Portero de la Cruz Silvia, Cebrino Jesús
Department of Nursing, Pharmacology and Physiotherapy, Faculty of Medicine and Nursing, University of Córdoba, Avda. Menéndez Pidal, S/N, 14071 Córdoba, Spain.
Research Group GC12 Clinical and Epidemiological Research in Primary Care, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Hospital Universitario Reina Sofía, 14071 Córdoba, Spain.
J Clin Med. 2022 May 12;11(10):2742. doi: 10.3390/jcm11102742.
The psychological, physical and social well-being components may differ for cancer patients living in urban vs. rural zones. This study aimed to examine the common mental disorders (CMDs), functional limitation (FL) and perceived social support (PSS) of rural and urban Spanish cancer patients from 2006 to 2017, to compare sociodemographic variables, health-related determinants and use of healthcare resources and to identify which sociodemographic and health-related factors were related to CMDs, FL and PSS. We performed a cross-sectional study among cancer patients using data from the Spanish National Health Surveys (2006, 2011 and 2017). A total of 698 of the subjects resided in rural areas and 1824 in urban areas. Binary logistic and multiple linear regressions were performed to determine the factors related to CMDs, FL and PSS. Rural residents visited their general practitioners more frequently than the city dwellers (61.03% vs. 56.63%, 0.04). A decreased prevalence of CMDs was observed among urban individuals over time (2006: 39.13%, 2011: 38.87%, 2017: 34.30%; for trend = 0.04). Among rural residents, FL was associated with age, educational level and self-perceived health status, while among city dwellers, PSS was linked to marital status, nationality, having chronic conditions and self-perceived health status.
生活在城市和农村地区的癌症患者在心理、身体和社会福祉方面可能存在差异。本研究旨在调查2006年至2017年西班牙城乡癌症患者的常见精神障碍（CMDs）、功能受限（FL）和感知社会支持（PSS），比较社会人口统计学变量、健康相关决定因素和医疗资源的使用情况，并确定哪些社会人口统计学和健康相关因素与CMDs、FL和PSS相关。我们利用西班牙国家健康调查（2006年、2011年和2017年）的数据对癌症患者进行了一项横断面研究。共有698名受试者居住在农村地区，1824名居住在城市地区。进行二元逻辑回归和多元线性回归以确定与CMDs、FL和PSS相关的因素。农村居民比城市居民更频繁地拜访他们的全科医生（61.03%对56.63%，P = 0.04）。随着时间的推移，城市居民中CMDs的患病率有所下降（2006年：39.13%，2011年：38.87%，2017年：34.30%；趋势P = 0.04）。在农村居民中，FL与年龄、教育水平和自我感知的健康状况相关，而在城市居民中，PSS与婚姻状况、国籍、患有慢性病和自我感知的健康状况相关。
