Rauck A M, Green D M, Yasui Y, Mertens A, Robison L L
Department of Pediatrics, Ohio State University College of Medicine, Columbus, USA.
Med Pediatr Oncol. 1999 Jul;33(1):60-3. doi: 10.1002/(sici)1096-911x(199907)33:1<60::aid-mpo11>3.0.co;2-h.
The goal of this paper is to provide a preliminary description of the marital status for a large number of childhood cancer survivors participating in the Childhood Cancer Survivor Study (CCSS).
This report includes children and adolescents (< 21 years of age) diagnosed with cancer between 1970 and 1986 at 25 oncology centers in the United States and Canada who survived at least 5 years from diagnosis. Self-reported data from 10,425 survivors are used in this preliminary descriptive summary. The proportion of survivors ever married and divorced/separated is compared to the U.S. population according to age-specific groups. The median age of the survivor population at diagnosis was 7 years and 26 years at the time martial status was ascertained. Excluded from this assessment are children < 15 years of age at the time of study, those whose martial status was unknown, and those married prior to diagnosis. Data for marital status of the U.S. population, as tabulated in the Bureau of Census 1995 Update, is used as a general comparison to the survivor population.
Overall, 32% of the survivors reported being married or living as married, 6% being divorced or separated, 0% being widowed, and 62% having never been married. In general, compared to the U.S. population, survivors were less likely to have ever married, particularly females and whites, but, once married, were less likely to divorce/separate, again particularly females and whites. Black survivors were generally found to be more likely to have married, with males and blacks more likely to divorce/separate once married. Comparison of childhood tumor types suggested that survivors of CNS tumors, particularly males, were less likely to have ever married and more likely to divorce/separate compared to those with other cancer diagnoses and the general U.S. population.
This interim evaluation of the CCSS cohort provided preliminary data describing a suggested decreased likelihood of marriage, which may be influenced by gender and/or race. These patterns must be confirmed within the entire CCSS cohort and comparisons made with an appropriate sibling comparison group before making final conclusions.
本文旨在初步描述大量参与儿童癌症幸存者研究（CCSS）的儿童癌症幸存者的婚姻状况。
本报告纳入了1970年至1986年间在美国和加拿大25个肿瘤中心被诊断患有癌症、诊断后至少存活5年的儿童和青少年（<21岁）。本初步描述性总结使用了10425名幸存者的自我报告数据。将曾经结婚和离婚/分居的幸存者比例按特定年龄组与美国人口进行比较。幸存者群体诊断时的中位年龄为7岁，确定婚姻状况时为26岁。本评估排除了研究时年龄<15岁的儿童、婚姻状况不明的儿童以及诊断前结婚的儿童。美国人口婚姻状况数据（如1995年人口普查局更新表格所示）用作与幸存者群体的总体比较。
总体而言，32%的幸存者报告已婚或处于婚姻生活状态，6%离婚或分居，0%丧偶，62%从未结婚。一般来说，与美国人口相比，幸存者结婚的可能性较小，尤其是女性和白人，但一旦结婚，离婚/分居的可能性较小，同样尤其是女性和白人。黑人幸存者通常结婚的可能性更大，男性和黑人一旦结婚离婚/分居的可能性更大。儿童肿瘤类型的比较表明，与其他癌症诊断患者和美国总体人口相比，中枢神经系统肿瘤幸存者，尤其是男性，结婚的可能性较小，离婚/分居的可能性较大。
对CCSS队列的这一中期评估提供了初步数据来描述结婚可能性降低的情况，这可能受性别和/或种族影响。在得出最终结论之前，这些模式必须在整个CCSS队列中得到证实，并与合适的同胞对照组进行比较。
