Social inequalities in the use of physiotherapy in women diagnosed with breast cancer in Barcelona : DAMA cohort
Cogollos-de-la-Peña, Rocio (Universitat Europea de València)
Álvarez-Vargas, Anaís (Universitat de Vic - Universitat Central de Catalunya)
Domínguez-Navarro, Fernando (Universitat de València)
Espelt, Albert (Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de les Ciències de la Salut)
Fuentes-Aparicio, Laura (Universitat de València)
Puigpinós i Riera, Rosa (Institut de Recerca Sant Pau)

Date:	2024
Abstract:	This study aimed to analyze social inequalities in the use and access of physiotherapy service and its clinical and socio-economic determinants in women diagnosed with breast cancer in the hospital network of Barcelona. Data from 2235 women belonging to the mixed (prospective and retrospective) DAMA Cohort were analyzed, including demographic, socio-economic, clinical, and breast cancer treatment outcomes. To determine the influence of such variables on access to physiotherapy, different Poisson regression models with robust variance (obtaining Prevalence Ratios and confidence intervals) were estimated. Although when experiencing different chronic and acute symptoms, only between 20 and 35% of women visited physiotherapist. Two out of 3 women reported to have received insufficient information about medical care and rehabilitation. Age of women, job occupation, education level, having a mutual or private insurance, as well as outcomes related to breast cancer, appear to be factors influencing the access to physiotherapy. Social and economic inequalities exist on the access to physiotherapy by women diagnosed with breast cancer, which is generally low, and may clearly impact on their functional recovery. Promoting strategies to reduce social bias, as well as improve communication and patient information regarding physiotherapy may be of interest for a better health care in breast cancer diagnosed women.
Grants:	Ministerio de Economía y Competitividad PI13/01977
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Breast cancer ; Epidemiology ; Physiotherapy ; Rehabilitation ; Socio-economic profile
Published in:	Breast Cancer Research and Treatment, Vol. 204, Num. 2 (december 2024) , p. 377-387, ISSN 1573-7217

DOI: 10.1007/s10549-023-07191-9
PMID: 38155271

11 p, 788.4 KB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles