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The quality of life in women with cervical cancer and precancerous lesions of Han and ethnic minorities in Southwest China

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 b...

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Autores principales: Zhao, Min, Pu, Xin, Yan, Yi Jun, Zhang, Shao, Long, Xue, Luo, Lei, Li, Zheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8520180/
https://www.ncbi.nlm.nih.gov/pubmed/34656093
http://dx.doi.org/10.1186/s12885-021-08856-8
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author Zhao, Min
Pu, Xin
Yan, Yi Jun
Zhang, Shao
Long, Xue
Luo, Lei
Li, Zheng
author_facet Zhao, Min
Pu, Xin
Yan, Yi Jun
Zhang, Shao
Long, Xue
Luo, Lei
Li, Zheng
author_sort Zhao, Min
collection PubMed
description 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.
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spelling pubmed-85201802021-10-20 The quality of life in women with cervical cancer and precancerous lesions of Han and ethnic minorities in Southwest China Zhao, Min Pu, Xin Yan, Yi Jun Zhang, Shao Long, Xue Luo, Lei Li, Zheng BMC Cancer Research 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. BioMed Central 2021-10-16 /pmc/articles/PMC8520180/ /pubmed/34656093 http://dx.doi.org/10.1186/s12885-021-08856-8 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Zhao, Min
Pu, Xin
Yan, Yi Jun
Zhang, Shao
Long, Xue
Luo, Lei
Li, Zheng
The quality of life in women with cervical cancer and precancerous lesions of Han and ethnic minorities in Southwest China
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 Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8520180/
https://www.ncbi.nlm.nih.gov/pubmed/34656093
http://dx.doi.org/10.1186/s12885-021-08856-8
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