Evidence map›Paper›PMID 40493041›Full record

ArticleJournal of the National Cancer Institute2025

Mental disorders and socioeconomic outcomes in women with cervical cancer, and their children and co-parents.

Jiangrong Wang, Stina Salomonsson, Demet Sönmez, Sara Nordqvist Kleppe, Adina L Feldman, Marcus Sven Andersson, Goran Bencina, Fang Fang, Karin Sundström

Abstract read
In one paragraph

Article in Journal of the National Cancer Institute, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Jiangrong WangDepartment of Clinical Science, Intervention and Technology, Center for Cervical Cancer Elimination, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-0001-503X
Stina SalomonssonValue & Implementation Outcomes Research, MSD, Stockholm, Sweden.
Demet SönmezValue & Implementation Outcomes Research, MSD, Stockholm, Sweden.
Sara Nordqvist KleppeDepartment of Clinical Science, Intervention and Technology, Center for Cervical Cancer Elimination, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-8892-7497
Adina L FeldmanDepartment of Clinical Science, Intervention and Technology, Center for Cervical Cancer Elimination, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-9388-6896
Marcus Sven AnderssonMedical Affairs, MSD, Stockholm, Sweden.
Goran BencinaValue & Implementation Outcomes Research, MSD, Madrid, Spain.
Fang FangInstitute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-3310-6456
Karin SundströmDepartment of Clinical Science, Intervention and Technology, Center for Cervical Cancer Elimination, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-6865-0224

Funding

Karolinska InstitutetMSD
6 · The paper itself

Abstract

backgroundCervical cancer often affects women who are in the middle of life and may carry substantial mental and socioeconomic impact also on families. We performed a generation-spanning study to elucidate this burden.

methodsWe used nationwide registers during 1991-2018 in Sweden to perform 2 matched cohort studies based on a source population of more than 5 million women. The individual sub-study included 6060 cases of cervical cancer diagnosed during 2006-2018 and 5 population comparators individually matched to each case by age, birth year, and region (n = 30 300). The family sub-study included 9332 cases of cervical cancer diagnosed during 1991-2016 and 45 674 matched population comparators and all their children and co-parents.

resultsWe found an increased risk for mental disorders in cases compared with comparators, particularly during the first 2 years postdiagnosis (HR = 3.74, 95% CI = 3.45 to 4.06). Socioeconomic status changed negatively in cases after their diagnosis: a decreased income and increased need for financial aid appeared within 2 years, whereas unemployment escalated from 2 years after cancer diagnosis. We further found an increased risk of mental disorders in both children and co-parents of the cases, compared with the children and co-parents of the comparators. Furthermore, we observed negative socioeconomic trajectories in the co-parents and lower educational attainment in the children of the cases, especially if the case had died.

conclusionsWomen with cervical cancer, and their close family members, display increased risk of negative mental health and socioeconomic outcomes after diagnosis. The lower educational attainment in children appears particularly worrying.

Indexed as

Mental DisordersSocioeconomic FactorsUterine Cervical NeoplasmsAcademic SuccessAdultAgedAged, 80 and overChildCohort StudiesFemaleHumansMiddle AgedRisk FactorsSpousesSweden

Identifiers

PMID40493041
PMCPMC12415958

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.