%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.