Investigation on psychological status of patients with cervical precancerous lesions and cancer - preventive psychological intervention evidence

Q: What is the study objective regarding psychological status?

To examine the correlation and differences of influencing factors by analyzing psychological status in Han and ethnic minority patients with cervical precancerous lesions and cancer, supporting more targeted psychological interventions.

Q: How was psychological status measured and analyzed?

Psychological status was assessed using the Chinese version of the Kessler 10 scale. Analyses used t-test, analysis of variance, and multivariable linear regression.

Q: Which factors showed significant influence on Kessler 10 scores for Han patients?

Economic burden of disease, occupation, and family genetic history of tumor had greater impact on total K10 scores among Han patients (Adj R2 = 0.081).

Q: What main factor most affected psychological status among ethnic minority patients?

Treatment modalities showed the greatest effect on ethnic minority patients’ K10 scores (Adj R2 = 0.084).

Sep 24, 2026

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Objective: Explore how influencing factors relate to and differ across Han and ethnic minority patients with cervical precancerous lesions and cancer, to support more targeted psychological interventions. Methods: Use the Chinese version of the Kessler 10 scale to survey 200 Han patients and 100 ethnic minority patients in Yunnan Cancer Center, analyzing with t-test, ANOVA, and multivariable linear regression. Results: Demographics show no significant difference; key factors include education, HPV vaccine awareness, screening status, insurance, economic burden, disease type, pathology, treatment, marital status, and tumor family history. Conclusion: Shared and distinct drivers exist: economic burden, occupation, and family tumor history for Han; treatment modalities for minorities.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages9

Reading Time23 min

AccessFree to download

Introduction

Study objective and design

Methods: Kessler 10 assessment and statistical analyses

Results: demographic comparisons and influencing factors

Conclusion and implications for targeted interventions

Preventive Medicine Reports 34 (2023) 102273 Contents lists available at ScienceDirect Preventive Medicine Reports journal [homepage:](homepage: www.elsevier.com/locate/pmedr)[ www.elsevier.com/locate/pmedr](homepage: www.elsevier.com/locate/pmedr) | Investigation on psychological status of patients with cervical precancerous lesions and cancer among Han and Ethnic minority in Yunnan Province of China
Min Zhao a, 1, Dan Liu b, 1, Ming-Zhu Gao a, 1, Meng-jiao Zhang a, Guo-yu Mac, Song-rui Dinga, Lei Luo a, Rong-yan Gua, Xing-Long Zhang a, Zheng Lid, *
a Medical Administration Department, The Third Affiliated Hospital of Kunming Medical University (Yunnan Cancer Hospital, Yunnan Cancer Center), 519 Kun Zhou Road, Xi Shan County, Kunming 650118, Yunnan, China
b Department of Social Medicine and Health Management, College of Public Health and Management, Chongqing Medical University, Chongqing 400016, China c Yunnan Cancer Center Office, The Third Affiliated Hospital of Kunming Medical University (Yunnan Cancer Hospital, Yunnan Cancer Center), 519 Kun Zhou Road, Xi Shan County, Kunming 650118, Yunnan, China
d Department of Gynecologic Oncology, The Third Affiliated Hospital of Kunming Medical University (Yunnan Cancer Hospital, Yunnan Cancer Center), 519 Kun Zhou Road, Xi Shan County, Kunming 650118, Yunnan, China | | | | --- | --- | --- | | A R T I C L E I N F O | | A B S T R A C T | | Keywords:
Cervical lesions Psychological status
Influencing factors Kessler 10 | | Objective: The aim of this study was to explore the correlation and difference of influencing factors by analyzing the psychological status of patients with cervical precancerous lesions and cancer in Han and Ethnic minorities. So as to provide evidence for more targeted psychological intervention for categories types of patients. Methods: The Chinese version of Kessler 10 scale was used to investigate 200 Han Chinese patients with cervical lesions and 100 ethnic minority patients with cervical lesions in Yunnan Cancer Center. Statistical analysis was performed using t-test, analysis of variance, and multivariable linear regression.
Results: There was no significant difference in the distribution of demographic characteristics between the two groups (P > 0.05).The results of univariate analysis showed that the impression of K10 score was statistically significant among the following factors: educational level, awareness of HPV vaccine, disease screening status, employee medical insurance, economic burden of disease, cancerous or not, pathological type, treatment modalities, marital status, and family genetic history of tumor (P < 0.05). After multivariate analysis and considering the influence of the number of independent variables, it indicates that the economic burden of the disease, occupation, and family genetic history of tumor had a greater impact on the total score of Han patients among many factors, accounting for a total of 8.1%(Adj R2 = 0.081).Treatment modalities had the greatest effect on the scores of ethnic minority patients, accounting for 8.4%(Adj R2 = 0.084).
Conclusion: The factors affecting the psychological status of patients between the two groups have similarities and differences. Multifactorial analysis showed that the main factors affecting the psychology of Han patients were: economic burden caused by the disease, occupation, and family genetic history of tumor; while the main factors affecting the psychology of minority patients were: treatment modalities. Therefore, targeted recommendations and policy measures can be proposed respectively. | 1. Introduction Cervical cancer is a malignant tumor that occurs in the cervical canal and mainly affects people between 40 and 50 years old. The incidence and fatality rate are both increasing year by year, and are showing a younger trend (Zhou et al., 2017; Li et al., 2013; Chen et al., 2015). Cervical intraepithelial neoplasia (CIN) is a precancerous lesion of

FAQs

What is the study objective regarding psychological status?

To examine the correlation and differences of influencing factors by analyzing psychological status in Han and ethnic minority patients with cervical precancerous lesions and cancer, supporting more targeted psychological interventions.

How was psychological status measured and analyzed?

Psychological status was assessed using the Chinese version of the Kessler 10 scale. Analyses used t-test, analysis of variance, and multivariable linear regression.

Which factors showed significant influence on Kessler 10 scores for Han patients?

Economic burden of disease, occupation, and family genetic history of tumor had greater impact on total K10 scores among Han patients (Adj R2 = 0.081).

What main factor most affected psychological status among ethnic minority patients?

Treatment modalities showed the greatest effect on ethnic minority patients’ K10 scores (Adj R2 = 0.084).

Sep 24, 2026

Uploaded by Jake