Investigation on psychological status of patients with cervical precancerous lesions and cancer among Han and Ethnic minority in Yunnan Province of China

作者全名："Zhao, Min; Liu, Dan; Gao, Ming-Zhu; Zhang, Meng-jiao; Ma, Guo-yu; Ding, Song-rui; Luo, Lei; Gu, Rong-yan; Zhang, Xing-Long; Li, Zheng"

作者地址："[Zhao, Min; Gao, Ming-Zhu; Zhang, Meng-jiao; Ding, Song-rui; Luo, Lei; Gu, Rong-yan; Zhang, Xing-Long] Kunming Med Univ, Yunnan Canc Hosp, Yunnan Canc Ctr, Med Adm Dept,Affiliated Hosp 3, 519 Kun Zhou Rd, Kunming 650118, Yunnan, Peoples R China; [Liu, Dan] Chongqing Med Univ, Coll Publ Hlth & Management, Dept Social Med & Hlth Management, Chongqing 400016, Peoples R China; [Ma, Guo-yu] Kunming Med Univ, Yunnan Canc Hosp, Yunnan Canc Ctr Off, Yunnan Canc Ctr,Affiliated Hosp 3, 519 Kun Zhou Rd, Kunming 650118, Yunnan, Peoples R China; [Li, Zheng] Kunming Med Univ, Yunnan Canc Hosp, Yunnan Canc Ctr, Dept Gynecol Oncol,Affiliated Hosp 3, 519 Kun Zhou Rd, Kunming 650118, Yunnan, Peoples R China"

通信作者："Li, Z (通讯作者)，Kunming Med Univ, Yunnan Canc Hosp, Yunnan Canc Ctr, Dept Gynecol Oncol,Affiliated Hosp 3, 519 Kun Zhou Rd, Kunming 650118, Yunnan, Peoples R China."

来源：PREVENTIVE MEDICINE REPORTS

ESI学科分类：　

WOS号：WOS:001035124500001

JCR分区：Q2

影响因子：2.4

年份：2023

卷号：34

期号：　

开始页：　

结束页：　

文献类型：Article

关键词：Cervical lesions; Psychological status; Influencing factors; Kessler 10

摘要："Objective: The aim of this study was to explore the correlation and difference of influencing factors by analyzing the psychological status of patients with cervical precancerous lesions and cancer in Han and Ethnic minorities. So as to provide evidence for more targeted psychological intervention for categories types of patients. Methods: The Chinese version of Kessler 10 scale was used to investigate 200 Han Chinese patients with cervical lesions and 100 ethnic minority patients with cervical lesions in Yunnan Cancer Center. Statistical analysis was performed using t-test, analysis of variance, and multivariable linear regression. Results: There was no significant difference in the distribution of demographic characteristics between the two groups (P > 0.05).The results of univariate analysis showed that the impression of K10 score was statistically significant among the following factors: educational level, awareness of HPV vaccine, disease screening status, employee medical insurance, economic burden of disease, cancerous or not, pathological type, treatment modalities, marital status, and family genetic history of tumor (P < 0.05). After multivariate analysis and considering the influence of the number of independent variables, it indicates that the economic burden of the disease, occupation, and family genetic history of tumor had a greater impact on the total score of Han patients among many factors, accounting for a total of 8.1%(Adj R2 = 0.081).Treatment modalities had the greatest effect on the scores of ethnic minority patients, accounting for 8.4%(Adj R2 = 0.084). Conclusion: The factors affecting the psychological status of patients between the two groups have similarities and differences. Multifactorial analysis showed that the main factors affecting the psychology of Han patients were: economic burden caused by the disease, occupation, and family genetic history of tumor; while the main factors affecting the psychology of minority patients were: treatment modalities. Therefore, targeted recommendations and policy measures can be proposed respectively."

基金机构："National Natural Science Foundation of China [81760469]; 2020 Science and Technology Research Project of Chongqing Municipal Education Commission: Research on Chongqing Medical Assistance System Based on ""Holistic"" Governance Perspective [KJQN202000413]; Major Union Specific Project Foundation of Yunnan Provincial Science and Technology Department and Kunming Medical University [202201AY070001-167]; Scientific Research Fund Project of the Yunnan Provincial Department of Education [2022J0144]; Yunnan Fundamental Research Projects [202201AT070009, 202201AY070001-140]; Yunnan Province ""Ten Thousand People Plan"" [YNWR-QNBJ-2019-099]; Reserve Talents of Young and Middleaged Academic and Technical Leaders in Yunnan Province [2019HB049]; Innovative Research Team of Yunnan Province [202305AS350020]"

基金资助正文："This study was supported by grants from National Natural Science Foundation of China (Grant NO. 81760469) ; The 2020 Science and Technology Research Project of Chongqing Municipal Education Commission: Research on Chongqing Medical Assistance System Based on ""Holistic"" Governance Perspective (Grant NO. KJQN202000413) ;The Major Union Specific Project Foundation of Yunnan Provincial Science and Technology Department and Kunming Medical University (Grant NO. 202201AY070001-167) ;The Scientific Research Fund Project of the Yunnan Provincial Department of Education (Grant NO. 2022J0144) ; Yunnan Fundamental Research Projects (Grant NO. 202201AT070009, 202201AY070001-140) ; Yunnan Province ""Ten Thousand People Plan"" (Grant NO. YNWR-QNBJ-2019-099) ; Reserve Talents of Young and Middleaged Academic and Technical Leaders in Yunnan Province (Grant NO. 2019HB049) ; Innovative Research Team of Yunnan Province (Grant NO. 202305AS350020) ."