Social inequalities in the use of physiotherapy in women diagnosed with breast cancer in Barcelona: DAMA cohort

Author:

Cogollos-de-la-Peña Rocio1,Domínguez-Navarro Fernando2ORCID,Álvarez-Vargas Anais3,Fuentes-Aparicio Laura4,Espelt Albert3,Puigpinós‑Riera Rosa5

Affiliation:

1. Universidad Europea de Valencia SLU

2. Universitat de Valencia

3. Universitat de Vic: Universitat de Vic - Universitat Central de Catalunya

4. Universitat de Valencia - Campus Blasco Ibanez: Universitat de Valencia

5. Agencia de Salud Pública de Cataluña: Agencia de Salut Publica de Catalunya

Abstract

Abstract Purpose 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.Methods Data from 2335 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.Results 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.Conclusions Social and economic inequalities exist on the access to physiotherapy by women diagnosed with breast cancer, which is generally low, and may clearly impacts 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.

Publisher

Research Square Platform LLC

Reference29 articles.

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2. Sociedad Española de Oncolog.a M.dica (2016) Las Cifras del Cancer en España 2016. Soc Española Oncol Medica, pp 1–24

3. Canadian cancer statistics 2015. Special Topic: Predictions of the Future Burdern of Cancer in Canada (2015)

4. Prevalence of breast cancer treatment sequelae over 6 years of follow-up: the Pulling Through Study;Schmitz KH;Cancer,2012

5. Long term treatment related upper limb morbidity and quality of life after sentinel lymph node biopsy for stage I or II breast cancer;Rietman JS;Eur J Surg Oncol J Eur Soc Surg Oncol Br Assoc Surg Oncol,2006

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