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Quality of Life in Malay and Chinese Women Newly Diagnosed with Breast Cancer in Kelantan, Malaysia

  • Yusuf, Azlina (Department of Dental Public Health, School of Dental Sciences, Universiti Sains Malaysia) ;
  • Hadi, Imi Sairi Ab. (Department of Surgery, Hospital Raja Perempuan Zainab II) ;
  • Mahamood, Zainal (Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia) ;
  • Ahmad, Zulkifli (Department of Dental Public Health, School of Dental Sciences, Universiti Sains Malaysia) ;
  • Keng, Soon Lean (Nursing Programme, School of Health Sciences, Universiti Sains Malaysia)
  • Published : 2013.01.31

Abstract

Background: Breast cancer is the leading cause of cancer-related death among women in Malaysia. A diagnosis is very stressful for women, affecting all aspects of their being and quality of life. As such, there is little information on quality of life of women with breast cancer across the different ethnic groups in Malaysia. The purpose of this study was to examine the quality of life in Malay and Chinese women newly diagnosed with breast cancer in Kelantan. Materials and Methods: A descriptive study involved 58 Malays and 15 Chinese women newly diagnosed with breast cancer prior to treatment. Quality of life was measured using the Malay version of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) and its breast-specific module (QLQ-BR23). Socio-demographic and clinical data were also collected. All the data were analyzed using SPSS version 20.0. Results: Most of the women were married with at least a secondary education and were in late stages of breast cancer. The Malay women had lower incomes (p=0.046) and more children (p=0.001) when compared to the Chinese women. Generally, both the Malay and Chinese women had good functioning quality-of-life scores [mean score range: 60.3-84.8 (Malays); 65.0-91.1 (Chinese)] and global quality of life [mean score 60.3, SD 22.2 (Malays); mean score 65.0, SD 26.6 (Chinese)]. The Malay women experienced more symptoms such as nausea and vomiting (p=0.002), dyspnoea (p=0.004), constipation (p<0.001) and breast-specific symptoms (p=0.041) when compared to the Chinese. Conclusions: Quality of life was satisfactory in both Malays and Chinese women newly diagnosed with breast cancer in Kelantan. However, Malay women had a lower quality of life due to high general as well as breast-specific symptoms. This study finding underlined the importance of measuring quality of life in the newly diagnosed breast cancer patient, as it will provide a broader picture on how a cancer diagnosis impacts multi-ethnic patients. Once health care professionals understand this, they might then be able to determine how to best support and improve the quality of life of these women during the difficult times of their disease and on-going cancer treatments.

