Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
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Associations between Quality of Life and Marital Status in Cancer Patients and Survivors

  • Han, Kyu-Tae (Department of Public Health, Graduate School, Yonsei University) ;
  • Kim, Sun Jung (Department of Public Health, Graduate School, Yonsei University) ;
  • Song, Haiyan (Department of Public Health, Graduate School, Yonsei University) ;
  • Chun, Sung-Youn (Department of Public Health, Graduate School, Yonsei University) ;
  • Kim, Chan Ok (Department of Public Health, Graduate School, Yonsei University) ;
  • Kim, Jung-Soo (Graduate School of Social Welfare, Yonsei University) ;
  • Park, Eun-Cheol (Institute of Health Services Research, Yonsei University College of Medicine)
  • Published : 2014.07.15
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Abstract

Background: The cancer survival rate in Korea has substantially increased, necessitating the management of not only patients with cancer but also longer term survivors. Although the divorce rate has drastically increased in Korea, there is not sufficient research regarding the relationship between changes in marital status and quality of life (QOL) in cancer patients and survivors. Thus, we aimed to examine the relationship between marital status and QOL in such cases. Materials and Methods: This study was performed using the Community Health Survey of 2008 administered by the Korea Centers for Disease Control and Prevention (N=169,328). We used t-tests and Chi-square tests to compare demographic variables between men and women, and analysis of variance (ANOVA) to compare QOL scores among comparison groups. We also performed a multilevel analysis on the relationship between QOL and marital status while accounting for provincial differences. Results: Decline of EuroQOL five dimensions (EQ-5D) in single patients with cancer was greater than in any other marital status group, but there was no statistically significant decline in survivors of cancer with regard to marital status. In the general population, the decline of EQ-5D was higher among single people than married people. Using the EuroQOL visual analog scale (EQ-VAS), single people had higher values than those of other marital status among both patients with cancer and survivors of cancer. In the general population, EQ-VAS values were higher for single people compared to married people. Conclusions: There may be a significant relationship between marital status and QOL in cancer patients and survivors. Policy interventions to manage patients with cancer who experience a decline in QOL as well as marital problems should be conducted.

