title: The socio-economic impact of cervical cancer on patients and their families in Argentina, and its influence on radiotherapy compliance. Results from a cross-sectional study.
abstract: OBJECTIVE
  We aimed to measure the socio-economic impact of cervical cancer borne by patients and their families in Argentina, and to analyze its influence on radiotherapy compliance.
  
  
  METHODS
  We carried out a cross-sectional survey of 120 new cervical cancer patients. We measured impact of disease in 6 domains of family life: employment, income, household budget, education, access to health-care, and child care. Data on compliance with radiotherapy were also collected.
  
  
  RESULTS
  Households of patients reported a reduction in hours worked (45%), work interruption (28%), loss of family income (39%), a reduction in the daily amount of food consumed (37%), delays in paying for essential services such as electricity or telephone (43%), and the sale of property or use of savings (38%). In 28% of households children regularly missed school days. An increased risk of non-compliance with radiotherapy was found in patients from households that lost family income (OR: 3.8, 95% CI 1.5-9.5), or where a member reduced school attendance (OR: 3.6, 95% CI 1.4-9.1).
  
  
  CONCLUSIONS
  The socio-economic impact of cervical cancer is considerable and can have negative consequences on treatment compliance. Cervical cancer prevention must be considered a public health priority. Effective social support systems for cancer patients should be implemented.
authors.affiliation: Screening Group, International Agency for Cancer Research, 150 cours Albert Thomas, Lyon 69372, Lyon, France. silviarrossi@yahoo.com
authors.forename: Silvina
authors.initials: S
authors.lastname: Arrossi
authors.forename: Elena
authors.initials: E
authors.lastname: Matos
authors.forename: Nicolas
authors.initials: N
authors.lastname: Zengarini
authors.forename: Berta
authors.initials: B
authors.lastname: Roth
authors.forename: Rengaswamy
authors.initials: R
authors.lastname: Sankaranayananan
authors.forename: Maxwell
authors.initials: M
authors.lastname: Parkin
mesh_terms: D001118:Argentina; D017028:Caregivers; D003430:Cross-Sectional Studies; D005190:Family; D005260:Female; D006801:Humans; D008875:Middle Aged; D010349:Patient Compliance; D012189:Retrospective Studies; D012944:Social Support; D012959:Socioeconomic Factors; D002583:Uterine Cervical Neoplasms / Q000191:economics* / Q000532:radiotherapy*