title: Health and well-being in older married female cancer survivors.
abstract: OBJECTIVE
  To investigate differences between older married female cancer survivors and a matched comparison sample on physical health and on effects of health on depressive symptomatology.
  
  
  METHODS
  National survey data from the 1992 Health and Retirement Study.
  
  
  METHODS
  Married women who reported having been diagnosed with cancer (N=245) and married women who did not report a cancer diagnosis but who matched the survivors on age, race, and ethnicity (N=245).
  
  
  METHODS
  Outcome measure was depressive symptomatology (modified CES-D). Predictors were multiple indicators of health and demographic characteristics.
  
  
  RESULTS
  Cancer survivors reported significantly worse health on all indicators but not higher depressive symptomatology after health and demographics were controlled. Predictors of higher depression were fatigue, pain, and lower education. These effects did not differ between groups.
  
  
  CONCLUSIONS
  Health impairment in cancer survivors highlights the need for ongoing follow-up care. Survivorship was associated indirectly with higher depressive symptomatology through its relationship with health impairment.
authors.affiliation: Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, OH 44106-7164, USA. alt7@cwru.edu
authors.forename: Aloen L
authors.initials: AL
authors.lastname: Townsend
authors.forename: Karen J
authors.initials: KJ
authors.lastname: Ishler
authors.forename: Karen F
authors.initials: KF
authors.lastname: Bowman
authors.forename: Julia Hannum
authors.initials: JH
authors.lastname: Rose
authors.forename: Nicole Juszczak
authors.initials: NJ
authors.lastname: Peak
mesh_terms: D000367:Age Factors; D016022:Case-Control Studies; D003866:Depressive Disorder / Q000453:epidemiology*; D005260:Female; D006304:Health Status; D006305:Health Status Indicators; D006306:Health Surveys; D006801:Humans; D008393:Marriage / Q000523:psychology*; D008875:Middle Aged; D009369:Neoplasms / Q000150:complications* / Q000401:mortality / Q000523:psychology*; D011237:Predictive Value of Tests; D012307:Risk Factors; D017741:Survivors / Q000523:psychology*; D014481:United States