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

Min Zhao; Dan Liu; Ming-Zhu Gao; Meng-Jiao Zhang; Guo-Yu Ma; Song-Rui Ding; Lei Luo; Rong-Yan Gu; Xing-Long Zhang; Zheng Li

doi:10.1016/j.pmedr.2023.102273

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

Prev Med Rep. 2023 Jun 3:34:102273. doi: 10.1016/j.pmedr.2023.102273. eCollection 2023 Aug.

Authors

Min Zhao¹, Dan Liu², Ming-Zhu Gao¹, Meng-Jiao Zhang¹, Guo-Yu Ma³, Song-Rui Ding¹, Lei Luo¹, Rong-Yan Gu¹, Xing-Long Zhang¹, Zheng Li⁴

Affiliations

¹ Medical Administration Department, The Third Affiliated Hospital of Kunming Medical University (Yunnan Cancer Hospital, Yunnan Cancer Center), 519 Kun Zhou Road, Xi Shan County, Kunming 650118, Yunnan, China.
² Department of Social Medicine and Health Management, College of Public Health and Management, Chongqing Medical University, Chongqing 400016, China.
³ Yunnan Cancer Center Office, The Third Affiliated Hospital of Kunming Medical University (Yunnan Cancer Hospital, Yunnan Cancer Center), 519 Kun Zhou Road, Xi Shan County, Kunming 650118, Yunnan, China.
⁴ Department of Gynecologic Oncology, The Third Affiliated Hospital of Kunming Medical University (Yunnan Cancer Hospital, Yunnan Cancer Center), 519 Kun Zhou Road, Xi Shan County, Kunming 650118, Yunnan, China.

Abstract

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.

Keywords: Cervical lesions; Influencing factors; Kessler 10; Psychological status.