Ringdal Kristen, Ringdal Gerd Inger
Department of Sociology and Political Science Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
Department of Psychology, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
Eur J Public Health. 2017 Feb 1;27(suppl_1):115-119. doi: 10.1093/eurpub/ckw226.
This study is a comparison of quality of life (QOL) of current and previous cancer victims with people who never had experienced cancer in samples from the general population from the 19 countries in the European Social Survey (ESS) 2014.
The study was based on the ESS 2014 with representative samples from 19 countries. QOL was measured by combining two questions on happiness and life satisfaction into a QOL scale. Multilevel modelling was used to examine whether the relationship between cancer status and QOL varies between countries in general and by welfare state regimes in particular.
People with cancer at the time of the interview, showed lower general QOL than both people who previously have had cancer and people who never have experienced cancer. The unadjusted and the adjusted odds ratios (ORs) for poor QOL were respectively, OR = 2.38, (2.07, 2.74) and OR = 1.98, (1.71, 2.30). The difference between the ‘Never’ and the ‘Previously’ groups was minor but statistical significant. The welfare state classification was a strong predictor of country differences in QOL, but there was no significant statistical interaction effect between cancer status and the welfare state classification. The study also replicated well-documented findings on differences in QOL by education and social support.
The QOL of people with a cancer disease is significantly impaired. People who previously have had cancer, scored only slightly lower on the QOL scale than people who never had experienced cancer. We found evidence indicating that these differences may vary between the countries, but this variation cannot be explained by the welfare state classification.
本研究比较了2014年欧洲社会调查（ESS）中来自19个国家的普通人群样本里，当前和既往癌症患者与从未患过癌症者的生活质量（QOL）。
该研究基于2014年ESS，采用来自19个国家的代表性样本。通过将关于幸福和生活满意度的两个问题合并为一个生活质量量表来测量生活质量。采用多水平模型来检验癌症状态与生活质量之间的关系在总体国家间尤其是福利国家制度间是否存在差异。
在访谈时患有癌症的人群，其总体生活质量低于既往患过癌症的人群和从未患过癌症的人群。生活质量差的未调整和调整后的优势比（OR）分别为OR = 2.38，（2.07，2.74）和OR = 1.98，（1.71，2.30）。“从未患癌”组和“既往患癌”组之间的差异较小但具有统计学意义。福利国家分类是生活质量国家差异的一个强有力预测因素，但癌症状态与福利国家分类之间不存在显著的统计学交互作用。该研究还重现了关于教育和社会支持对生活质量差异的充分记录的研究结果。
癌症患者的生活质量显著受损。既往患过癌症的人群在生活质量量表上的得分仅略低于从未患过癌症的人群。我们发现有证据表明这些差异可能因国家而异，但这种差异无法用福利国家分类来解释。
