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This study examined levels and drivers of financial toxicity and psychosocial distress in patients receiving care at the University College Hospital, Ibadan, Nigeria. A descriptive cross-sectional convergent parallel mixed-methods design enrolled 105 patients treated between June and August 2021 using interviews and questionnaires, finding high financial toxicity and high psychosocial distress, with financial toxicity as the strongest predictor.",{"@graph":69,"@context":126},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/financial-toxicity-and-psychosocial-distress-of-breast-and-cervical-cancer-patients-at-a-tertiary-healthcare-facility-in-south-western-nigeria/350344/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/financial-toxicity-and-psychosocial-distress-of-breast-and-cervical-cancer-patients-at-a-tertiary-healthcare-facility-in-south-western-nigeria/350344.png","ImageObject",300,407,{"name":92,"@type":93},"Adam","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-09-23","2026-09-22",true,{"@type":102,"interactionType":103,"userInteractionCount":14},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118,122],{"name":109,"@type":110,"acceptedAnswer":111},"What was the study designed to investigate?","Question",{"text":112,"@type":113},"The study investigated financial toxicity and psychosocial distress among breast and cervical cancer patients receiving treatment at a tertiary healthcare facility in south-western Nigeria.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How were patients and data collected?",{"text":117,"@type":113},"A descriptive cross-sectional study used a convergent parallel mixed-methods design with 105 patients. Data were collected via a semi-structured interviewer-administered questionnaire and in-depth interviews, with quantitative analysis using descriptive and inferential statistics and qualitative analysis using thematic analysis.",{"name":119,"@type":110,"acceptedAnswer":120},"What did the study find about financial toxicity and psychosocial distress?",{"text":121,"@type":113},"Most respondents experienced high financial toxicity (96.2%) and high psychosocial distress (73.3%). 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BMC Women's Health (2026) 26:265 BMC Women's Health  \n[https://doi.org/10.1186/s12905-026-04436-9](https://doi.org/10.1186/s12905-026-04436-9)  \nRESEARCH Open Access  \nFinancial toxicity and psychosocial distress of breast and cervical cancer patients at a tertiary healthcare facility in south-western Nigeria  \nDamilola A. Busari 1, Atara Ntekim2, Yetunde O. John-Akinola 1, Prisca Olabisi Adejumo3, Dezheng Huo4, Olufunmilayo I Olopade5 and Mojisola M. Oluwasanu 1*  \nAbstract  \nBackground Breast and cervical cancers are leading causes of morbidity and mortality in women worldwide. The treatment and management of these illnesses are accompanied with financial toxicity and psychological distress to the patients. This study investigated financial toxicity and psychosocial distress of breast and cervical cancer patients at the University College Hospital, Ibadan, Nigeria.  \nMethods This was a descriptive cross-sectional study that employed a convergent parallel, mixed-methods design. The study was conducted among 105 breast and cervical cancer patients receiving treatment between June and August, 2021. Data were obtained using a semi-structured, interviewer-administered questionnaire and in-depth interview guide. The quantitative data were analyzed using descriptive and inferential statistics, and qualitative data were analyzed using thematic analysis.  \nResults The mean age of the respondents was 48.8 ± 10.0 years, and almost half of the participants (45%) were aged between 51 and 60 years. Most of the respondents (67 . 6%) were breast cancer patients, while (32 .4%) were cervical cancer patients. This study found that (96 . 2%) of the respondents experienced high financial toxicity, and (73 . 3%) of the respondents had a high level of psychosocial distress. Financial toxicity was the strongest predictor of psychosocial distress (Wald χ² = 87 . 28, p \u003C 0. 001), indicating that higher financial toxicity was associated with high psychosocial distress. Factors that contributed to the financial toxicity and psychosocial distress as deduced from the qualitative interviews were high cost of treatment, loss of income, and negative body image.  \nConclusion Breast and cervical cancer patients experience a high level of financial toxicity and psychosocial distress. Multi-component interventions are needed to defray costs, improve psychological well-being, reduce disparities in treatment outcomes, and improve the quality of cancer care.  \nKeywords Financial toxicity, Psychosocial burden, Breast cancer, Cervical cancer  \n*Correspondence: Mojisola M. Oluwasanu [ope3m@yahoo.com](ope3m@yahoo.com)  \nFull list of author information is available at the end of the article  \n© The Author(s) 2026. Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit [http://creati](http://creati)[vecommons.org/licenses/by-nc-nd/4.0/](vecommons.org/licenses/by-nc-nd/4.0/.)[.](vecommons.org/licenses/by-nc-nd/4.0/.)  \nBusari et al. BMC Women's Health (2026) 26:265  \nIntroduction  \nCancer is one of the leading contributors to the global burden of diseases [1","cbCaifAQ8noBZpSx","https://ap.wps.com/l/cbCaifAQ8noBZpSx","pdf",1053828,"English","# Abstract\n# Background\n# Methods\n# Results\n# Conclusion\n# Introduction","[{\"question\":\"What was the study designed to investigate?\",\"answer\":\"The study investigated financial toxicity and psychosocial distress among breast and cervical cancer patients receiving treatment at a tertiary healthcare facility in south-western Nigeria.\"},{\"question\":\"How were patients and data collected?\",\"answer\":\"A descriptive cross-sectional study used a convergent parallel mixed-methods design with 105 patients. Data were collected via a semi-structured interviewer-administered questionnaire and in-depth interviews, with quantitative analysis using descriptive and inferential statistics and qualitative analysis using thematic analysis.\"},{\"question\":\"What did the study find about financial toxicity and psychosocial distress?\",\"answer\":\"Most respondents experienced high financial toxicity (96.2%) and high psychosocial distress (73.3%). Financial toxicity was the strongest predictor of psychosocial distress, indicating higher financial toxicity was associated with worse psychosocial outcomes.\"},{\"question\":\"What factors contributed to financial toxicity and psychosocial distress?\",\"answer\":\"Qualitative interviews attributed key contributors to high treatment costs, loss of income, and negative body image.\"}]","Financial toxicity and psychosocial distress of breast and cervical cancer patients at a tertiary healthcare facility in south-western Nigeria | PDF",1790088559,23]