4.2 Article

The Influence of Social Structure on Cancer Pain and Quality of Life

Journal

WESTERN JOURNAL OF NURSING RESEARCH
Volume 39, Issue 12, Pages 1547-1566

Publisher

SAGE PUBLICATIONS INC
DOI: 10.1177/0193945916672663

Keywords

neoplasms; pain; ethnic groups; income; education; moderator

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Funding

  1. National Institutes of Health (NIH/National Institute of Nursing Research [NINR]/National Cancer Institute [NCI]) [1RO1NR007900-01A1]

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The aim of this study was to investigate whether social structure is associated with cancer pain and quality of life using the Social Structure and Personality Research Framework. This study was a secondary analysis of data from 480 cancer patients. The measurements included socioeconomic variables, self-reported cancer pain using the McGill Pain Questionnaire-Short Form (MPQ-SF), and quality of life measured using the Functional Assessment of Cancer Therapy Scale (FACT-G). The data were analyzed using moderated multiple regression. Cancer pain and quality of life differed significantly with income. The associations between income and pain and quality of life were significant only for the high education group ( partial college), and these associations were greater for Caucasians than for their counterparts (p < .05). When developing interventions, nurses should consider the influence of socioeconomic variables on pain and quality of life while considering possible moderating factors such as education.

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