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児童・青少年がんの後の結婚と離婚
J Byrne1, T R Fears, S C Steinhorn
1Clinical Epidemiology Branch, National Cancer Institute, Bethesda, MD 20892.
JAMA
|November 17, 1989
まとめ
小児がんの生存者,特に脳腫瘍の生存者は,兄弟姉妹と比較して結婚が少なく,結婚期間が短かった. これらの効果は男性においてより顕著であり,一部のグループでは離婚率が高かった.
科学分野:
- 腫瘍学 腫瘍学
- エピデミオロジー エピデミオロジー
- 社会科学 社会科学とは
背景:
- 長期的ながん生存は,身体的健康を超えてユニークな課題を提示します.
- 大人の生活に対するがん治療の心理的社会的影響を理解することは,総合的なケアに不可欠です.
研究 の 目的:
- 幼児期および青少年のがんの成人生存者の婚姻史と慣行を調査する.
- 特定の癌のタイプや,結婚生活の変化に伴う治療法を特定するためです.
主な方法:
- 2170人のがん生存者と3138人の兄弟対照群を対象としたコホート研究.
- 比例リスク分析は,婚姻状況,結婚年齢,結婚期間,離婚率を比較するために使用されました.
主要な成果:
- 生存者は,対照群よりも結婚する可能性が低い (RR 0.87男性,0.86女性).
- 脳や中枢神経系 (CNS) がんの生存者は,結婚の赤字が最も顕著であった.
- 中枢神経系腫瘍の生存者は少し後に結婚し,最初の結婚は短い,中枢神経系腫瘍の生存者および網膜芽細胞腫の生存者の男性では離婚率が高くなりました.
結論:
- 変更された結婚慣行は,特に中枢神経系腫瘍の生存者の間で,実質的でした.
- 総合的な治療は現在の治療法よりも濃度が低く,これらの発見は,がん生存率の長期的な心理的社会効果を強調しています.
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