%0 Journal Article
%T The impact of a breast cancer diagnosis on marital outcomes and factors associated with divorce and separation.
%A Werutsky G
%A Lopes M
%A de Jesus RG
%A Gazola AA
%A Pellegrini RA
%A Rebelatto TF
%A Freitas LVW
%A Heck AP
%A da Silva AF
%A Rodrigues MF
%A Gössling G
%A Giacomazzi J
%A Rocha MS
%A Rosa DD
%A Barrios CH
%A Cronemberger EH
%A Queiroz GS
%A Bines J
%A Simon SD
%A Fay AP
%J Rev Bras Ginecol Obstet
%V 46
%N 0
%D 2024
%M 38994465
暂无%R 10.61622/rbgo/2024rbgo60
%X UNASSIGNED: To analyze marital outcomes, divorce or separation, and its association with demographic, socioeconomic, and clinicopathological factors among breast cancer (BC) survivors after 2-years of diagnosis.
UNASSIGNED: We performed a retrospective analysis of marital status at baseline and at years 1 and 2 of follow-up of women aged ≥ 18 years diagnosed with invasive BC participating in the AMAZONA III (GBECAM0115) study. The BC diagnosis occurred between January 2016 and March 2018 at 23 institutions in Brazil.
UNASSIGNED: Of the 2974 women enrolled in AMAZONA III, 599 were married or living under common law at baseline. Divorce or separation occurred in 35 (5.8%) patients at 2 years of follow-up. In the multivariate analysis, public health insurance coverage was associated with a higher risk of marital status change (8.25% vs. 2.79%, RR 3.09, 95% CI 1.39 - 7.03, p = 0.007). Women who underwent mastectomy, adenomastectomy or skin-sparing mastectomy were associated with a higher risk of divorce or separation (8.1% vs. 4.49%, RR 1.97, 95 CI 1.04 - 3.72, p = 0.0366) than those who underwent breast-conserving surgery.
UNASSIGNED: Women covered by the public health system and those who underwent mastectomy, adenomastectomy or skin-sparing mastectomy were associated with a higher risk of divorce or separation. This evidence further supports the idea that long-term marital stability is associated with a complex interplay between socioeconomic conditions and stressors, such as BC diagnosis and treatment. ClinicalTrials Registration: NCT02663973.