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References

  1. Ainuddin HA, Loh SY, Low WY, et al (2012). Quality of life of multiethnic adolescents living with a parent with cancer. Asian Pac J Cancer Prev, 13, 6289-94. https://doi.org/10.7314/APJCP.2012.13.12.6289
  2. Ames BN, Gold LS, Willett WC (1995). The causes and prevention of cancer. P Natl Acad Sci, 92, 5258-65. https://doi.org/10.1073/pnas.92.12.5258
  3. Ashing-Giwa KT, Lim JW (2009). Examining the impact of socioeconomic status and socioecologic stress on physical and mental health quality of life among breast cancer survivors. In 'Oncology nursing forum'. Oncol Nurs Forum, 36, 79-88. https://doi.org/10.1188/09.ONF.79-88
  4. Bierman A (2009). Marital status as contingency for the effects of neighborhood disorder on older adults mental health. J Gerontol Soc Sci, 64, 425-34.
  5. Bottomley A (2002). The cancer patient and quality of life. The Oncol, 7, 120-5. https://doi.org/10.1634/theoncologist.7-2-120
  6. Burstrom K, Johannesson M, Diderichsen F (2001). Health-related quality of life by disease and socio-economic group in the general population in Sweden. Health Policy, 55, 51-69. https://doi.org/10.1016/S0168-8510(00)00111-1
  7. Caputo J (2013). Physical limitation and emotional well-being: gender and marital status variations. J Health Soc Behav, 54, 241-57. https://doi.org/10.1177/0022146513484766
  8. Cassileth BR, Soloway M, Vogelzang N, et al (1992). Quality of life and psychosocial status in stage D prostate cancer. Qual Life Res, 1, 323-30. https://doi.org/10.1007/BF00434946
  9. Chen M-L, Chu L, Chen H-C (2004). Impact of cancer patients' quality of life on that of spouse caregivers. Support Care Cancer, 12, 469-75.
  10. Cotten SR (1999). Marital status and mental health revisited: examining the importance of risk factors and resources. Family Relations, 225-33.
  11. Dorval M, Maunsell E, Deschenes L, et al (1998). Long-term quality of life after breast cancer: comparison of 8-year survivors with population controls. J Clin Oncol, 16, 487-94. https://doi.org/10.1200/JCO.1998.16.2.487
  12. Ezat WPS, Fuad I, Hayati Y, et al (2014). Observational study on patient's satisfactions and quality of life (QoL) Among cancer patients receiving treatment with palliative care intent in a tertiary hospital in Malaysia. Asian Pac J Cancer Prev, 15, 695-701. https://doi.org/10.7314/APJCP.2014.15.2.695
  13. Given BA, Given CW, Kozachik S (2001). Family support in advanced cancer. CA: A Cancer J Clin, 51, 213-31. https://doi.org/10.3322/canjclin.51.4.213
  14. Goodwin JS, Hunt WC, Key CR, Samet JM (1987). The effect of marital status on stage, treatment, and survival of cancer patients. Jama, 258, 3125-30. https://doi.org/10.1001/jama.1987.03400210067027
  15. Hung H-C, Chien T-W, Tsay S-L, et al (2013). Patient and clinical variables account for changes in health-related quality of life and symptom burden as treatment outcomes in colorectal cancer: a longitudinal study. Asian Pac J Cancer Prev, 14, 1905-09. https://doi.org/10.7314/APJCP.2013.14.3.1905
  16. Inaba A (2005). Depression in the United States and Japan: gender, marital status and SES patterns. Soc Sci Med, 61, 2280-92. https://doi.org/10.1016/j.socscimed.2005.07.014
  17. Karnell LH, Christensen AJ, Rosenthal EL, et al (2007). Influence of social support on health'related quality of life outcomes in head and neck cancer. Head Neck, 29, 143-6. https://doi.org/10.1002/hed.20501
  18. Kim SP, Bennett CL, Chan C, et al (1999). QOL and Outcomes research in prostate caneer patients with low socioeconomic status. Oncol Huntington, 13, 823-34.
  19. Kobayashi K, Morita S, Shimonagayoshi M, et al (2008). Effects of socioeconomic factors and cancer survivors' worries on their quality of life (QOL) in Japan. Psycho Oncol, 17, 606-11. https://doi.org/10.1002/pon.1278
  20. Korea Centers for Disease Control and Prevention. Community Health Survey. https://chs.cdc.go.kr/chs/index.do
  21. Korea Central Cancer Registry. Annual Report Of Cancer Statistics in Korea in 2011. http://ncc.re.kr/english/infor/kccr.jsp
  22. Kornblith AB, Herndon JE, Zuckerman E, et al (2001). Social support as a buffer to the psychological impact of stressful life events in women with breast cancer. Cancer, 91, 443-54. https://doi.org/10.1002/1097-0142(20010115)91:2<443::AID-CNCR1020>3.0.CO;2-Z
  23. Kravdal O (2001). The impact of marital status on cancer survival. Soc Sci Med, 52, 357-68. https://doi.org/10.1016/S0277-9536(00)00139-8
  24. Litwin MS, Hays RD, Fink A, et al (1995). Quality-of-life outcomes in men treated for localized prostate cancer. Jama, 273, 129-35. https://doi.org/10.1001/jama.1995.03520260051032
  25. Michael YL, Berkman LF, Colditz GA, et al (2002). Social networks and health-related quality of life in breast cancer survivors: a prospective study. J Psychosom Res, 52, 285-93. https://doi.org/10.1016/S0022-3999(01)00270-7
  26. Organization for Economic Cooperation and Development. OECD Family Database. http://www.oecd.org/els/family/SF3_1_Marriage_and_divorce_rate_Jan2014.pdf
  27. Parker PA, Baile WF, Moor Cd, Cohen L (2003). Psychosocial and demographic predictors of quality of life in a large sample of cancer patients. Psycho Oncol, 12, 183-93. https://doi.org/10.1002/pon.635
  28. Pourhoseingholi MA, Safaee A, Moghimi-Dehkordi B, et al (2008). Quality of life in breast cancer patients-a quantile regression analysis. Asian Pac J Cancer Prev, 9, 487-90.
  29. Sanda MG, Dunn RL, Michalski J, et al (2008). Quality of life and satisfaction with outcome among prostate-cancer survivors. New Engl J Med, 358, 1250-61. https://doi.org/10.1056/NEJMoa074311
  30. Statistics Korea (1995, 2000, 2005, 2012). Population and Housing Census.
  31. Statistics Korea (2000-2012). Population Trends Survey.
  32. Tabolli S (2012). Limited role of marital status in the impact of dermatological diseases on quality of life. Eur J Dermatol, 22, 672-7.
  33. Tahmasebi M, Yarandi F, Eftekhar Z, et al (2007). Quality of life in gynecologic cancer patients. Asian Pac J Cancer Prev, 8, 591-2.
  34. Wang K-Y (2011). Health-related quality of life and marital quality of vitiligo patients in China. J Eur Acad Dermatol Venereol, 25, 429-35. https://doi.org/10.1111/j.1468-3083.2010.03808.x
  35. Wang T-F (2013). Assessing the effects of oral health-related variables on quality of life in Taiwanese adults. Qual Life Res, 22, 811-25. https://doi.org/10.1007/s11136-012-0205-8
  36. Williams K (2003). Has the future of marriage arrived? A contemporary examination of gender, marriage, and psychological well-being. J Health Soc Behav, 44, 470-87. https://doi.org/10.2307/1519794

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