Social inequalities in quality of life in a cohort of women diagnosed with breast cancer in Barcelona (DAMA Cohort)

Breast cancer is a challenge for women's health-related quality of life (QoL), compromising their physical health and emotional well-being. QoL is equally distributed among different social groups. The aim of this study to analyze the impact of clinical characteristics and social determinants o...

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Autores: Graells-Sans, Ariadna|||0000-0002-3881-083X, Serral, Gemma|||0000-0002-9968-5593, Puigpinós i Riera, Rosa|||0000-0002-0364-6603, Bargalló, Xavier Aguilar|||0000-0003-4333-2884, Espinosa-Bravo, Martín|||0000-0002-4293-3875, Grau, Jaume|||0000-0002-6811-2215, Macià, Francesc|||0000-0002-6090-5894, Quintana Ruiz, Maria Jesús|||0000-0002-1055-9786, Sala, Maria|||0000-0002-9955-8746
Formato: artículo
Fecha de publicación:2018
País:España
Recursos:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:287819
Acesso em linha:https://ddd.uab.cat/record/287819
https://dx.doi.org/urn:doi:10.1016/j.canep.2018.03.007
Access Level:acceso abierto
Palavra-chave:Breast cancer
Cohort of women with breast cancer
Quality of life
Social inequalities
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spelling Social inequalities in quality of life in a cohort of women diagnosed with breast cancer in Barcelona (DAMA Cohort)Graells-Sans, Ariadna|||0000-0002-3881-083XSerral, Gemma|||0000-0002-9968-5593Puigpinós i Riera, Rosa|||0000-0002-0364-6603Bargalló, Xavier Aguilar|||0000-0003-4333-2884Espinosa-Bravo, Martín|||0000-0002-4293-3875Grau, Jaume|||0000-0002-6811-2215Macià, Francesc|||0000-0002-6090-5894Quintana Ruiz, Maria Jesús|||0000-0002-1055-9786Sala, Maria|||0000-0002-9955-8746Breast cancerCohort of women with breast cancerQuality of lifeSocial inequalitiesBreast cancer is a challenge for women's health-related quality of life (QoL), compromising their physical health and emotional well-being. QoL is equally distributed among different social groups. The aim of this study to analyze the impact of clinical characteristics and social determinants of health on the QoL of a cohort of women diagnosed and/or treated for breast cancer between 2003 and 2013 in one of the main hospitals in Barcelona's public health network. We performed a descriptive cross-sectional study in a cohort of 2235 women with various stages of breast cancer at different stages of their disease. Data were obtained using questionnaires QLQ-C30 and QLQ-BR23 from the European Organization for Research and Treatment of Cancer (EORTC), which include a set of functional and symptomatic scales. We conducted descriptive and bivariate analysis using the Chi-Square test and adjusted for relevant variables using logistic regression. The dependent variables were the functional scales of QoL and the independent variables were sociodemographic and clinical variables. We observed significant differences for most QoL functions. Women from the most disadvantaged class, those in social isolation, or those who had suffered relapses showed the poorest results for most of the function scales. In contrast, age had differential effects depending on the function studied. The QoL of women diagnosed with breast cancer is closely linked to both their social and economic status, and to their stage of disease progression. It is necessary to explore interventions that focus on the social determinants of health in order to mitigate their effects on breast cancer survivors' QoL.Universitat Autònoma de Barcelona 22018-01-0120182018-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/287819https://dx.doi.org/urn:doi:10.1016/j.canep.2018.03.007reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengMinisterio de Economía y Competitividad https://doi.org/10.13039/501100003329 PI13/01977open accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.https://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2878192026-06-06T12:50:31Z
dc.title.none.fl_str_mv Social inequalities in quality of life in a cohort of women diagnosed with breast cancer in Barcelona (DAMA Cohort)
title Social inequalities in quality of life in a cohort of women diagnosed with breast cancer in Barcelona (DAMA Cohort)
spellingShingle Social inequalities in quality of life in a cohort of women diagnosed with breast cancer in Barcelona (DAMA Cohort)
Graells-Sans, Ariadna|||0000-0002-3881-083X
Breast cancer
