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Supportive Care in Cancer

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01-03-2009 | Original Article

Age-specific correlates of quality of life in Chinese women with cervical cancer

Authors: Beatrice P. Y. Lai, Catherine So-kum Tang, Tony K. H. Chung

Published in: Supportive Care in Cancer | Issue 3/2009

Abstract

Goals of work

The objective of the study was to examine quality of life (QOL) and its age-specific factors in cervical cancer patients at different stages of life.

Materials and methods

One hundred and seventy-three Chinese patients with cervical cancer were surveyed by telephone. QOL was assessed with the WHO Quality of Life Scale—Chinese/Hong Kong (HK) version (WHOQOL-BREF-HK) and compared across age groups. Using multiple regression analyses, demographic and medical factors that were independently associated with QOL outcomes in each age group were identified.

Main results

The age groups did not differ in the level of QOL, except for the social relationship domain. Older patients reported poorer social functioning than younger patients. Different factors were associated with QOL outcomes in different age groups. For patients in young adulthood, employment and education level were positively associated with QOL. For patients in midlife adulthood, time since diagnosis and stage of cancer were positively associated with QOL. For patients in aging adulthood, QOL was negatively associated with age, physical morbidity, and a history of termination of pregnancy. However, having a partner and possessing religious belief were positively associated with QOL.

Conclusions

Patient’s age had a significant impact on the experience of QOL. Older patients had poorer social relationships than younger patients. Religion seemed to have a protective effect against poor social functioning in aging patients.

Beekman ATF, Deeg DJH, Smit JH, van Tilburg W (1997) Consequences of major and minor depression in later life: a study of disability, well-being and service utilization. Psychol Med 27:1397–1409 doi:10.1017/S0033291797005734 PubMedCrossRef

Bodurka-Bevers D, Basen-Engquist K, Carmack CL, Fitzgerald MA, Wolf JK, de Moor C et al (2000) Depression, anxiety, and quality of life in patients with epithelial ovarian cancer. Gynecol Oncol 78:302–308 doi:10.1006/gyno.2000.5908 PubMedCrossRef

Bradley S, Rose S, Lutgendorf S, Costanzo E, Anderson B (2006) Quality of life and mental health in cervical and endometrial cancer survivors. Gynecol Oncol 100:479–486 doi:10.1016/j.ygyno.2005.08.023 PubMedCrossRef

Breetvelt IS, Van Dam FSAM (1991) Underreporting by cancer patients: the case of response shift. Soc Sci Med 32:981 doi:10.1016/0277-9536(91)90156-7 PubMedCrossRef

Burns LH (2000) Gynecologic oncology. In: Stotland NL, Stewart DE (eds) Psychological aspects of women’s health care: the interface between psychiatry and obstetrics and gynecology. American Psychiatric, Washington, DC, pp 307–330

Chan CW, Molassiotis A, Yam BM, Chan SJ, Lam CS (2001) Traveling through the cancer trajectory: social support perceived by women with gynecologic cancer in Hong Kong. Cancer Nurs 24:387–394 doi:10.1097/00002820-200110000-00011 PubMedCrossRef

Danis M, Patrick DL, Southerland LI, Green ML (1988) Patients’ and families’ preferences for medical intensive care. JAMA 260:797–802 doi:10.1001/jama.260.6.797 PubMedCrossRef

Erikson EH (1963) Childhood and society, 2nd edn. Norton, New York

Gioiella ME, Berkman B, Robinson M (1998) Spirituality and quality of life in gynecologic oncology patients. Cancer Pract 6:333–338 doi:10.1046/j.1523-5394.1998.006006333.x PubMedCrossRef

10.

Greimel ER, Freidl W (2000) Functioning in daily living and psychological well-being of female cancer patients. J Psychosom Obstet Gynaecol 21:25–30 doi:10.3109/01674820009075605 PubMedCrossRef

11.

Harden JK, Northouse LL, Mood DW (2006) Qualitative analysis of couples’ experience with prostate cancer by age cohort. Cancer Nurs 29:367–377 doi:10.1097/00002820-200609000-00004 PubMedCrossRef

12.

Hong Kong Census and Statistics Department (2007) Women and men in Hong Kong key statistics: 2007 edition. Hong Kong Census and Statistics Department, Hong Kong

13.

Jones GL, Ledger W, Bonnett TJ, Radley S, Parkinson N, Kennedy SH (2006) The impact of treatment for gynecological cancer on health-related quality of life (HRQoL): a systematic review. Am J Obstet Gynecol 194:26–42 doi:10.1016/j.ajog.2005.04.060 PubMedCrossRef

14.

Kahn JA, Slap GB, Bernstein DI, Tissot AM, Kollar LM, Hillard PA et al (2007) Personal meaning of human papillomavirus and pap test results in adolescent and young adult women. Health Psychol 26:192–200 doi:10.1037/0278-6133.26.2.192 PubMedCrossRef

15.

