{Reference Type}: Journal Article
{Title}: The impact of a breast cancer diagnosis on marital outcomes and factors associated with divorce and separation.
{Author}: Werutsky G;Lopes M;de Jesus RG;Gazola AA;Pellegrini RA;Rebelatto TF;Freitas LVW;Heck AP;da Silva AF;Rodrigues MF;Gössling G;Giacomazzi J;Rocha MS;Rosa DD;Barrios CH;Cronemberger EH;Queiroz GS;Bines J;Simon SD;Fay AP;
{Journal}: Rev Bras Ginecol Obstet
{Volume}: 46
{Issue}: 0
{Year}: 2024
暂无{DOI}: 10.61622/rbgo/2024rbgo60
{Abstract}: <B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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.