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Table 5 Factors associated with Good Global Quality of Life and Health Satisfaction in BCSs and CFWs BCSs and CFWs

From: Quality of life among French breast cancer survivors in comparison with cancer-free women: the Seintinelles study

Variable

Breast cancer survivors (n = 722)

Cancer-free women (n = 1359)

WHOQOL-BREF

WHOQOL-BREF

Global Quality of life

Health’ satisfaction

Global Quality of life

Health’ satisfaction

Good (n = 563) vs. Low (n = 159)

Yes (n = 408) vs. No (n = 314)

Good (n = 1134) vs. Low (n = 225)

Yes (n = 1022) vs. No (n = 337)

OR [CI 95%]a

OR [CI 95%]a

OR [CI 95%]b

OR [CI 95%]b

Living alone

Yes

0.63 [0.39; 1.03]

1.49 [0.95; 2.32]

0.43 [0.30; 0.62]***

0.93 [0.63; 1.37]

Noc

Reference

Reference

Reference

Reference

Dependents

Yes

1.12 [0.68; 1.84]

0.89 [0.59; 1.35]

1.12 [0.78; 1.60]

1.06 [0.75; 1.50]

No

Reference

Reference

Reference

Reference

Financial level

Lowd

0.34 [0.22; 0.55]***

0.79 [0.55; 1.15]

0.51 [0.36; 0.72]**

0.67 [0.48; 0.93]*

Highe

Reference

Reference

Reference

Reference

Education level (study years)

High school (≤ 12)

1.49 [0.87; 2.55]

1.29 [0.81; 2.05]

0.78 [0.48; 1.26]

1.14 [0.70; 1.86]

Undergraduate to post-graduate degree (> 12)

Reference

Reference

Reference

Reference

Professionally active

Yes

Reference

Reference

Reference

Reference

No

0.62 [0.39; 1.01]

1.46 [0.95; 2.23]

0.56 [0.38; 0.83]**

1.02 [0.68; 1.52]

Habitat environment

Rural

1.92 [1.19; 3.10]**

1.00 [0.68; 1.47]

1.10 [0.77; 1.58]

1.25 [0.89; 1.76]

Urban

Reference

Reference

Reference

Reference

Age (years)

26 – 39

Reference

Reference

Reference

Reference

40 – 52

0.54 [0.25; 1.16]

0.70 [0.38; 1.27]

0.92 [0.62; 1.37]

0.70 [0.48; 1.02]

53 – 75

0.52 [0.23; 1.15]

0.54 [0.29; 1.03]

1.20 [0.76; 1.88]

0.93 [0.61; 1.44]

Ptrend

0.161

0.063

0.549

0.434

Body mass index (BMI)

Normal

Reference

Reference

Reference

Reference

Overweight or obese

1.44 [0.90; 2.28]

0.71 [0.48; 1.04]

1.05 [0.74; 1.48]

0.81 [0.58; 1.12]

Current health status

Good enough or lower

0.35 [0.22; 0.56]***

0.22 [0.15; 0.32]***

0.43 [0.30; 0.62]***

0.09 [0.07; 0.13]***

Good or very good

Reference

Reference

Reference

Reference

Neurological problemsf, g

Yes

0.68 [0.44; 1.06]

0.83 [0.56; 1.22]

0.78 [0.55; 1.11]

0.61 [0.44; 0.85]**

No

Reference

Reference

Reference

Reference

Presence of comorbiditiesg, h

Yes

0.75 [0.44; 1.25]

0.50 [0.32; 0.79]**

1.23 [0.73; 2.05]

0.69 [0.43; 1.10]

No

Reference

Reference

Reference

Reference

Consultations with a general practitioneri

 ≤ 2

Reference

Reference

Reference

Reference

 > 2

0.94 [0.61; 1.46]

0.97 [0.67; 1.40]

0.76 [0.54; 1.07]

0.68 [0.50; 0.93]*

Currently smoking

Yes

0.86 [0.44; 1.69]

0.96 [0.51; 1.80]

1.27 [0.74; 2.15]

1.74 [1.01; 3.00]*

No

Reference

Reference

Reference

Reference

Current alcohol consumption

Yes

1.90 [1.22; 2.96]**

1.36 [0.92; 2.02]

0.83 [0.57; 1.22]

1.22 [0.85; 1.74]

No

Reference

Reference

Reference

Reference

Increased physical activity level

Yes

Reference

Reference

Reference

Reference

No

0.82 [0.54; 1.25]

0.85 [0.59; 1.20]

0.74 [0.52; 1.05]

