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Key factors associated with social distress after prostate cancer: results from the United Kingdom Life After Prostate Cancer Diagnosis study

Key factors associated with social distress after prostate cancer: results from the United Kingdom Life After Prostate Cancer Diagnosis study
Key factors associated with social distress after prostate cancer: results from the United Kingdom Life After Prostate Cancer Diagnosis study
Background: more men are living following a prostate cancer (PCa) diagnosis. They may need support to maximize the quality of their survival. Physical and psychological impacts of PCa are widely documented. Less is known about social impacts. We aimed to identify key factors associated with social distress following PCa.

Methods : The Life After Prostate Cancer Diagnosis study is a UK national cross-sectional survey of men 18-42 months post diagnosis of PCa.. Men (n= 58 930) were invited to participate by their diagnosing cancer centre including 82% of English NHS Trusts (n=111) and 100% of all Health Boards in Northern Ireland (n=5), Scotland (n=14) and Wales (n=6). Social distress was measured using the Social Difficulties Inventory (SDI-21), 16 item Social Distress scale with men assigned to ‘socially distressed’/‘not socially distressed’ groups, according to published guidelines. Clinical and sociodemographic variables were collected from self-report and cancer registries.

Results: response rate 60.8% (n= 35 823) of whom 97% (n=29 351) completed the Social Distress scale (mean age = 71.2; SD = 7.88). The proportion of ‘socially distressed’ men was 9.4%. Multivariable logistic regression analysis revealed unemployment versus employment (odds ratio (OR):11.58 [95% CI 9.16-14.63]) and ≥3 co-morbidities versus none (OR: 5.37 [95% CI 4.61-6.27]) as key associations. Others were Androgen Deprivation Therapy, External Beam Radiotherapy in combination with another treatment, age, prior mental health problems and living in a socio-economically deprived area.

Conclusion: most men following PCa are socially resilient. A simple checklist could help clinicians identify men at risk of social distress.
1877-7821
201-207
Wright, Penny
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Wilding, Sarah
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Watson, Eila
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Downing, Amy
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Selby, Peter
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Hounsome, Luke
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Wagland, Richard
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Brewster, David H.
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Huws, Dyfed W.
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Butcher, Hugh
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Mottram, Rebecca
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Kearney, Therese
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Allen, Majorie
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Gavin, Anna
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Glaser, Adam W.
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Wright, Penny
be58e744-69be-48f8-a416-8e543af1ad7b
Wilding, Sarah
a538ad99-f618-4022-9a21-cf063649f99d
Watson, Eila
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Downing, Amy
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Selby, Peter
4d78c7d9-9d7a-4d92-acf0-597c4168d757
Hounsome, Luke
07575bd0-d561-40fa-9680-5f5cdfb71508
Wagland, Richard
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Brewster, David H.
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Huws, Dyfed W.
df84c124-e3fd-4269-8373-b8d3b1edc522
Butcher, Hugh
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Mottram, Rebecca
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Kearney, Therese
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Allen, Majorie
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Gavin, Anna
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Glaser, Adam W.
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Wright, Penny, Wilding, Sarah, Watson, Eila, Downing, Amy, Selby, Peter, Hounsome, Luke, Wagland, Richard, Brewster, David H., Huws, Dyfed W., Butcher, Hugh, Mottram, Rebecca, Kearney, Therese, Allen, Majorie, Gavin, Anna and Glaser, Adam W. (2019) Key factors associated with social distress after prostate cancer: results from the United Kingdom Life After Prostate Cancer Diagnosis study. Cancer Epidemiology, 60, 201-207. (doi:10.1016/j.canep.2019.04.006).

Record type: Article

Abstract

Background: more men are living following a prostate cancer (PCa) diagnosis. They may need support to maximize the quality of their survival. Physical and psychological impacts of PCa are widely documented. Less is known about social impacts. We aimed to identify key factors associated with social distress following PCa.

Methods : The Life After Prostate Cancer Diagnosis study is a UK national cross-sectional survey of men 18-42 months post diagnosis of PCa.. Men (n= 58 930) were invited to participate by their diagnosing cancer centre including 82% of English NHS Trusts (n=111) and 100% of all Health Boards in Northern Ireland (n=5), Scotland (n=14) and Wales (n=6). Social distress was measured using the Social Difficulties Inventory (SDI-21), 16 item Social Distress scale with men assigned to ‘socially distressed’/‘not socially distressed’ groups, according to published guidelines. Clinical and sociodemographic variables were collected from self-report and cancer registries.

Results: response rate 60.8% (n= 35 823) of whom 97% (n=29 351) completed the Social Distress scale (mean age = 71.2; SD = 7.88). The proportion of ‘socially distressed’ men was 9.4%. Multivariable logistic regression analysis revealed unemployment versus employment (odds ratio (OR):11.58 [95% CI 9.16-14.63]) and ≥3 co-morbidities versus none (OR: 5.37 [95% CI 4.61-6.27]) as key associations. Others were Androgen Deprivation Therapy, External Beam Radiotherapy in combination with another treatment, age, prior mental health problems and living in a socio-economically deprived area.

Conclusion: most men following PCa are socially resilient. A simple checklist could help clinicians identify men at risk of social distress.

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More information

Accepted/In Press date: 19 April 2019
e-pub ahead of print date: 6 May 2019
Published date: June 2019

Identifiers

Local EPrints ID: 430480
URI: http://eprints.soton.ac.uk/id/eprint/430480
ISSN: 1877-7821
PURE UUID: 2c7787ec-0675-48cd-9442-c9077a161d3d
ORCID for Richard Wagland: ORCID iD orcid.org/0000-0003-1825-7587

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Date deposited: 02 May 2019 16:30
Last modified: 16 Mar 2024 07:48

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Contributors

Author: Penny Wright
Author: Sarah Wilding
Author: Eila Watson
Author: Amy Downing
Author: Peter Selby
Author: Luke Hounsome
Author: Richard Wagland ORCID iD
Author: David H. Brewster
Author: Dyfed W. Huws
Author: Hugh Butcher
Author: Rebecca Mottram
Author: Therese Kearney
Author: Majorie Allen
Author: Anna Gavin
Author: Adam W. Glaser

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