Klee M, Thranov I, Machin D (2000) Life after radiotherapy: the psychological and social effects experienced by women treated for advanced stages of cervical cancer. Gynecol Oncol 76:5–13 doi:10.1006/gyno.1999.5644 PubMedCrossRef

16.

Kuhn CC (1988) A spiritual inventory of the medically ill patient. Psychiatr Med 6:87–100PubMed

17.

Le T, Leis A, Pahwa P, Wright K, Ali K, Reeder B et al (2004) Quality of life evaluations in patients with ovarian cancer during chemotherapy treatment. Gynecol Oncol 92:839–844 doi:10.1016/j.ygyno.2003.11.034 PubMedCrossRef

18.

Lee PWH, Kwan TTC, Tam KF, Chan KKL, Young PMC, Lo SST et al (2007) Beliefs about cervical cancer and human papollomavirus (HPV) and acceptability of HPV vaccination among Chinese women in Hong Kong. Prev Med 45:130–134 doi:10.1016/j.ypmed.2007.07.013 PubMedCrossRef

19.

Leung KF, Tay M, Cheng SSW, Lin F (1997) Hong Kong Chinese version World Health Organization quality of life measure. Abbreviated version. Hong Kong Project Team on the Development of the Hong Kong Chinese version of WHOQOL, Hong Kong Hospital Authority, Hong Kong

20.

Leung KF, Wong WW, Tay MSM, Chu MML, Ng SSW (2005) Development and validation of the interview version of the Hong Kong Chinese WHOQOL-BREF. Qual Life Res 14:1413–1419 doi:10.1007/s11136-004-4772-1 PubMedCrossRef

21.

Li C, Samsioe G, Iosif C (1999) Quality of life in long-term survivors of cervical cancer. Maturitas 32:95–102 doi:10.1016/S0378-5122(99)00020-1 PubMedCrossRef

22.

Miller BE, Pittman B, Case D, McQuellon RP (2002) Quality of life after treatment for gynecologic malignancies: a pilot study in an outpatient clinic. Gynecol Oncol 87:178–184 doi:10.1006/gyno.2002.6812 PubMedCrossRef

23.

Molassiotis A, Chan CWH, Yam BMC, Chan SJ (2000) Quality of life in Chinese women with gynecological cancers. Support Care Cancer 8:414–422 doi:10.1007/s005200050011 PubMedCrossRef

24.

Mulsant BH, Ganguli M (1999) Epidemiology and diagnosis of depression in late life. J Clin Psychiatry 60:9–15PubMed

25.

Newman B, Newman P (1999) Development through life: a psychosocial approach. Wadsworth, Belmont, CA

26.

Nordin AJ, Dixon S, Chinn DJ, Moloney I, Naik R, De Barros Lopes A et al (2000) Attitudes to radical gynecological oncology surgery in the elderly: a pilot study. Int J Gynecol Cancer 10:323 doi:10.1046/j.1525-1438.2000.010004323.x PubMedCrossRef

27.

Rowland J (1990) Developmental states and adaptation: adult model. Oxford University Press, New York

28.

Smith ED, Stefanek ME, Joseph MV, Verieck MJ, Zabora JR, Fetting JH (1993) Spiritual awareness, personal perspective on death, and psychological distress among cancer patients: an initial investigation. J Psychosoc Oncol 11:89–103 doi:10.1300/J077V11N03_05 CrossRef

29.

Sprangers MA, Schwarz CE (1999) Integrating response shift into health-related quality-of-life research: a theoretical model. Soc Sci Med 48:1507–1515 doi:10.1016/S0277-9536(99)00045-3 PubMedCrossRef

30.

Wenzel L, Dealba I, Habbal R, Kluhsman BC, Fairclough D, Krebs LU et al (2005) Quality of life in long-term cervical cancer survivors. Gynecol Oncol 97:310–317 doi:10.1016/j.ygyno.2005.01.010 PubMedCrossRef

31.

Zhao H, Kanda K, Liu SJ, Mao XY (2003) Evaluation of quality of life in Chinese patients with gynaecological cancer: assessments by patients and nurses. Int J Nurs Pract 9:40–48 doi:10.1046/j.1440-172X.2003.00401.x PubMedCrossRef

Title: Age-specific correlates of quality of life in Chinese women with cervical cancer
Authors: Beatrice P. Y. Lai
Catherine So-kum Tang
Tony K. H. Chung
Publication date: 01-03-2009
Publisher: Springer-Verlag
Published in: Supportive Care in Cancer / Issue 3/2009
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-008-0473-6

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Abstract

Goals of work

Materials and methods

Main results

Conclusions

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