Guedes Thais Sousa Rodrigues, Dantas de Oliveira Nayara Priscila, Holanda Ayrton Martins, Reis Mariane Albuquerque, Silva Clécia Patrocínio da, Rocha e Silva Bárbara Layse, Cancela Marianna de Camargo, de Souza Dyego Leandro Bezerra
Graduate Program in Collective Health, Federal University of Rio Grande do Norte (UFRN), Northeast Brazil, Brazil. Email:
Asian Pac J Cancer Prev. 2018 Jun 25;19(6):1487-1493. doi: 10.22034/APJCP.2018.19.6.1487.
Background: The study of body image includes the perception of women regarding the physical appearance of their own body. The objective of the present study was to verify the prevalence of body image dissatisfaction and its associated factors in women submitted to breast cancer treatment. Methods: A cross-sectional study carried out with 103 female residents of the municipality of Natal (Northeast Brazil), diagnosed with breast cancer who had undergone cancer treatment for at least 12 months prior to the study, and remained under clinical monitoring. The variable body image was measured through the validated Body Image Scale (BIS). Socioeconomic variables and clinical history were also collected through an individual interview with each participant. The Pearson’s chi-squared test (Fisher’s Exact) was utilized for bivariate analysis, calculating the prevalence ratio with 95% confidence interval. Poisson regression with robust variance was utilized for multivariate analysis. The statistical significance considered was 0.05. Results: The prevalence of body image dissatisfaction was 74.8% CI (65%-82%). Statistically significant associations were observed between body image and multi-professional follow-up (p=0.009) and return to employment after treatment (p=0.022). Conclusion: It was concluded that women who reported employment after cancer treatment presented more alterations in self-perception concerning their appearance. Patients who did not receive multi-professional follow-up reported negative body image, evidencing the need for strategies that increase and improve healthcare, aiming to meet the demands of this population.
身体意象研究包括女性对自身身体外貌的认知。本研究的目的是验证接受乳腺癌治疗的女性中身体意象不满的患病率及其相关因素。方法:对巴西东北部纳塔尔市的103名女性居民进行了一项横断面研究,这些女性被诊断患有乳腺癌,在研究前至少接受了12个月的癌症治疗,且仍在临床监测中。通过经过验证的身体意象量表(BIS)测量身体意象变量。还通过对每位参与者的个人访谈收集社会经济变量和临床病史。采用Pearson卡方检验(Fisher精确检验)进行双变量分析,计算患病率比值及95%置信区间。采用稳健方差的泊松回归进行多变量分析。统计学显著性水平设定为0.05。结果:身体意象不满的患病率为74.8%,置信区间为(65%-82%)。在身体意象与多专业随访(p=0.009)以及治疗后重返工作岗位(p=0.022)之间观察到具有统计学显著性的关联。结论:得出的结论是,癌症治疗后报告有工作的女性在自我外貌认知方面表现出更多变化。未接受多专业随访的患者报告有负面身体意象,这表明需要采取增加和改善医疗保健的策略,以满足这一人群的需求。