Previously submitted to: JMIR Public Health and Surveillance (no longer under consideration since Jan 04, 2023)
Date Submitted: Dec 15, 2022
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Characteristics and Influencing Factors of Social Isolation in Patients with Breast Cancer: A Latent Profile Analysis
ABSTRACT
Background:
With the improvement of the survival rate of patients with breast cancer (BC) , the problem of social isolation (SI) began to attract public attention，However, few studies explore the internal heterogeneity of SI and ignore the heterogeneity among patient groups at different levels.
Objective:
The goal of this study is to investigate the SI subtypes of patients with BC and to explore the influencing factors of it.
Methods:
A sample of 303 BC patients participated in the study from September to December, 2021. Latent profile analysis (LPA) was performed to identify SI clusters based on the three sub-scales of the Chinese version of the Social Anxiety Scale, the Chinese version of the Social Avoidance and Distress Scale, and the Chinese version of the Loneliness Scale.
Results:
We found that SI can be divided into three categories: high-level (Class 1), middle-level (Class 2), and low-level (Class 3), accounting for 20.46%, 33.00%, and 46.54%, respectively. Compared to Class 3, Class 1, which had the lower average monthly income per family member (RMB) (< 3000: OR = 5.298, P = .021; 3000~5000: OR = 5.320, P = .018), was more likely to suffer from SI due to occupation (Laborer: OR = 12.023, P = .009). Surgery (OR = 14.138, P < .001; OR = 2.777, P = .020), chemotherapy (OR = 10.224, P = .001; OR = 3.545, P = .001); poorer family functioning (OR = .671, P < .001; OR = .801, P = .002), and lower levels of self-transcendence (OR = .806, P < .001; OR = .911, P <.001) were important influencing factors for SI in Class 1 and Class 2 compared to Class 3.
Conclusions:
SI is classifiably heterogeneous among patients with BC. Strategies that identify characteristics of SI and give targeted intervention focusing on family functioning and improving self-transcendence levels contribute to the prevention of SI among patients with BC.
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