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Associations Between Social Determinants of Health and Psychoneurologic Symptom Clusters in Women With Gynecologic Cancers: A Longitudinal Study. | LitMetric

AI Article Synopsis

  • - The study aimed to assess how social determinants of health (like education and income) influence psychoneurologic symptoms (such as fatigue and depression) in women undergoing treatment for gynecologic cancers.
  • - Researchers evaluated 67 women receiving radiation therapy at different stages of treatment and found that those with lower education, income, and employment status reported more severe symptoms.
  • - The findings highlight the importance of considering both personal and community-level social factors in healthcare, as these can significantly impact health outcomes for patients.

Article Abstract

Objectives: To evaluate the associations between social determinants of health (SDOH) and psychoneurologic symptom (PNS) clusters in women with gynecologic cancers during cancer treatment.

Sample & Setting: 67 women with gynecologic cancers who received radiation therapy were assessed at baseline, six to eight weeks after treatment, and six months after treatment at oncology clinics in Georgia.

Methods & Variables: Fatigue, pain, sleep disturbances, cognitive impairment, and depressive symptoms were measured to determine a PNS cluster score. Associations between SDOH and PNS cluster scores were assessed using mixed-effect models.

Results: Larger mean PNS cluster scores were reported in individuals with less education, lower income, and unemployment, as well as in those living in more disadvantaged neighborhoods.

Implications For Nursing: Individual- and community-level SDOH and their interactions were associated with more PNS clusters. Studying SDOH at multiple levels depicts how various social disadvantages can exacerbate poor health outcomes.

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Source
http://dx.doi.org/10.1188/23.ONF.241-251DOI Listing

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