The quality of life in women with cervical cancer and precancerous lesions of Han and ethnic minorities in Southwest China
Abstract Background As patients with cervical cancer and precancerous lesions can be diagnosed at early stage and live longer, it is imperative to understand their health-related quality of life so that better cancer-related policies could be promoted and reasonable distribution of limited resources...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-10-01
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| Series: | BMC Cancer |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12885-021-08856-8 |
| _version_ | 1818890763675631616 |
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| author | Min Zhao Xin Pu Yi Jun Yan Shao Zhang Xue Long Lei Luo Zheng Li |
| author_facet | Min Zhao Xin Pu Yi Jun Yan Shao Zhang Xue Long Lei Luo Zheng Li |
| author_sort | Min Zhao |
| collection | DOAJ |
| description | Abstract Background As patients with cervical cancer and precancerous lesions can be diagnosed at early stage and live longer, it is imperative to understand their health-related quality of life so that better cancer-related policies could be promoted and reasonable distribution of limited resources could be implemented. We conducted a cross-sectional study in the Third Affiliated Hospital of Kunming Medical University to assess the health-related quality of life in our targeted population. Due to the characteristics of Yunnan nationality, our study population includes both Han people and ethnic minorities. Methods A cross-sectional study was conducted from January 2019 to December 2020, and 300 patients were selected, who were initially diagnosed with cervical cancer and cervical intraepithelial neoplasia (CIN) pathologically. EQ-5D questionnaire was used to evaluate their quality of life. Results Patients in Han and ethnic minorities showed good comparability. EQ-5D VAS score was statistically significant between Han and ethnic minorities (mean, 85.42 vs. 81.01; P<0.05). EQ-5D utility score was slightly different but without statistical significance between the two groups (mean, 0.959 vs. 0.932; P>0.05). Nationality, economic trouble, menopause status and participation of China National Cervical Cancer Screening Program (CNCCSP) are influencing factors of HRQoL among women with cervical cancer and precancerous lesions. Besides, we also found low awareness in the CNCCSP and human papilloma virus vaccine, as well as low participation in the national screening program. Conclusion The results of our study imply that the difference of HRQoL does exist between Han people and ethnic minorities with cervical cancer and precancerous lesions. Health providers and health-related departments need to invest more health and financial resources to expand the awareness and participation of the screening project. More efforts should be made in underdeveloped minority areas to assure the accessibility of health resources and interventions. To mitigate economic trouble caused by the diseases, more equal insurance reimbursement should be suggested and implemented in people with or without employee insurance. |
| first_indexed | 2024-12-19T17:30:05Z |
| format | Article |
| id | doaj.art-3544bbbb825c4cb2b49f1bee67b5bc96 |
| institution | Directory Open Access Journal |
| issn | 1471-2407 |
| language | English |
| last_indexed | 2024-12-19T17:30:05Z |
| publishDate | 2021-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cancer |
| spelling | doaj.art-3544bbbb825c4cb2b49f1bee67b5bc962022-12-21T20:12:29ZengBMCBMC Cancer1471-24072021-10-0121111210.1186/s12885-021-08856-8The quality of life in women with cervical cancer and precancerous lesions of Han and ethnic minorities in Southwest ChinaMin Zhao0Xin Pu1Yi Jun Yan2Shao Zhang3Xue Long4Lei Luo5Zheng Li6Medical Administration Department, The Third Affiliated Hospital of Kunming Medical University (Yunnan Cancer Hospital, Yunnan Cancer Center)Medical records Statistics Department, The First Affiliated Hospital of Kunming Medical UniversityDepartment of nuclear medicine, The Affiliated Hospital of Yunnan UniversityDepartment of Gynecologic Oncology, The Third Affiliated Hospital of Kunming Medical University (Yunnan Cancer Hospital, Yunnan Cancer Center)Clinical Laboratory, Kunming Children’s HospitalMedical Administration Department, The Third Affiliated Hospital of Kunming Medical University (Yunnan Cancer Hospital, Yunnan Cancer Center)Department of Gynecologic Oncology, The Third Affiliated Hospital of Kunming Medical University (Yunnan Cancer Hospital, Yunnan Cancer Center)Abstract Background As patients with cervical cancer and precancerous lesions can be diagnosed at early stage and live longer, it is imperative to understand their health-related quality of life so that better cancer-related policies could be promoted and reasonable distribution of limited resources could be implemented. We conducted a cross-sectional study in the Third Affiliated Hospital of Kunming Medical University to assess the health-related quality of life in our targeted population. Due to the characteristics of Yunnan nationality, our study population includes both Han people and ethnic minorities. Methods A cross-sectional study was conducted from January 2019 to December 2020, and 300 patients were selected, who were initially diagnosed with cervical cancer and cervical intraepithelial neoplasia (CIN) pathologically. EQ-5D questionnaire was used to evaluate their quality of life. Results Patients in Han and ethnic minorities showed good comparability. EQ-5D VAS score was statistically significant between Han and ethnic minorities (mean, 85.42 vs. 81.01; P<0.05). EQ-5D utility score was slightly different but without statistical significance between the two groups (mean, 0.959 vs. 0.932; P>0.05). Nationality, economic trouble, menopause status and participation of China National Cervical Cancer Screening Program (CNCCSP) are influencing factors of HRQoL among women with cervical cancer and precancerous lesions. Besides, we also found low awareness in the CNCCSP and human papilloma virus vaccine, as well as low participation in the national screening program. Conclusion The results of our study imply that the difference of HRQoL does exist between Han people and ethnic minorities with cervical cancer and precancerous lesions. Health providers and health-related departments need to invest more health and financial resources to expand the awareness and participation of the screening project. More efforts should be made in underdeveloped minority areas to assure the accessibility of health resources and interventions. To mitigate economic trouble caused by the diseases, more equal insurance reimbursement should be suggested and implemented in people with or without employee insurance.https://doi.org/10.1186/s12885-021-08856-8Cervical cancerCervical precancerous lesionsHealth-related quality of lifeEQ-5DCross-sectional studyEthnic minorities |
| spellingShingle | Min Zhao Xin Pu Yi Jun Yan Shao Zhang Xue Long Lei Luo Zheng Li The quality of life in women with cervical cancer and precancerous lesions of Han and ethnic minorities in Southwest China BMC Cancer Cervical cancer Cervical precancerous lesions Health-related quality of life EQ-5D Cross-sectional study Ethnic minorities |
| title | The quality of life in women with cervical cancer and precancerous lesions of Han and ethnic minorities in Southwest China |
| title_full | The quality of life in women with cervical cancer and precancerous lesions of Han and ethnic minorities in Southwest China |
| title_fullStr | The quality of life in women with cervical cancer and precancerous lesions of Han and ethnic minorities in Southwest China |
| title_full_unstemmed | The quality of life in women with cervical cancer and precancerous lesions of Han and ethnic minorities in Southwest China |
| title_short | The quality of life in women with cervical cancer and precancerous lesions of Han and ethnic minorities in Southwest China |
| title_sort | quality of life in women with cervical cancer and precancerous lesions of han and ethnic minorities in southwest china |
| topic | Cervical cancer Cervical precancerous lesions Health-related quality of life EQ-5D Cross-sectional study Ethnic minorities |
| url | https://doi.org/10.1186/s12885-021-08856-8 |
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