乳腺癌幸存者及其照顾者的双重压力：性取向是否存在差异？
Dyadic stress of breast cancer survivors and their caregivers: Are there differences by sexual orientation?
机构信息
Department of Community Health Sciences, Boston University School of Public Health, Boston, MA, USA.
Department of Sociology and Anthropology, Illinois State University, Normal, IL, USA.
出版信息
Psychooncology. 2018 Oct;27(10):2389-2397. doi: 10.1002/pon.4836. Epub 2018 Jul 26.
OBJECTIVE
The objective of the study is to assess dyadic stress among sexual minority cancer survivor and caregivers compared to heterosexual cancer survivors and their caregivers.
METHODS
We recruited 167 survivors of nonmetastatic breast cancer of different sexual orientations and their caregivers, who were interviewed via telephone after obtaining consent. We used inverse propensity score weighting to account for differences by sexual orientation in age and length of the survivor-caregiver relationship and simultaneous equation models consistent with the needs for analyzing dyadic data.
RESULTS
Survivors and caregivers reported stress levels consistent with population norms, irrespective of survivors' sexual orientation. Accounting for covariates, survivors' and caregivers' stress did not mutually influence one another overall. However, differences by sexual orientation were noted such that caregivers' stress was influential for sexual minority survivors' stress, but not for heterosexual survivors' stress.
CONCLUSIONS
Careful consideration should be given to caregivers of sexual minority survivors, an underserved group for whom currently no interventions exist.
目的
本研究旨在评估性少数群体癌症幸存者及其照顾者与异性恋癌症幸存者及其照顾者之间的双重压力。
方法
我们招募了 167 名不同性取向的非转移性乳腺癌幸存者及其照顾者，在获得同意后通过电话对他们进行了访谈。我们使用逆倾向评分加权来考虑幸存者的年龄和与照顾者关系的长度的性取向差异，以及符合分析对偶数据需求的联立方程模型。
结果
无论幸存者的性取向如何，幸存者和照顾者报告的压力水平都符合人群标准。考虑到协变量，总体而言，幸存者和照顾者的压力并没有相互影响。然而，性取向的差异表明，照顾者的压力对性少数幸存者的压力有影响，但对异性恋幸存者的压力没有影响。
结论
应仔细考虑性少数群体幸存者的照顾者，他们是一个服务不足的群体，目前尚无干预措施。
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