Keywords

References

  1. Ahamed SV (1999). Interpretation of the meaning of the glorious Qur'an. Kuala Lumpur: TR Group of Companies.
  2. Ariff KM, Beng, KS (2006). Cultural health beliefs in a rural family practice: a Malaysian perspective. Aust J Rural Health, 14, 2-8. https://doi.org/10.1111/j.1440-1584.2006.00747.x
  3. Chen PCY (1981). Traditional and modern medicine in Malaysia. social science and medicine. Medical Psychology Medical Sociology, 15, 127-36.
  4. Department of Statistics Malaysia (2010). Population distribution and basic demographic characteristics.
  5. Fayers PM, Aaronson NK, Bjordal K, et al (2001). The EORTC QLQ-C30 Scoring Manual. 3rd ed. ed. Brussels: European Organization for Research and Treatment of Cancer.
  6. Green NM (2010). Nausea, pregnancy sickness and the role of dietary protein. [Online] Available from:http://www.pregnancysicknesssupport.org.uk/documents/conference_papers/ Green-Nausea_pregnancy_dietary_protein_final.pdf [Accessed 20 November 2012].
  7. Hishamshah M, Rashid A, Mustaffa W, Haroon R, Badaruddin N (2011). Belief and practices of traditional post partum care among a rural community in Penang Malaysia. The Internet J Third World Med, 9.
  8. Ibrahim NI, Dahlui M, Aina EN, Al-Sadat N (2012). Who are the breast cancer survivors in Malaysia? Asian Pac J Cancer Pre, 13, 2213-8. https://doi.org/10.7314/APJCP.2012.13.5.2213
  9. Kleinman A, Eisenberg L, Good B (2006). Culture, illness, and care: clinical lessons from anthropologic and cross-cultural research. Focus, 4, 140. https://doi.org/10.1176/foc.4.1.140
  10. Lam WT, Fielding R (2003). The evolving experience of illness for Chinese women with breast cancer: a qualitative study. Psycho-Oncol, 12, 127-40. https://doi.org/10.1002/pon.621
  11. Lemieux J, Maunsell E, Provencher L (2008). Chemotherapy-induced alopecia and effects on quality of life among women with breast cancer: a literature review. Psycho-Oncol, 17, 317-28. https://doi.org/10.1002/pon.1245
  12. Leong B, Chuah J, Kumar V, et al (2009). Trends of breast cancer treatment in Sabah, Malaysia: a problem with lack of awareness. Singapore Med J, 50, 772-6.
  13. Lin L, Zakaria NS, Mamat NM (2011). Health-Related Quality Of Life Profile In Relation To Chemotherapy-Induced Nausea And Vomiting Among Breast Cancer Patients. ASEAN J Psychiatry, 13(1).
  14. Lua PL, Zakaria NS, Mamat NM (2012). Health-related quality of life profile in relation to chemotherapy-induced nausea and vomiting among breast cancer patients. ASEAN J Psyhiatry, 13, 1.
  15. Martini FH, Nath JL, Bartholomew EF (2012). Fundamentals of Anatomy and Physiology. 9th ed. San Francisco: Pearson Education Inc.
  16. Montazeri A (2008). Health-related quality of life in breast cancer patients: a bibliographic review of the literature from 1974-2007. J Exp Clin Cancer Res, 27, 32. https://doi.org/10.1186/1756-9966-27-32
  17. Montazeri A, Vahdaninia M, Harirchi I, et al (2008). Quality of life in patients with breast cancer before and after diagnosis: an eighteen months follow-up study. BioMed Central Cancer, 8, 330.
  18. Norsa’adah B, Rampal K, Rahmah M, Naing N, Biswal B (2011). Diagnosis delay of breast cancer and its associated factors in Malaysian women. BMC Cancer, 11, 141. https://doi.org/10.1186/1471-2407-11-141
  19. Pathy NB, Yip CH, Taib NA, et al (2011). Breast cancer in a multi-ethnic Asian setting: results from the Singapore-Malaysia hospital-based breast cancer registry. Breast, 20, 75-80.
  20. Soon LK (2009). Traditional postpartum beliefs and practices among Malays and Chinese in Malaysia vis-a-vis midwifery practice, Flinders University of South Australia, Adelaide.
  21. Taleghani F, Yekta ZP, Nasrabadi AN, Kappeli S (2008). Adjustment process in Iranian women with breast cancer. Cancer Nur, 31, 32. https://doi.org/10.1097/01.NCC.0000305674.06211.03
  22. Wee HL, Li SC, Cheung YB, Fong KY, Thumboo J (2006). The influence of ethnicity on health-related quality of life in diabetes mellitus: A population-based, multiethnic study. J Diabetes Complications, 20, 170-8. https://doi.org/10.1016/j.jdiacomp.2005.06.010
  23. Wong-Kim E, Sun A, Merighi JR, Chow EA (2005). Understanding quality-of-life issues in Chinese women with breast cancer: a qualitative investigation. Cancer Control, 12, 6-12.
  24. Yip CH, Taib N, Mohamed I (2006). Epidemiology of breast cancer in Malaysia. Asian Pac J Cancer Prev, 7, 369.
  25. Yusoff N (2009). Quality of life, interpersonal relationships and coping strategies of the women with breast cancer and their husbands, University of Malaya, Kuala Lumpur.
  26. Yusoff N, Low W, Yip C (2012a). Psychometric properties of the Malay version of the breast module (BR23). Singapore Med J, 53, 36.
  27. Yusoff N, Low WY, Yip CH (2010). The Malay version of the European organization for research and treatment of cancer quality of life questionnaire (EORTC-QLQ C30): realibility and validity study. Int Med J Malaysia, 9, 45-50.
  28. Yusoff N, Reiko Yap, KM, Ahmad A (2012b). Husbands’ experience with their wives’ breast cancer: a qualitative study. Malaysian J Public Health Med, 12, 31-8.
  29. Zainal AO, Nor Saleha IT (2011). Malaysia Cancer Statistics Data and Figure 2007. Putrajaya: National Cancer Registry, Ministry of Health, Malaysia.
  30. Zamani A (2001). Traditional practices in postnatal care: the Malay community in Malaysia. Trinity Student Med J, 2, 30-1.
  31. Zhan L (2006). Quality of life: conceptual and measurement issues. J Adv Nur, 17, 795-800.

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