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the final model was determined, the adjusted means for each cate-

gorical variable in the final model were obtained. The procedure

was repeated for each of the five subscale scores. The analysis

was performed in SAS Version 9.4 (SAS Institute Inc., Cary, NC).

RESULTS

The demographic and clinical characteristics of the

587 participants in this study are summarized in Table

I. The baseline survey included 222 participants; the

first follow-up survey included 528 participants; and

the second follow-up survey included 370 participants.

The mean age at diagnosis was 59.35 years (standard

deviation

5

10.16). Approximately 20% of participants

were African American, 76% were male, and 56% had a

TABLE I.

Distribution of Demographics and Clinical Characteristics of Indi-

viduals With Head and Neck Cancer.*

Demographic and Clinical Characteristics

Total

(N

5

587)

Race

White

79.90%

African-American

20.10%

Age at Diagnosis (years)

<

50

19.08%

50–64

49.23%

65–74

24.53%

75

1

7.16%

Income

$0 to

<

$20,000

29.30%

$20,000

1

66.44%

Number Supported in Household

1 to 3 individuals

85.35%

4 or more individuals

14.14%

Sex

Male

75.81%

Female

24.19%

Education

High school or less

56.39%

Some college

25.72%

College degree or higher

17.89%

Marital Status

Living with spouse or partner

64.57%

Living alone

35.43%

Health Insurance Coverage

None

10.39%

Private

43.78%

Government

32.71%

Multiple

13.12%

Tobacco Use (baseline, n

5

222)

Not at all

74.32%

A little bit

10.36%

Somewhat to very much

15.32%

Tobacco Use (follow-up 1, n

5

528)

Not at all

74.43%

A little bit

8.90%

Somewhat to very much

16.67%

Tobacco Use (follow-up 2, n

5

370)

Not at all

76.76%

A little bit

7.30%

Somewhat to very much

15.95%

Alcohol Use (baseline, n

5

222)

Not at all

75.23%

A little bit

11.26%

Somewhat to very much

13.51%

Alcohol Use (follow-up 1, n

5

528)

Not at all

57.20%

A little bit

25.76%

Somewhat to very much

17.05%

TABLE I.

(

Continued)

Demographic and Clinical Characteristics

Total

(N

5

587)

Alcohol Use (follow-up 2, n

5

370)

Not at all

52.43%

A little bit

26.49%

Somewhat to very much

21.08%

Body Mass Index

Underweight/normal

36.97%

Overweight

34.92%

Obese

28.11%

Comorbid Conditions (sum)

0

44.63%

1

1

55.37%

Cancer Type

Oral

52.64%

Laryngeal

37.65%

Pharyngeal

9.71%

Stage of Cancer

I

26.24%

II

17.04%

III

17.38%

IV

39.35%

Lymph Nodes

No

70.53%

Yes

28.79%

Feeding Tube

Yes (baseline, n

5

222)

24.32%

Yes (follow-up 1, n

5

521)

9.02%

Yes (follow-up 2, n

5

369)

4.88%

Received Radiation Treatment

No

22.83%

Yes

76.66%

Received Surgery

No

42.59%

Yes

57.24%

Received Chemotherapy

No

57.92%

Yes

41.23%

*At diagnosis and follow-up visits where indicated.

Reeve et al.: Factors Associated With Quality of Life

131