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Perceived Quality-of-Life Importance Among Saudi Gynecologic Cancer Survivors: Latent Class Analysis.

Wedad M Almutairi1, Fatmah Alsharif2, Ahlam Al-Zahrani1

  • 1Maternity and Child Health Department, Faculty of Nursing, King Abdulaziz University, Jeddah 21589, Saudi Arabia.

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Gynecologic cancer survivors in Saudi Arabia have varied quality-of-life priorities, with emotional and relational well-being often prioritized over sexual function. Sociocultural factors, not just clinical ones, shape these diverse needs.

Keywords:
Quality of Sexual Lifedecision tree modelinggynecologic cancer survivorslatent class analysissexual health

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Area of Science:

  • Oncology
  • Psychosocial Oncology
  • Quality of Life Research

Background:

  • Quality-of-life (QoL) needs for gynecologic cancer survivors are complex and influenced by culture, with limited research in the Middle East.
  • Understanding domain prioritization (sexual, emotional, relational) is crucial for tailored survivorship care.

Purpose of the Study:

  • To identify subgroups of Saudi Arabian gynecologic cancer survivors based on perceived QoL domain importance.
  • To explore demographic and clinical predictors of these subgroups.

Main Methods:

  • Cross-sectional survey of 129 breast or cervical cancer survivors in Jeddah, Saudi Arabia.
  • Latent class analysis (LCA) to segment survivors by QoL domain importance.
  • Chi-square tests and decision tree analysis for predictor identification.

Main Results:

  • Three distinct subgroups emerged: high prioritization of all domains (48.8%), low prioritization of all domains (17.8%), and emphasis on emotional/relational over sexual domains (33.3%).
  • Subgroup membership was significantly associated with age, education, nationality, and number of children.
  • Number of children, age, and marital status were key predictors for the high-importance subgroup.

Conclusions:

  • Gynecologic cancer survivors in Saudi Arabia exhibit diverse QoL priorities, significantly influenced by sociocultural context rather than solely clinical factors.
  • Interventions must be personalized, considering age, family structure, and cultural norms for effective, person-centered oncology care in the region.