在童年和青少年癌症后的婚姻和离婚
J Byrne1, T R Fears, S C Steinhorn
1Clinical Epidemiology Branch, National Cancer Institute, Bethesda, MD 20892.
JAMA
|November 17, 1989
概括
与兄弟姐妹相比,儿童癌症幸存者,特别是患有脑瘤的人,经历了较少的婚姻和较短的结合. 这些影响在男性中更为明显,一些群体的离婚率更高.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 社会科学 社会科学 社会科学
背景情况:
- 长期的癌症幸存者在身体健康之外面临着独特的挑战.
- 了解癌症治疗对成年人的心理社会影响对于综合护理至关重要.
研究的目的:
- 调查儿童和青少年癌症的成年幸存者之间的婚姻历史和做法.
- 为了确定特定的癌症类型或与改变婚姻结果相关的治疗方法.
主要方法:
- 一项涉及2170名癌症幸存者和3138名兄弟姐妹对照的队列研究.
- 使用比例风险分析来比较婚姻状况,结婚年龄,婚姻持续时间和离婚率.
主要成果:
- 幸存者比对照者更不可能结婚 (RR 0.87男性,0.86女性).
- 大脑和中枢神经系统 (CNS) 瘤的幸存者显示出最显著的婚姻赤字.
- 中枢神经系统瘤幸存者稍晚结婚,第一次婚姻较短,一些男性中枢神经系统瘤幸存者和视网膜母细胞瘤幸存者离婚率较高.
结论:
- 改变婚姻实践是相当大的,特别是在中枢神经系统瘤幸存者中.
- 虽然整体治疗的强度低于当前的实践,但这些发现强调了癌症存活率的长期心理社会影响.
相关概念视频
What is Cancer?
Cells and tissues must meticulously coordinate their activities for the normal functioning of the human body. Therefore, they exhibit socially responsible behavior - resting, growing, dividing, differentiating, or dying - for the organism’s benefit. Cancer arises when cells divide uncontrollably and invade other tissues or organs.
Although people have known about cancer for centuries, it was only in 1761 that Giovanni Morgagni of Padua performed a detailed autopsy of patients who died from...
Although people have known about cancer for centuries, it was only in 1761 that Giovanni Morgagni of Padua performed a detailed autopsy of patients who died from...
Treatment Resistant Cancers
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
What is Cancer?
Cells and tissues must meticulously coordinate their activities for the normal functioning of the human body. Therefore, they exhibit socially responsible behavior - resting, growing, dividing, differentiating, or dying - for the organism’s benefit. Cancer arises when cells divide uncontrollably and invade other tissues or organs.
Although people have known about cancer for centuries, it was only in 1761 that Giovanni Morgagni of Padua performed a detailed autopsy of patients who died from...
Although people have known about cancer for centuries, it was only in 1761 that Giovanni Morgagni of Padua performed a detailed autopsy of patients who died from...
Cancer Survival Analysis
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
Close Relationships and Culture
Culture shapes how people approach attraction, choose partners, and build long-term relationships. While some preferences in mate selection appear consistent across cultures, such as men valuing physical attractiveness and women emphasizing financial resources, cultural contexts influence how these preferences are expressed and prioritized. Marriage extends beyond romantic ideals in many societies and is deeply embedded in social, economic, and religious frameworks.The Role of Culture in Mate...
Ending Relationships
The dissolution of intimate relationships presents complex emotional and psychological challenges, particularly when emotional bonds are strong, the relationship is long-standing, and perceived alternatives are limited. This distress often intensifies in romantic breakups, where the initiator may experience greater turmoil than the rejected partner. Contributing factors include residual attachment, guilt over causing pain, and uncertainty about how to manage the situation. The stress is further...


