Risk factors associated with adherence to medical oncology treatment in pediatrics

Cecilia Prieto B.; Gloria Ibarra B.; Pablo Guzmán V.; Alejandra Werth C.; Romina Espinoza O.; Roberto Sepúlveda C.

Abstract

In Chile, between 450 and 500 cases of cancer are diagnosed annually in children and adolescents. Treatment is financed by the state, but there are non-financial elements that could condition adherence to treatment. Objective: to explore family, socioeconomic, housing, and support network risk factors that could affect adherence to medical treatment in children and adolescents diagnosed with cancer. Patients and Method: Descriptive observational study in pediatric oncology hospitals of a national cancer program. Through a “Social Care Form” applied to 104 caregivers of children and adolescents, between August 2019 and March 2020, socioeconomic data of children diagnosed with cancer were recorded in four dimensions: i) Individual/family/health; ii) Work/education/so-cioeconomic; iii) Housing/environment; and iv) Participation/support networks. Results: 99% of the children and adolescents were registered in the public health system; 69% belonged to the lowest income brackets. Care for children and adolescents was mainly provided by the mother (91%). 79% reported living in a house; 48% owned or were paying for their home. Housing quality was described as good (70%), with low levels of overcrowding. 56% of households had access to Wi-Fi internet con-nection, while 27% reported no access. The main support network reported was the family (84%). Conclusions: Family, socioeconomic, housing, and support network risk factors were observed in children and adolescents diagnosed with cancer; socioeconomic and gender aspects highlight the social inequalities in these families. Descriptive baseline results were obtained, so it is suggested to re-observe its evolution and thus measure its impact on adherence to treatment.

Más información

Título según WOS: Risk factors associated with adherence to medical oncology treatment in pediatrics
Título según SCOPUS: Risk factors associated with adherence to medical oncology treatment in pediatrics
Título según SCIELO: Factores de riesgos asociados a la adherencia al tratamiento médico oncológico en pediatría
Título de la Revista: Andes Pediatrica
Volumen: 94
Número: 2
Editorial: Sociedad Chilena de Pediatria
Fecha de publicación: 2023
Página de inicio: 144
Página final: 152
Idioma: Spanish
DOI:

10.32641/andespediatr.v94i2.4041

Notas: ISI, SCIELO, SCOPUS