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Differences in health-related quality of life between native and foreign-born gynaecological cancer patients in Sweden: A five-year cross-sectional study
Sophiahemmet University.ORCID iD: 0000-0002-1280-7560
Sophiahemmet University.ORCID iD: 0000-0002-6331-8599
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2023 (English)In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649Article in journal (Refereed) Epub ahead of print
Abstract [en]

PURPOSE: To examine differences in health-related quality of life (HRQoL) between native and foreign-born gynaecological cancer patients in Sweden, taking into account clinical, demographic, and socioeconomic factors.

METHODS: The 30-item European Organisation for Research and Treatment of Cancer quality of life questionnaire (QLQ-C30) and a study-specific questionnaire covering demographic and socioeconomic factors were answered by 684 women aged ≥ 18 years old, diagnosed in 2014, 2016, or 2018 with gynaecological cancer in the Stockholm-Gotland health care region, Sweden. Clinical data were obtained from the Swedish Cancer Register. Data were analysed using the Kruskal-Wallis test and linear regression.

RESULTS: The women had a mean age of 65.4 years, with 555 (81.1%) born in Sweden, 54 (7.9%) in other Nordic countries (ONC), 43 (6.3%) in other European countries (OEC), and 32 (4.7%) in non-European countries (NEC). HRQoL differed significantly between the four groups for 14 of the 15 QLQ-C30 scales/items. On average, Swedish-born women scored 2.0, 15.2, and 16.7 points higher for QoL/functioning scales/items and 2.2, 14.1, and 18.7 points lower for symptom scales/items, compared with ONC-, OEC-, and NEC-born women, respectively. In adjusted analyses, none of the differences between Swedish-born and ONC-born women were significant, while for OEC- and NEC-born women the differences were significant for most QLQ-C30 scales/items.

CONCLUSION: HRQoL differs between native and foreign-born gynaecological cancer patients in Sweden, with lower HRQoL the further from Sweden the women are born. A more individualised cancer care, with tailored support to optimize HRQoL is needed for this vulnerable group of patients.

Place, publisher, year, edition, pages
2023.
Keywords [en]
Demography, Foreign-born, Gynaecological cancer, Health-related quality of life, Socioeconomic factors, Women
National Category
Nursing
Identifiers
URN: urn:nbn:se:shh:diva-5075DOI: 10.1007/s11136-023-03548-1PubMedID: 37930556OAI: oai:DiVA.org:shh-5075DiVA, id: diva2:1814124
Available from: 2023-11-23 Created: 2023-11-23 Last updated: 2023-11-23Bibliographically approved

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Westman, BodilBergkvist, KarinBergenmar, Mia

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