Abstract
BackgroundMost research studying social constraints has been performed among Caucasian or Asian American breast cancer (BC) patients, but few studies have evaluated social constraint levels and explored the effect of social constraints on the integrative health-related quality of life (HRQOL) of Chinese BC patients. Therefore, our study aimed to examine the association of social constraints with HRQOL among Chinese women with BC.MethodsThis was a cross-sectional study of 136 Chinese women diagnosed with BC in Liaoning Province, China, from December 2020 to May 2021. Questionnaire information contained HRQOL, social constraints, social support, social stigma, and sociodemographic and clinical characteristics. Multiple linear regression was used to analyse the association of psychological factors with HRQOL.ResultsThe mean score of FACT-B was 96.05 (SD = 18.70). After controlling for potential confounders, social constraints (Beta = − 0.301, P < 0.001) and social stigma (Beta = − 0.241, P = 0.001) were negatively associated with HRQOL and social support (Beta = 0.330, P < 0.001) was positively associated with HRQOL, which explained 44.3% of the variance in HRQOL.ConclusionsThe findings of the current study suggest that Chinese BC patients’ HRQOL needs to be enhanced after treatment. Social constraints have a strong association with HRQOL. Intervention strategies focusing on less personal disclosure should be considered to avoid social constraints and improve HRQOL among Chinese patients with BC.
Highlights
Breast cancer (BC) is the most frequently diagnosed cancer and the leading cause of cancer death in the vast majority of countries
Despite the fact that there are affordable and advanced treatments to obtain better cancer care for Chinese breast cancer (BC) patients, our results showed that patients with BC still suffer poorer health-related quality of life (HRQOL) than patients in Western 0.095 countries
Our study found that social support was positively associated with HRQOL, and the association of social support with HRQOL has been widely examined among BC patients [9, 15]
Summary
Breast cancer (BC) is the most frequently diagnosed cancer and the leading cause of cancer death in the vast majority of countries. According to the most recent GLOBOCAN publication, the five most frequent cancers in Chinese women are breast, lung, colorectum, thyroid and stomach [1]. It was estimated in 2020 that the agestandardized (world) incidence of BC was 39.10/100,000. Doege et al conducted a study to compare disease-free BC patients’ HRQOL to that of non-cancer female controls and found that long-term BC survivors suffer significantly lower social, emotional, functional, physical well-being, fatigue, insomnia, and dyspnoea than female population controls [5]. Most research studying social constraints has been performed among Caucasian or Asian American breast cancer (BC) patients, but few studies have evaluated social constraint levels and explored the effect of social constraints on the integrative health-related quality of life (HRQOL) of Chinese BC patients.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
