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Matrimonio y divorcio después del cáncer infantil y adolescente
J Byrne1, T R Fears, S C Steinhorn
1Clinical Epidemiology Branch, National Cancer Institute, Bethesda, MD 20892.
JAMA
|November 17, 1989
Resumen
Los sobrevivientes de cáncer infantil, particularmente aquellos con tumores cerebrales, experimentaron menos matrimonios y uniones más cortas en comparación con los hermanos. Estos efectos fueron más pronunciados en los hombres, con algunos grupos que muestran tasas de divorcio más altas.
Área de la Ciencia:
- Oncología Oncología.
- Epidemiología La epidemiología.
- Ciencias Sociales Ciencias Sociales.
Sus antecedentes:
- La supervivencia a largo plazo del cáncer presenta desafíos únicos más allá de la salud física.
- Comprender el impacto psicosocial del tratamiento del cáncer en la vida adulta es crucial para la atención integral.
Objetivo del estudio:
- Investigar historias y prácticas matrimoniales entre sobrevivientes adultos de cáncer infantil y adolescente.
- Para identificar tipos específicos de cáncer o tratamientos asociados con resultados maritales alterados.
Principales métodos:
- Un estudio de cohorte que involucró a 2170 sobrevivientes de cáncer y 3138 controles de hermanos.
- El análisis de riesgos proporcionales se utilizó para comparar el estado civil, la edad en el matrimonio, la duración del matrimonio y las tasas de divorcio.
Principales resultados:
- Los sobrevivientes tenían menos probabilidades de estar casados que los controles (RR 0,87 hombres, 0,86 mujeres).
- Los sobrevivientes de tumores cerebrales y del sistema nervioso central (SNC) mostraron el déficit matrimonial más significativo.
- Los sobrevivientes de tumores del SNC se casaron un poco más tarde, tuvieron primeros matrimonios más cortos, y algunos hombres sobrevivientes de tumores del SNC y sobrevivientes de retinoblastoma tuvieron tasas de divorcio más altas.
Conclusiones:
- Las prácticas matrimoniales alteradas fueron sustanciales, particularmente entre los sobrevivientes de tumores del sistema nervioso central.
- Si bien la terapia general fue menos intensa que la práctica actual, estos hallazgos destacan los efectos psicosociales a largo plazo de la supervivencia al cáncer.
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