ArticlePsycho-oncology2013
Socioeconomic disparities in the quality of life in children with cancer or brain tumors: the mediating role of family factors.
Article in Psycho-oncology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Financial hardship in families of children or adolescents with cancer: a systematic literature review.The Lancet. Oncology · 2023Pooled it
- Understanding access to novel high-cost cancer therapies across Canada: a national survey of pediatric oncology providers.Frontiers in pediatrics · 2026Article
- Multilevel Social Determinants of Patient-Reported Outcomes in Young Survivors of Childhood Cancer.Cancers · 2024Article
- Parental education and hospitalisations among Pacific children: A cross-sectional study using linked administrative data in New Zealand's Integrated Data Infrastructure.Journal of the Royal Society of New Zealand · 2023Article
- Assessing health-related quality of life in Chinese children and adolescents with cancer: validation of the DISABKIDS chronic generic module (DCGM-37).BMC cancer · 2021Article
- Factors Influencing Family Burden in Pediatric Hematology/Oncology Encounters.Journal of patient-centered research and reviews · 2019Article
- Impact of pediatric cancer on family relationships.Cancer medicine · 2018Article
- Family Rituals and Quality of Life in Children With Cancer and Their Parents: The Role of Family Cohesion and Hope.Journal of pediatric psychology · 2015Article
- Functional status at 18 months of age as a predictor of childhood disability after neonatal hypoxic-ischemic encephalopathy.Developmental medicine and child neurology · 2014Observational
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveThis study aimed to determine if and to what extent (i) socioeconomic disparities exist in the health-related quality of life (QOL) of children with cancer or brain tumors and healthy children; and (ii) family functioning and burden mediate the relationship between socioeconomic status and children's QOL.
methodsIn this cross-sectional study, parents of children ages 2-18 with (n = 71) and without (n = 135) cancer or brain tumors completed in-person interviewer-assisted surveys assessing sociodemographics (including income and parental education), child QOL (measure: PedsQL), family functioning (measure: Family Adaptability and Cohesion Evaluation Scale IV) and burden (measure: Impact on the Family Scale). For children with cancer, clinical characteristics were captured through medical record abstraction. Multiple linear regression was used to determine the relationship between income and child QOL; the interaction between group status and income was assessed. Staged multivariate regression models were used to assess the role of family factors in this relationship among children with cancer.
resultsIn multivariate analyses, the effect of income differed by cancer status; lower income was associated with worse QOL in children with cancer but not among healthy children. Among children with cancer, this relationship was significantly attenuated by family burden.
conclusionsSignificant socioeconomic disparities exist in the QOL of children with cancer. Family factors partially explain the relationship between low income and poor QOL outcomes among these children. Lower-income families may have fewer resources to cope with their child's cancer. Increased support, monitoring, and referrals to reduce burden for these families may lead to improved QOL in children with cancer.
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