Swiss Childhood Cancer Registry, Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.
Pediatr Blood Cancer. 2014 Mar;61(3):538-45. doi: 10.1002/pbc.24821. Epub 2013 Oct 18.
Life partnerships other than marriage are rarely studied in childhood cancer survivors (CCS). We aimed (1) to describe life partnership and marriage in CCS and compare them to life partnerships in siblings and the general population; and (2) to identify socio-demographic and cancer-related factors associated with life partnership and marriage.
As part of the Swiss Childhood Cancer Survivor Study (SCCSS), a questionnaire was sent to all CCS (aged 20-40 years) registered in the Swiss Childhood Cancer Registry (SCCR), aged <16 years at diagnosis, who had survived ≥ 5 years. The proportion with life partner or married was compared between CSS and siblings and participants in the Swiss Health Survey (SHS). Multivariable logistic regression was used to identify factors associated with life partnership or marriage.
We included 1,096 CCS of the SCCSS, 500 siblings and 5,593 participants of the SHS. Fewer CCS (47%) than siblings (61%, P < 0.001) had life partners, and fewer CCS were married (16%) than among the SHS population (26%, P > 0.001). Older (OR = 1.14, P < 0.001) and female CCS (OR = 1.85, <0.001) were more likely to have life partners. CCS who had undergone radiotherapy, bone marrow transplants (global P Treatment = 0.018) or who had a CNS diagnosis (global P Diagnosis < 0.001) were less likely to have life partners.
CCS are less likely to have life partners than their peers. Most CCS with a life partner were not married. Future research should focus on the effect of these disparities on the quality of life of CCS.
除婚姻以外的生活伴侣在儿童癌症幸存者（CCS）中很少被研究。我们的目的是：（1）描述 CCS 的生活伴侣和婚姻状况，并与兄弟姐妹和一般人群进行比较；（2）确定与生活伴侣和婚姻相关的社会人口学和癌症相关因素。
作为瑞士儿童癌症幸存者研究（SCCSS）的一部分，我们向所有在瑞士儿童癌症登记处（SCCR）注册的、诊断时年龄<16 岁、且生存时间≥5 年的 20-40 岁的 CCS 发送了一份调查问卷。我们比较了 CCS、兄弟姐妹和瑞士健康调查（SHS）参与者中拥有生活伴侣或已婚的比例。多变量逻辑回归用于确定与生活伴侣或婚姻相关的因素。
我们纳入了 SCCSS 的 1096 名 CCS、500 名兄弟姐妹和 5593 名 SHS 参与者。与兄弟姐妹（61%）相比，CCS 拥有生活伴侣的比例较低（47%）（P<0.001），而与 SHS 人群相比（26%），CCS 中已婚的比例较低（16%）（P>0.001）。年龄较大（OR=1.14，P<0.001）和女性 CCS（OR=1.85，P<0.001）更有可能拥有生活伴侣。接受过放疗、骨髓移植（整体 P 治疗=0.018）或患有中枢神经系统疾病（整体 P 诊断<0.001）的 CCS 拥有生活伴侣的可能性较低。
CCS 拥有生活伴侣的比例低于同龄人。大多数拥有生活伴侣的 CCS 并未结婚。未来的研究应重点关注这些差异对 CCS 生活质量的影响。
