在膀癌幸存者中,基于性别的心理社会福祉差异
Aidan S Weitzner1, Aurora J Grutman1, Alyssa Arbuiso1
1Department of Urology, Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
European urology oncology
|November 12, 2025
概括
患有膀癌的女性面临更大的心理和社会健康挑战,包括更高的抑郁和社会隔离率. 解决这些差异需要在幸存者护理期间提供综合心理社会支持.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 膀癌生存率的性别差异在性和功能健康方面是众所周知的.
- 膀癌幸存者的心理和社会福祉仍然没有得到充分的研究.
- 现有的研究尚未完全阐明心理社会结果的性别差异.
研究的目的:
- 调查膀癌幸存者心理健康的性别差异.
- 检查基于性别的社会联系的差异.
- 评估膀癌患者从医疗保健提供者那里感知到的尊重的差异.
主要方法:
- 我们所有人研究计划队列的横截面分析.
- 包括被诊断为膀恶性瘤的个人.
- 主要结局:自我报告的心理/社会健康和EHR记录的抑郁障碍;通过多变量逻辑回归对共变量进行调整.
主要成果:
- 患有膀癌的女性患有EHR记录的抑郁症的几率明显更高 (aOR: 2.86 [1.59, 3.82]).
- 更高比例的女性报告说缺乏伴侣,感到孤立,经历压力,无法应对.
- 在医疗保健提供者的尊重/礼貌感知方面没有发现任何显著的性别差异.
结论:
- 患有膀癌的女性经历了不成比例的心理社会负担,特别是抑郁和社会孤立.
- 社会经济因素和并发症影响了一些观察到的差异,突显了有针对性的支持的必要性.
- 对于膀癌幸存者来说,建议进行例行心理社会查,以识别和支持脆弱的个体.
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