Neighborhood foreclosures and self-rated health among breast cancer survivors

Mario Schootman, Anjali D. Deshpande, Sandi L. Pruitt, Donna B. Jeffe

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

Purpose We determined the association of neighborhood foreclosure risk on the health status of a statewide sample of breast cancer survivors (n = 1047) and the extent to which covariates accounted for observed associations. Methods Measures of self-rated health and several covariates were obtained by telephone interview 1 year after diagnosis. We used the federal Housing and Urban Development agency's estimated census-tract foreclosureabandonment- risk score and multilevel, logistic regression to determine the association of foreclosure risk (high, moderate versus low) with self-rated health (fair-poor versus good, very good, excellent) and whether covariates could explain the observed association. Results Women who resided in high-foreclosure-risk (HFR) areas were 2.39 times (95% CI: 1.83-3.13) more likely to report being in fair-poor health than women who lived in low-foreclosure-risk areas. The odds ratio (OR) was reduced for women who lived in high-foreclosure-risk versus low-foreclosure-risk areas after adjusting for income (HFR OR: 1.78; 95% CI: 1.01-3.15), physical activity (HFR OR: 1.74; 95% CI: 0.98-3.08), and perceived neighborhood conditions (HFR OR: 1.76; 95% CI: 1.02-3.05). Conclusions Breast cancer survivors who lived in census tracts with high- versus low-foreclosure risk reported poorer health status. This association was explained by differences in household income, physical activity, and perceived neighborhood conditions.

Original languageEnglish (US)
Pages (from-to)133-141
Number of pages9
JournalQuality of Life Research
Volume21
Issue number1
DOIs
StatePublished - Feb 1 2012

Keywords

  • Foreclosure
  • Neighborhood
  • Self-rated health
  • Survivorship

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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