Social determinants and quality of life in breast cancer: evidence from a Mexican population
DOI:
https://doi.org/10.24054/cbs.v3i4.4180Keywords:
Quality of life, social determinants, breast cancer, chemotherapy, MexicoAbstract
Introduction: Cancer is a public health problem being the second leading cause of mortality worldwide. In Mexico, the incidence was 195,499 in 2020, being breast cancer (BC) the one that most affects Mexican women. Objective: To analyze the social determinants that have the greatest impact on the quality of life (QoL) of patients with breast cancer treated in a Mexican hospital Material and methods: Analytical cross-sectional study, with patients aged 18 years and older diagnosed with BC in the last 36 months in stage I-III, who received medical care and chemotherapy at the Leon General Hospital. Three instruments were used: 1) the QLQ-30 (QLQ-30), 2) its complement for BC (QLQ-BR-23), both elaborated by the European Organisation for Research and Treatment of Cancer, and 3) questionnaire elaborated for social determinants. Results: 73 participants. Neoadjuvant chemotherapy caused more pain (p-value=0.021). Global CV score 77.62. Having a partner was associated with better sexual functioning (p=0.023), not owning a home increased breast cancer (p=0.030), lower family income increased nausea and vomiting, better body image and worse sexual functioning (p=0.020, 0.053, 0.007 respectively). Positive association with CV physical, emotional and social functioning; and concern for future (p=0.015, 0.006, 0.005 and 0.037 respectively), negatively: fatigue, pain, body image and side effects to treatment (p-value=0.004, 0.003,0.023 and 0.006 respectively). Conclusions: It was found that the factors that significantly influenced the participants' QoL were having a partner, not owning a home, and lower family income. The factors that had a negative association with participants' QoL were fatigue and pain, body image items, side effects of systemic therapy and worry about the future.
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