Long-term population-based divorce rates among adult survivors of childhood cancer in Britain.
BACKGROUND
Previously from the British Childhood Cancer Survivor Study (BCCSS) it was seen that adult survivors of childhood cancer were less likely to marry than the general population. The objectives of this study were to assess the number of childhood cancer survivors from the BCCSS who were currently divorced or separated, examine factors associated with marriage dissolution and compare survivor divorce rates to population rates.


METHODS
The BCCSS is a population-based cohort of 18,119 individuals diagnosed with cancer aged 0-14 years between 1940 and 1991, and survived at least 5 years. 14,539 were alive, aged 16 years or over and eligible to receive a questionnaire, which ascertained marital status.


RESULTS
From 8,155 survivors, who were aged at least 20 years at questionnaire completion, the proportions currently divorced and divorced or separated were 13.5% and 18.1%, respectively. Only current age, educational attainment and age at marriage were associated with divorce, and for divorce and separation status only age at marriage (P < 0.05). Overall the survivors were no different to the general population for being currently divorced (odds ratio (OR) (95% confidence intervals (95% CI)): 0.94 (0.81-1.10)). However, the survivors overall (OR (95% CI): 0.82 (0.72-0.94)), and separately for those diagnosed with non-Hodgkin lymphoma (OR (95% CI): 0.55 (0.34-0.89)) and leukaemia (OR (95% CI): 0.70 (0.52-0.95)), were less likely to be currently divorced or separated than the general population.


CONCLUSIONS
It is reassuring that survivors do not experience more divorce than the general population, and that no cancer or treatment factors were shown to be associated with marriage dissolution.
Centre for Childhood Cancer Survivor Studies (CCCSS), School of Health and Population Sciences, Public Health Building, University of Birmingham, Edgbaston, Birmingham, UK. c.frobisher@bham.ac.uk
Clare
C
Frobisher
Emma R
ER
Lancashire
David L
DL
Winter
Aliki J
AJ
Taylor
Raoul C
RC
Reulen
Michael M
MM
Hawkins
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D004243:Divorce / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D017533:Marital Status / Q000706:statistics & numerical data*; D008875:Middle Aged; D009369:Neoplasms / Q000453:epidemiology*; D011379:Prognosis; D012307:Risk Factors; D015996:Survival Rate; D017741:Survivors; D006113:United Kingdom / Q000453:epidemiology; D055815:Young Adult