Graduate Student Affairs Office, the First Affiliated Hospital of Anhui Medical University, Hefei , Anhui, China.
Department of Health Services Management, School of Health Services Management, Anhui Medical University, Hefei, Anhui, China.
Biosci Trends. 2024 Sep 16;18(4):315-324. doi: 10.5582/bst.2024.01168. Epub 2024 Aug 25.
Differences in social capital have been shown to impact psychological distress in cancer patients, but few studies have examined the relationship between social capital and the distress thermometer (DT) in breast cancer patients who have undergone modified radical surgery. To fill this research gap, our study aimed to investigate the association between social capital and the DT among breast cancer patients who underwent modified radical surgery in Anhui Province, China. This cross-sectional study used multi-stage stratified random sampling. Data on demographic characteristics, eight dimensions of social capital, and the DT were collected using a questionnaire. Logistic regression models were subsequently utilized to assess the relationship between social capital and DT, adjusting for confounding factors. A total of 253 participants were included in the final analysis. Results indicated that individuals with higher levels of social capital, including participation in the local community (OR = 3.437; 95% CI: 1.734-6.814), social agency or proactivity in a social context (OR = 69.700; 95% CI: 20.142-241.195), feelings of trust and safety (OR = 26.287; 95% CI: 7.646-90.374), neighborhood connections (OR = 7.022; 95% CI: 3.020-16.236), family and friend connections (OR = 59.315; 95% CI: 17.182-204.760), tolerance of diversity (OR = 9.785; 95% CI: 4.736-20.216), value of life (OR = 65.142; 95% CI: 19.994-212.242), and work connections (OR = 31.842; 95% CI: 12.612-80.397), had higher odds of reporting poor DT scores compared to those with lower levels of social capital. These findings indicate an association between social capital and DT scores in breast cancer patients who have undergone modified radical surgery, suggesting that social capital may play a crucial role in alleviating psychological distress within this community.
社会资本的差异已被证明会对癌症患者的心理困扰产生影响，但很少有研究调查社会资本与接受改良根治术的乳腺癌患者的困扰温度计（DT）之间的关系。为了填补这一研究空白，我们的研究旨在调查中国安徽省接受改良根治术的乳腺癌患者的社会资本与 DT 之间的关联。这项横断面研究采用多阶段分层随机抽样。使用问卷收集人口统计学特征、社会资本的八个维度和 DT 的数据。随后使用逻辑回归模型调整混杂因素后评估社会资本与 DT 之间的关系。共有 253 名参与者纳入最终分析。结果表明，社会资本水平较高的个体，包括参与当地社区（OR = 3.437；95%CI：1.734-6.814）、在社会环境中具有社会机构或积极主动性（OR = 69.700；95%CI：20.142-241.195）、信任感和安全感（OR = 26.287；95%CI：7.646-90.374）、邻里关系（OR = 7.022；95%CI：3.020-16.236）、家庭和朋友关系（OR = 59.315；95%CI：17.182-204.760）、对多样性的宽容度（OR = 9.785；95%CI：4.736-20.216）、生命价值观（OR = 65.142；95%CI：19.994-212.242）和工作关系（OR = 31.842；95%CI：12.612-80.397），报告 DT 评分较差的可能性更高，而社会资本水平较低的患者则较低。这些发现表明，接受改良根治术的乳腺癌患者的社会资本与 DT 评分之间存在关联，这表明社会资本可能在缓解该社区内的心理困扰方面发挥关键作用。
