An Examination of the Role of Socioeconomic Status in the Relationship Between Treatment Regret, Mental, Physical and Urological Health Indicators and Psychosocial Well-Being among Prostate Cancer Survivors

Abstract

While prostate cancer (PCa) survival is high, the side effects that accompany its various treatments are significant. This exploratory cross-sectional study assessed if the combined contribution of treatment regret, mental and physical health indicators are associated with the well-being of PCa survivors, and if disparities exist by socioeconomic status. Multivariable logistic regression analyses modelled four well-being domains (social/family, emotional, functional, and spiritual) based on six predictors (urinary, sexual, and bowel function; mental and physical health; and treatment regret) and four covariates (age, household income, education, and survivorship time). Interactions between age, household income and education and each of the four outcomes were assessed. Stratified analyses by these covariates were evaluated where significant interactions were observed. Social/family well-being was associated with bowel function, sexual function, and age; emotional well-being with sexual function; and functional well-being with bowel function, and sexual function. Important differences also exist for different socioeconomic groups.