Gangane Nitin, Khairkar Pravin, Hurtig Anna-Karin, San Sebastián Miguel
Department of Psychiatry, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, India. Email:
Asian Pac J Cancer Prev. 2017 Dec 29;18(12):3325-3332. doi: 10.22034/APJCP.2017.18.12.3325.
Introduction: Breast cancer is the most frequently diagnosed cancer among women throughout world, with incidence rates increasing in India. Improved survival in breast cancer patients has resulted in their quality of life (QOL) becoming an important issue. Identifying determinants for QOL may provide insights into how to improve their living conditions. This study aimed to assess socio-demographic and clinical factors, as well as the role of self-efficacy, in relation to QOL among women with breast cancer in rural India. Methods: A total of 208 female patients with infiltrating carcinoma of the breast participated in the study. A questionnaire was administered that included sections for socio-demographic characteristics, clinical stage of the cancer and patient delay in seeking health care. A standardized instrument to measure self-efficacy was applied. To assess QOL, the WHOQOL – BREF instrument was used. Results: The overall mean score for QOL was 59.3. For domain 1 (physical health) the mean score across all groups was 55.5, for psychological health 58.2, for social relationships 63.2 and for environmental factors, 60.4. The environmental domain in QOL was negatively associated with lower education. Being divorced/widowed/unmarried had a negative association with the psychological health and social relationship dimensions, whereas higher income was positively associated with QOL parameters such as psychology, social relationships and environmental factors. Self-efficacy was positively associated with all four domains of QOL. Conclusions: The present study demonstrated a moderate QOL in women with breast cancer in rural India. Young age, lack of education and being without a partner were negatively related to QOL, and employment as casual and industrial workers, high monthly family income and higher self-efficacy were positively associated with QOL. A comprehensive public health initiative is required, including social, financial and environmental support, that can provide better QOL for breast cancer survivors.
乳腺癌是全球女性中最常被诊断出的癌症，在印度其发病率也在上升。乳腺癌患者生存率的提高使得她们的生活质量（QOL）成为一个重要问题。确定生活质量的决定因素可能有助于了解如何改善她们的生活状况。本研究旨在评估印度农村地区乳腺癌女性的社会人口学和临床因素，以及自我效能感在生活质量方面的作用。方法：共有208名浸润性乳腺癌女性患者参与了该研究。发放了一份问卷，其中包括社会人口学特征、癌症临床分期以及患者寻求医疗保健的延迟情况等部分。应用了一种测量自我效能感的标准化工具。为评估生活质量，使用了世界卫生组织生活质量简表（WHOQOL – BREF）。结果：生活质量的总体平均分为59.3。对于领域1（身体健康），所有组的平均分为55.5，心理健康为58.2，社会关系为63.2，环境因素为60.4。生活质量的环境领域与较低的教育程度呈负相关。离婚/丧偶/未婚与心理健康和社会关系维度呈负相关，而较高的收入与生活质量参数如心理、社会关系和环境因素呈正相关。自我效能感与生活质量的所有四个领域均呈正相关。结论：本研究表明印度农村地区乳腺癌女性的生活质量处于中等水平。年轻、缺乏教育以及没有伴侣与生活质量呈负相关，而从事临时工和产业工人工作、家庭月收入高以及自我效能感高与生活质量呈正相关。需要一项全面的公共卫生倡议，包括社会、经济和环境支持，以改善乳腺癌幸存者的生活质量。
