Table 4.

Unadjusted and adjusted analyses of factors associated with QOL

QOLUnadjustedAdjusted, n = 191
nMean (SD)Mean difference95% CIP valueMean difference95% CIP value
Clinically significant anxiety     <.001   .71 
Anxiety symptoms absent (HADS-A, <8) 96 74.7 (19.7) — —  — —  
Anxiety symptoms present (HADS-A, ≥8) 104 62.4 (20.4) −12.3 −17.9 to −6.7  −1.1 −6.6 to 4.5  
Clinically significant depression     <.001   <.001 
Depression symptoms absent (HADS-D, <8) 145 75.1 (18.3) — —  — —  
Depression symptoms present (HADS-D, ≥8) 55 50.6 (16.7) −24.5 −30.0 to −18.9  −22.0 −28.1 to −15.9  
Age group, y     .32    
≥60 111 67 (20.7) — —     
<60 89 69.9 (21.3) 3.0 −2.9 to 8.8     
Gender identity     .54    
Not female 109 69.1 (19.4) — —     
Female 91 67.3 (22.7) −1.8 −7.7 to 4.0     
Marital status     .52    
Married/living with partner 148 68.9 (20.9) — —     
Other 52 66.7 (21.3) −2.2 −8.9 to 4.5     
Highest level of education achieved     .83    
Bachelor degree or higher 127 68.1 (19.5) — —     
Less than Bachelor degree 73 68.7 (23.3) 0.7 −5.4 to 6.7     
Religion/spiritual practice     .040   .006 
Has a religion/spiritual practice 161 69.8 (21) — —  — —  
No religion/spiritual practice 39 62.2 (19.8) −7.6 −14.9 to −0.3  −8.5 −14.7 to −2.4  
Race     .070    
White 170 69.4 (20.7) — —     
Non-White 30 61.9 (21.7) −7.5 −15.6 to 0.6     
Ethnicity     .91    
Not Hispanic or Latinx 188 68.2 (21) — —     
Hispanic or Latinx 11 67.4 (19.9) −0.8 −13.5 to 12.0     
Monthly household income, $     .090    
≥7000 88 70.5 (20) — —     
<7000 98 65.4 (21.4) −5.2 −11.2 to 0.8     
Family finances at end of month      .003    
Some money left over 126 71.6 (19.9) — —     
Just enough/not enough money left over 64 62.3 (21.5) −9.3 −15.4 to −3.1     
Satisfaction with family finances     <.001   .004 
Completely/very satisfied 102 74.5 (18.7) — —  — —  
Moderately/slightly/not satisfied 93 61.4 (21.2) −13.1 −18.7 to −7.5  −7.7 −12.9 to −2.4  
Social support score     .002   .97 
Greater than median (higher levels of support) 100 72.6 (20.2) — —  — —  
Less than or equal to median (lower levels of support) 99 63.7 (20.7) −8.8 −14.5 to −3.1  0.1 −5.1 to 5.3  
Chemotherapy started before study consent     .28    
Yes 75 66.6 (19.1) — —     
No 123 69.9 (21.8) 3.3 −2.7 to 9.3     
Medical mistrust score     .045   .44 
Greater than median (lower levels of mistrust) 87 71.6 (20.8) — —  — —  
Less than or equal to median (higher levels of mistrust) 112 65.6 (20.8) −6.0 −11.8 to −0.1  −2.0 −7.2 to 3.1  
QOLUnadjustedAdjusted, n = 191
nMean (SD)Mean difference95% CIP valueMean difference95% CIP value
Clinically significant anxiety     <.001   .71 
Anxiety symptoms absent (HADS-A, <8) 96 74.7 (19.7) — —  — —  
Anxiety symptoms present (HADS-A, ≥8) 104 62.4 (20.4) −12.3 −17.9 to −6.7  −1.1 −6.6 to 4.5  
Clinically significant depression     <.001   <.001 
Depression symptoms absent (HADS-D, <8) 145 75.1 (18.3) — —  — —  
Depression symptoms present (HADS-D, ≥8) 55 50.6 (16.7) −24.5 −30.0 to −18.9  −22.0 −28.1 to −15.9  
Age group, y     .32    
≥60 111 67 (20.7) — —     
<60 89 69.9 (21.3) 3.0 −2.9 to 8.8     
Gender identity     .54    
Not female 109 69.1 (19.4) — —     
Female 91 67.3 (22.7) −1.8 −7.7 to 4.0     
Marital status     .52    
Married/living with partner 148 68.9 (20.9) — —     
Other 52 66.7 (21.3) −2.2 −8.9 to 4.5     
Highest level of education achieved     .83    
Bachelor degree or higher 127 68.1 (19.5) — —     
Less than Bachelor degree 73 68.7 (23.3) 0.7 −5.4 to 6.7     
Religion/spiritual practice     .040   .006 
Has a religion/spiritual practice 161 69.8 (21) — —  — —  
No religion/spiritual practice 39 62.2 (19.8) −7.6 −14.9 to −0.3  −8.5 −14.7 to −2.4  
Race     .070    
White 170 69.4 (20.7) — —     
Non-White 30 61.9 (21.7) −7.5 −15.6 to 0.6     
Ethnicity     .91    
Not Hispanic or Latinx 188 68.2 (21) — —     
Hispanic or Latinx 11 67.4 (19.9) −0.8 −13.5 to 12.0     
Monthly household income, $     .090    
≥7000 88 70.5 (20) — —     
<7000 98 65.4 (21.4) −5.2 −11.2 to 0.8     
Family finances at end of month      .003    
Some money left over 126 71.6 (19.9) — —     
Just enough/not enough money left over 64 62.3 (21.5) −9.3 −15.4 to −3.1     
Satisfaction with family finances     <.001   .004 
Completely/very satisfied 102 74.5 (18.7) — —  — —  
Moderately/slightly/not satisfied 93 61.4 (21.2) −13.1 −18.7 to −7.5  −7.7 −12.9 to −2.4  
Social support score     .002   .97 
Greater than median (higher levels of support) 100 72.6 (20.2) — —  — —  
Less than or equal to median (lower levels of support) 99 63.7 (20.7) −8.8 −14.5 to −3.1  0.1 −5.1 to 5.3  
Chemotherapy started before study consent     .28    
Yes 75 66.6 (19.1) — —     
No 123 69.9 (21.8) 3.3 −2.7 to 9.3     
Medical mistrust score     .045   .44 
Greater than median (lower levels of mistrust) 87 71.6 (20.8) — —  — —  
Less than or equal to median (higher levels of mistrust) 112 65.6 (20.8) −6.0 −11.8 to −0.1  −2.0 −7.2 to 3.1  

Mean differences (ie, β coefficients) from univariable and multivariable linear regression; mean differences of >0 correspond to better QOL.

Only 7 of 64 participants with “just enough” or “not enough money left over” at the end of the month were completely/very satisfied with their family finances. Because of this overlap, “satisfaction with family finances” was included in the multivariable model, whereas “family finances at end of the month” was not included in the model.

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