Socioeconomic status and quality of life of women with family history of breast cancer attending an oncogenetic counseling clinic – a comparison with general population
- 1 January 2009
- journal article
- Published by Medical Journals Sweden AB in Acta Oncologica
- Vol. 48 (1), 86-92
- https://doi.org/10.1080/02841860802343182
Abstract
Women with high risk for breast cancer due to family history are offered genetic counseling and surveillance. The aim of this cross-sectional study was to characterize women at an oncogenetic counseling clinic in terms of socioeconomic status (SES) and health related quality of life (HRQOL) and to compare data with population based figures. All healthy women who had ever visited the Oncogenetic clinic, Department of Oncology, Sodersjukhuset, 1998-2004 were eligible. A total of 306 women consented to participate (82.5%). SES data were compared with official data for all women (n=277,783), in the same age, living in the same geographical area at the time the study was performed. HRQOL data (SF-36) were compared with Swedish normative data. Significantly more women in the study group were cohabiting (74.2 vs. 43.8%), had the highest education level, (56.7 vs. 39.6%) and had the highest household income (36.9 vs. 12.9%) as compared to the reference population in the same catchment area. Study subjects report significant lower levels of HRQOL for subscales related to mental health and for general health compared to normative data, but similar levels on HRQOL subscales related to physical health. Attendees at the oncogenetic clinic appears to have higher socioeconomic status and lower quality of life as compared to women living in the same area, although the genetic predisposition for breast cancer is considered to be evenly distributed in the population. Thus, efforts to reach women in lower socioeconomic groups should be elaborated.Keywords
This publication has 21 references indexed in Scilit:
- Screening younger women with a family history of breast cancer – does early detection improve outcome?European Journal of Cancer, 2006
- Health inequalities among adolescents--the impact of academic orientation and parents' educationEuropean Journal of Public Health, 2006
- Socioeconomic gradients in clinical stage at presentation and survival among breast cancer patients in the Stockholm area 1977–1997International Journal of Cancer, 2006
- Bilateral Prophylactic Mastectomy Reduces Breast Cancer Risk in BRCA1 and BRCA2 Mutation Carriers: The PROSE Study GroupJournal of Clinical Oncology, 2004
- Education and risk of breast cancer in the Norwegian‐Swedish women's lifestyle and health cohort studyInternational Journal of Cancer, 2004
- Average Risks of Breast and Ovarian Cancer Associated with BRCA1 or BRCA2 Mutations Detected in Case Series Unselected for Family History: A Combined Analysis of 22 StudiesAmerican Journal of Human Genetics, 2003
- Environmental and Heritable Factors in the Causation of Cancer — Analyses of Cohorts of Twins from Sweden, Denmark, and FinlandNew England Journal of Medicine, 2000
- Health-related Quality of Life Measured by the EORTC QLQ-C30: Reference Values From a Large Sample of the Swedish PopulationActa Oncologica, 2000
- Tailored Risk Notification for Women with a Family History of Breast CancerPreventive Medicine, 1999
- The Swedish SF-36 Health Survey—I. Evaluation of data quality, scaling assumptions, reliability and construct validity across general populations in SwedenSocial Science & Medicine, 1995