Impact of a cancer diagnosis on quality of life among cancer survivors and their partners

Bibliographic Data

ID21579939
AuthorsFrancisca Bessa (EPIUnit ITR, Instituto de Saúde Pública da Universidade do Porto, Universidade do Porto), Fabiana Carvalho Bessa (i3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto, corresponding author), Samantha Morais (0000-0001-5808-0179, EPIUnit ITR, Instituto de Saúde Pública da Universidade do Porto, Universidade do Porto), