评估癌症幸存者社会网络的结构和特征:对一般健康的影响。

Assessing structure and characteristics of social networks among cancer survivors: impact on general health.

机构信息

The Ohio State University College of Medicine, Columbus, OH, USA.

The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.

出版信息

Support Care Cancer. 2019 Aug;27(8):3045-3051. doi: 10.1007/s00520-018-4620-4. Epub 2019 Jan 4.

Abstract

PURPOSE

Robust social networks are associated with improved health and quality of life for cancer survivors. Certain cancer diagnoses are associated with higher levels of stigma than breast cancer. However, little is known about the differences in social networks depending on the type of malignancy. This study aims to assess the differences in social networks and general health between breast cancer and more stigmatized cancers.

METHODS

Cancer survivors were recruited to participate in a cross-sectional online survey study. Social network size and satisfaction was measured using the Cancer Survivor Social Networks Measure. General health was measured with a five-point-Likert-style item.

RESULTS

The average age of the sample (n = 99) was 57.6 years old (SD = 13.4) and the majority were female (67.7%). Breast cancer survivors had an average of 1.39 more members in their social network than other cancers (t(94) = 2.28, p = 0.025). There were no significant differences between groups in network satisfaction. Results of a binary logistic regression model explained 26.9% of the variance in general health (x(5) = 18.35, p = 0.003). There was a significant association among formal support network satisfaction (β = - 1.23, p = 0.021), formal support network size (β = - 0.36, p = 0.019), malignancy type (breast vs. other) (β = 1.05, p = 0.05), and better general health.

CONCLUSIONS

The results suggest breast cancer survivors had more formal social supports then other malignancy types. An association among greater formal social network size and satisfaction, a diagnosis of breast instead of other cancers, and better general health was noted. Emphasizing formal support sources for all cancer survivors may improve their overall health.

摘要

目的

强大的社交网络与癌症幸存者的健康和生活质量提高有关。某些癌症诊断的耻辱感高于乳腺癌。然而,对于取决于恶性肿瘤类型的社交网络差异知之甚少。本研究旨在评估乳腺癌和更具耻辱感的癌症之间社交网络和一般健康的差异。

方法

招募癌症幸存者参加横断面在线调查研究。使用癌症幸存者社交网络量表测量社交网络的大小和满意度。使用五点李克特式项目测量一般健康状况。

结果

样本的平均年龄(n=99)为 57.6 岁(标准差=13.4),大多数为女性(67.7%)。乳腺癌幸存者的社交网络平均比其他癌症多 1.39 个成员(t(94)=2.28,p=0.025)。两组在网络满意度方面没有显着差异。二元逻辑回归模型的结果解释了一般健康状况的 26.9%的方差(x²(5)=18.35,p=0.003)。正式支持网络满意度(β=-1.23,p=0.021)、正式支持网络规模(β=-0.36,p=0.019)、恶性肿瘤类型(乳腺癌与其他)(β=1.05,p=0.05)之间存在显着关联,与更好的一般健康相关。

结论

结果表明,乳腺癌幸存者比其他恶性肿瘤类型拥有更多的正式社会支持。注意到更大的正式社交网络规模和满意度、乳腺癌而不是其他癌症的诊断以及更好的一般健康状况之间存在关联。强调所有癌症幸存者的正式支持来源可能会改善他们的整体健康状况。

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