Cohort of women with breast cancer
Quality of life
Social inequalities
title_short Social inequalities in quality of life in a cohort of women diagnosed with breast cancer in Barcelona (DAMA Cohort)
title_full Social inequalities in quality of life in a cohort of women diagnosed with breast cancer in Barcelona (DAMA Cohort)
title_fullStr Social inequalities in quality of life in a cohort of women diagnosed with breast cancer in Barcelona (DAMA Cohort)
title_full_unstemmed Social inequalities in quality of life in a cohort of women diagnosed with breast cancer in Barcelona (DAMA Cohort)
title_sort Social inequalities in quality of life in a cohort of women diagnosed with breast cancer in Barcelona (DAMA Cohort)
dc.creator.none.fl_str_mv Graells-Sans, Ariadna|||0000-0002-3881-083X
Serral, Gemma|||0000-0002-9968-5593
Puigpinós i Riera, Rosa|||0000-0002-0364-6603
Bargalló, Xavier Aguilar|||0000-0003-4333-2884
Espinosa-Bravo, Martín|||0000-0002-4293-3875
Grau, Jaume|||0000-0002-6811-2215
Macià, Francesc|||0000-0002-6090-5894
Quintana Ruiz, Maria Jesús|||0000-0002-1055-9786
Sala, Maria|||0000-0002-9955-8746
author Graells-Sans, Ariadna|||0000-0002-3881-083X
author_facet Graells-Sans, Ariadna|||0000-0002-3881-083X
Serral, Gemma|||0000-0002-9968-5593
Puigpinós i Riera, Rosa|||0000-0002-0364-6603
Bargalló, Xavier Aguilar|||0000-0003-4333-2884
Espinosa-Bravo, Martín|||0000-0002-4293-3875
Grau, Jaume|||0000-0002-6811-2215
Macià, Francesc|||0000-0002-6090-5894
Quintana Ruiz, Maria Jesús|||0000-0002-1055-9786
Sala, Maria|||0000-0002-9955-8746
author_role author
author2 Serral, Gemma|||0000-0002-9968-5593
Puigpinós i Riera, Rosa|||0000-0002-0364-6603
Bargalló, Xavier Aguilar|||0000-0003-4333-2884
Espinosa-Bravo, Martín|||0000-0002-4293-3875
Grau, Jaume|||0000-0002-6811-2215
Macià, Francesc|||0000-0002-6090-5894
Quintana Ruiz, Maria Jesús|||0000-0002-1055-9786
Sala, Maria|||0000-0002-9955-8746
author2_role author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universitat Autònoma de Barcelona
dc.subject.none.fl_str_mv Breast cancer
Cohort of women with breast cancer
Quality of life
Social inequalities
topic Breast cancer
Cohort of women with breast cancer
Quality of life
Social inequalities
description Breast cancer is a challenge for women's health-related quality of life (QoL), compromising their physical health and emotional well-being. QoL is equally distributed among different social groups. The aim of this study to analyze the impact of clinical characteristics and social determinants of health on the QoL of a cohort of women diagnosed and/or treated for breast cancer between 2003 and 2013 in one of the main hospitals in Barcelona's public health network. We performed a descriptive cross-sectional study in a cohort of 2235 women with various stages of breast cancer at different stages of their disease. Data were obtained using questionnaires QLQ-C30 and QLQ-BR23 from the European Organization for Research and Treatment of Cancer (EORTC), which include a set of functional and symptomatic scales. We conducted descriptive and bivariate analysis using the Chi-Square test and adjusted for relevant variables using logistic regression. The dependent variables were the functional scales of QoL and the independent variables were sociodemographic and clinical variables. We observed significant differences for most QoL functions. Women from the most disadvantaged class, those in social isolation, or those who had suffered relapses showed the poorest results for most of the function scales. In contrast, age had differential effects depending on the function studied. The QoL of women diagnosed with breast cancer is closely linked to both their social and economic status, and to their stage of disease progression. It is necessary to explore interventions that focus on the social determinants of health in order to mitigate their effects on breast cancer survivors' QoL.
publishDate 2018
dc.date.none.fl_str_mv 2
2018-01-01
2018
2018-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/287819
https://dx.doi.org/urn:doi:10.1016/j.canep.2018.03.007
url https://ddd.uab.cat/record/287819
https://dx.doi.org/urn:doi:10.1016/j.canep.2018.03.007
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.relation.none.fl_str_mv Ministerio de Economía y Competitividad https://doi.org/10.13039/501100003329 PI13/01977
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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