Social networks and quality of life among female long‐term colorectal cancer survivors

Cancer - Tập 98 Số 8 - Trang 1749-1758 - 2003
Amy L. Sapp1, Amy Trentham‐Dietz2,1, Polly A. Newcomb3,1, John M. Hampton1, Carol M. Moinpour3, Patrick Remington2,1
1University of Wisconsin Comprehensive Cancer Center, Madison, Wisconsin
2Department of Population Health Sciences, University of Wisconsin, Madison, Wisconsin
3Fred Hutchinson Cancer Research Center, Seattle, Washington

Tóm tắt

AbstractBACKGROUNDThe population of long‐term colorectal cancer survivors in the United States continues to increase, but little is known about how they fare—physically, mentally, or socially—in the years after diagnosis. The current study examines female long‐term colorectal cancer survivors' health‐related quality of life (HRQoL) in relation to social networks.METHODSA population‐based sample of female colorectal cancer survivors (n = 726) residing in Wisconsin was recontacted approximately 9 years after the initial diagnosis. Of 443 women who were alive in 1999, 307 women completed a follow‐up questionnaire. Analysis was conducted on 259 participants who completed the Medical Outcomes Study Short Form 36 Health Status Survey and a modified version of Berkman and Syme's Social Network Index. Using multivariate analyses, HRQoL summary scores were tested for associations with individual and composite measures of social networks, including marital/partner status; number of children, relatives, and friends; and the frequency of religious and community participation.RESULTSAfter adjusting for age, extent of disease at diagnosis, number of comorbidities, body mass, and education, HRQoL was similar to norms published for the general population. Individual social network measures (including the number of relatives and friends) and composite network measures (including network size, the number of ties seen at least once per month, and overall social connectedness) were associated positively with mental health.CONCLUSIONSSocial networks may have an important relation with HRQoL—particularly mental health—among female long‐term colorectal cancer survivors. The results of this study should be of interest to those seeking to understand or improve HRQoL among this growing population. Cancer 2003. © 2003 American Cancer Society.DOI 10.1002/cncr.11717

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