Survivorship, Danish Cancer Society Research Center, Copenhagen, Denmark.
Pediatrics. 2012 May;129(5):e1187-91. doi: 10.1542/peds.2011-2657. Epub 2012 Apr 9.
The purpose of this study was to determine the risk for separation (ending cohabitation) of the parents of a child with a diagnosis of cancer.
In a nationwide cohort, we compared the risk for ending cohabitation of the parents of 2450 children (aged 0-20 years) given a diagnosis of cancer with the risk of parents of 44 853 randomly selected, gender- and age-matched cancer-free children. We adjusted for socioeconomic position and demographic factors. Rate ratios and 95% confidence intervals for separation were estimated in a Cox proportional hazards model.
The parents of children with cancer did not have a higher risk for separation than the general population (rate ratio: 1.00 [95% confidence interval: 0.91-1.10]). Separate analyses according to type of cancer and survival of the child similarly yielded null results.
Experiencing cancer in a child does not seem to be a risk factor for separation. Our study will allow clinicians to reassure parents and to support them in facing the trauma of cancer in their child.
本研究旨在确定儿童癌症诊断后父母分居（结束同居）的风险。
在全国性队列中，我们比较了 2450 名（0-20 岁）儿童的父母与 44853 名随机选择的、性别和年龄匹配的无癌症儿童的父母结束同居的风险。我们调整了社会经济地位和人口统计学因素。使用 Cox 比例风险模型估计分离的率比和 95%置信区间。
癌症患儿的父母分居风险并未高于一般人群（率比：1.00 [95%置信区间：0.91-1.10]）。根据癌症类型和儿童生存情况的单独分析也得出了相同的结果。
儿童患癌症似乎不是分居的风险因素。我们的研究将使临床医生能够安抚父母，并支持他们面对孩子癌症带来的创伤。
