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Association of supportive care needs and quality of patient‐centered cancer care with depression in women with breast and cervical cancer in Mexico
Author(s) -
Doubova Svetlana V.,
PérezCuevas Ricardo
Publication year - 2021
Publication title -
psycho‐oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.41
H-Index - 137
eISSN - 1099-1611
pISSN - 1057-9249
DOI - 10.1002/pon.5608
Subject(s) - medicine , breast cancer , depression (economics) , cervical cancer , family medicine , cancer , anxiety , health care , logistic regression , psychiatry , economics , macroeconomics , economic growth
Objective To compare the prevalence of depression, supportive care needs (SC‐needs), and quality of patient‐centered cancer care (PCC‐quality) between women with breast cancer and women with cervical cancer and to assess the association of SC‐needs and PCC‐quality with depression. Methods We conducted a cross‐sectional survey in a public oncology hospital in Mexico City with 247 breast cancer and 165 cervical cancer ambulatory patients aged ≥18 years with at least one hospitalization and ≤5 years since diagnosis. Participants completed the short‐form Supportive Care Needs Survey, the Patient‐Centered Quality of Cancer Care Questionnaire, and the Hospital Anxiety and Depression Scale. We performed multiple logistic regression analyses to evaluate the association between SC‐needs, PCC‐quality, and probable presence of depression. Results Nearly all women reported SC‐needs—mainly health system and information needs, followed by physical and psychological needs. PCC‐quality was substandard in both groups. PCC‐quality was lowest when addressing biopsychosocial needs, followed by information for treatment decision‐making needs. Cervical cancer patients had probable depression more often (41.2%) than those with breast cancer (29.5%). Having unmet psychological and care needs was associated with increased odds of probable depression, while high‐quality timely care was associated with reduced odds of probable depression. Conclusion In Mexico, women with cervical and breast cancer face unmet SC‐needs, probable depression, and substandard PCC‐quality, pointing to priority areas for improvements in cancer care.