0.60 [0.43; 0.84]**

Sleep problems

Yes

0.64 [0.40; 1.00]

1.16 [0.77; 1.75]

0.54 [0.38; 0.77]**

0.56 [0.40; 0.79]**

No

Reference

Reference

Reference

Reference

Fatalistic opinion about cancerj

Yes

1.27 [0.80; 2.00]

0.87 [0.59; 1.27]

1.19 [0.82; 1.75]

1.09 [0.75; 1.57]

No

Reference

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Reference

Brief-COPE: positive thinkingk

 ≤ 14

0.48 [0.31; 0.75]**

0.54 [0.38; 0.77]**

0.41 [0.28; 0.61]***

0.72 [0.51; 1.01]

 > 14

Reference

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Brief-COPE: problem solvingk

 ≤ 11

0.96 [0.62; 1.49]

0.93 [0.64; 1.34]

1.01 [0.71; 1.44]

1.16 [0.83; 1.62]

 > 11

Reference

Reference

Reference

Reference

Brief-COPE: seeking social supportk

 ≤ 18

0.59 [0.37; 0.92]*

0.62 [0.43; 0.90]*

0.88 [0.64; 1.21]

0.81 [0.60; 1.10]

 > 18

Reference

Reference

Reference

Reference

Brief-COPE: avoidancek

 ≤ 18

Reference

Reference

Reference

Reference

 > 18

0.86 [0.55; 1.34]

1.18 [0.80; 1.74]

0.65 [0.46; 0.90]**

0.79 [0.58; 1.09]

MHLCS: internalk

 ≤ 22

1.17 [0.75; 1.83]

0.75 [0.52; 1.09]

1.07 [0.77; 1.48]

0.69 [0.51; 0.95]*

 > 22

Reference

Reference

Reference

Reference

MHLCS: powerful othersk

 ≤ 19

Reference

Reference

Reference

Reference

 > 19

0.98 [0.64; 1.50]

1.02 [0.71; 1.45]

1.38 [0.97; 1.96]

1.00 [0.72; 1.39]

MHLCS: chancek

 ≤ 18

Reference

Reference

Reference

Reference

 > 18

0.64 [0.41; 0.99]*

0.86 [0.60; 1.25]

0.72 [0.52; 1.00]

0.95 [0.70; 1.30]

Health literacy (HLS-EU-Q16)

Limited (≤ 12)

0.81 [0.53; 1.24]

0.87 [0.61; 1.24]

0.82 [0.59; 1.15]

0.89 [0.65; 1.22]

Sufficient (> 12)

Reference

Reference

Reference

Reference

Current cancer sequelae

Yes

0.83 [0.47; 1.46]

0.78 [0.50; 1.22]

  

No

Reference

Reference

  

Current cancer treatment

Yes

1.23 [0.73; 2.07]

0.89 [0.57; 1.39]

  

No

Reference

Reference

  

Response time since diagnosis

1 – 3 years

0.92 [0.52; 1.62]

0.75 [0.46; 1.23]

  

4 – 6 years

1.05 [0.60; 1.84]

1.07 [0.67; 1.70]

  

7 – 10 years

Reference

Reference

  

Ptrend

0.737

0.207

  

Mastectomy

Yes

0.55 [0.35; 0.87]*

0.81 [0.55; 1.20]

  

No

Reference

Reference

  

Radiation therapyl

Yes

0.72 [0.33; 1.57]

0.80 [0.41; 1.56]

  

No

Reference

Reference

  

Medical treatmentm

Yes

1.11 [0.66; 1.88]

1.41 [0.90; 2.21]

  

No

Reference

Reference

  
  1. *p < 0.05
  2. **p < 0.01
  3. ***p < 0.0001
  4. aOdds ratios and 95% confidence intervals. Models adjusted for same variables as in Table 4, footnote a
  5. bOdds ratios and 95% confidence intervals. Models adjusted for same variables as in Table 4, footnote b
  6. cLiving with partner or with a family member
  7. d “Neither comfortable nor in difficulty” or lower
  8. e “Comfortable and very comfortable”
  9. fNeurological problems: Parkinson disease, depression, psychological disorders requiring treatment, migraine, memory problems requiring treatment, other neurological disease
  10. gComorbidities: cardiovascular disease, neurovascular disease or diabetes
  11. hDiagnosis in the last 10 years
  12. iIn the last 12 months; apart from consultations related to cancer in BCSs
  13. jAgree that: “Cancer cannot be avoided”
  14. kMedian value
  15. lRadiation therapy or brachytherapy
  16. mMedical therapy: chemotherapy, hormone therapy, immunotherapy, targeted therapy or other drug therapy