forum 2004; 31: 57–64.

    Article  PubMed  Google Scholar 

  20. Miller DC, Gelberg L, Kwan L, Stepanian S, Fink A, Andersen RM et al. Racial disparities in access to care for men in a Public Assistance Program for prostate cancer. J Community Health 2008; 33: 318–335.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Ware Jr J, Kosinski M, Keller SD . A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care 1996; 34: 220–233.

    Article  Google Scholar 

  22. Litwin MS . Health related quality of life in older men without prostate cancer. J Urol 1999; 161: 1180–1184.

    Article  CAS  PubMed  Google Scholar 

  23. Litwin MS, Hays RD, Fink A, Ganz PA, Leake B, Brook RH . The UCLA Prostate Cancer Index: development, reliability, and validity of a health-related quality of life measure. Med Care 1998; 36: 1002–1012.

    Article  CAS  PubMed  Google Scholar 

  24. Litwin MS, Hays RD, Fink A, Ganz PA, Leake B, Leach GE et al. Quality-of-life outcomes in men treated for localized prostate cancer. JAMA 1995; 273: 129–135.

    Article  CAS  PubMed  Google Scholar 

  25. Litwin MS, McGuigan KA . Accuracy of recall in health-related quality-of-life assessment among men treated for prostate cancer. J Clin Oncol 1999; 17: 2882–2888.

    Article  CAS  PubMed  Google Scholar 

  26. Maly RC, Frank JC, Marshall GN, DiMatteo MR, Reuben DB . Perceived efficacy in patient-physician interactions (PEPPI): validation of an instrument in older persons. J Am Geriatr Soc 1998; 46: 889–894.

    Article  CAS  PubMed  Google Scholar 

  27. Bernardini J, Calen S, Fried L, Piraino B . Inter-rater reliability and annual rescoring of Charlson comorbidity index. Adv Perit Dial 2004; 20: 125–136.

    PubMed  Google Scholar 

  28. Norman GR, Sloan JA, Wyrwich KW . Interpretation of changes in health-related quality of life: the remarkable universality of half a standard deviation. Med Care 2003; 41: 582–592.

    Google Scholar 

  29. Reyes-Ortiz CA, Goodwin JS, Freeman JL, Kuo YF . Socioeconomic status and survival in older patients with melanoma. J Am Geriatr Soc 2006; 54: 1758–1764.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Dalton SO, Ross L, Düring M, Carlsen K, Mortensen PB, Lynch J et al. Influence of socioeconomic factors on survival after breast cancer—a nationwide cohort study of women diagnosed with breast cancer in Denmark 1983–1999. Int J Cancer 2007; 121: 2524–2531.

    Article  CAS  PubMed  Google Scholar 

  31. Karakiewicz PI, Bhojani N, Neugut A, Shariat SF, Jeldres C, Graefen M et al. The effect of comorbidity and socioeconomic status on sexual and urinary function and on general health-related quality of life in men treated with radical prostatectomy for localized prostate cancer. J Sex Med 2008; 5: 919–927.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Urology, David Geffen School of Medicine, University of California, Los Angeles, CA, USA

    J S Augustus & M S Litwin

  2. Division of Cancer Prevention Control and Research, Jonsson Comprehensive Cancer Center, School of Public Health, University of California, Los Angeles, CA, USA

    L Kwan

  3. Department of Medicine, David Geffen School of Medicine, School of Public Health, University of California, Los Angeles, CA, USA

    A Fink

  4. Department of Health Services, David Geffen School of Medicine, School of Public Health, University of California, Los Angeles, CA, USA

    A Fink & M S Litwin

  5. Department of Urology David Geffen School of Medicine, University of California, Los Angeles, CA, USA

    S E Connor

  6. School of Nursing, University of California, Los Angeles, CA, USA

    S L Maliski

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  1. J S Augustus
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  2. L Kwan
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  3. A Fink
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  4. S E Connor
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  5. S L Maliski
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  6. M S Litwin
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Correspondence to M S Litwin.

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Augustus, J., Kwan, L., Fink, A. et al. Education as a predictor of quality of life outcomes among disadvantaged men. Prostate Cancer Prostatic Dis 12, 253–258 (2009). https://doi.org/10.1038/pcan.2008.58

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  • DOI: https://doi.org/10.1038/pcan.2008.58

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