Endale Helen, Mulugeta Tefera, Habte Teshome
Department of Nursing, School of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Cancer Manag Res. 2022 May 3;14:1615-1625. doi: 10.2147/CMAR.S352389. eCollection 2022.
Cervical cancer is very common among women living in low-resource environments, according to the literature. About 85% of the cases and 88% of the deaths due to cervical cancer occurred in developing countries. Women in low- and middle-income countries have a 35% higher average life risk of cervical cancer than women in high-income countries. However, research on the socioeconomic impact of cervical cancer on patients is virtually absent in the country.
To assess the socioeconomic impact of cervical cancer on patients at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia in 2021.
Institutional based cross-sectional study design was employed. A structured and semi-structured questionnaire was used. The participants were selected using a simple random sampling technique. The collected data was entered and analyzed using the SPSS version 24 statistical software package.
Out of 423 sampled respondents, 416 agreed to participate in the study and the response rate was 98%. The study revealed that cervical cancer has a social impact on patients in terms of social discrimination 61.8%, loss of body image 63%, loss of sexual functioning 78%, and loss of femininity 89%. It has also an economic impact in terms of loss of income of 45.7%, financial distress due to medical and nonmedical expenditures 71%, work and employment challenges 66.8%.
Cervical cancer has an enormous socioeconomic impact on patients in terms of social discrimination, loss of body image, loss of sexual functioning, loss of femininity, loss of income, financial distress, work and employment challenges. Hence, efforts on reduction of social discrimination, psychotherapy support, and financial support are needed to limit the socioeconomic impact of cervical cancer on patients.
据文献记载,宫颈癌在生活资源匮乏地区的女性中非常普遍。约85%的宫颈癌病例以及88%的宫颈癌死亡病例发生在发展中国家。低收入和中等收入国家的女性患宫颈癌的平均终生风险比高收入国家的女性高35%。然而,该国几乎没有关于宫颈癌对患者社会经济影响的研究。
评估2021年在埃塞俄比亚亚的斯亚贝巴提库尔·安贝萨专科医院宫颈癌对患者的社会经济影响。
采用基于机构的横断面研究设计。使用结构化和半结构化问卷。参与者通过简单随机抽样技术选取。收集的数据使用SPSS 24版统计软件包录入和分析。
在423名抽样受访者中,416人同意参与研究,回复率为98%。研究表明,宫颈癌在社会歧视方面对患者有社会影响(61.8%)、身体形象丧失(63%)、性功能丧失(78%)以及女性特质丧失(89%)。在经济方面也有影响,收入损失(45.7%)、医疗和非医疗支出导致的经济困境(71%)、工作和就业挑战(66.8%)。
宫颈癌在社会歧视、身体形象丧失、性功能丧失、女性特质丧失、收入损失、经济困境、工作和就业挑战方面对患者有巨大的社会经济影响。因此,需要努力减少社会歧视、提供心理治疗支持和经济支持,以限制宫颈癌对患者的社会经济影响。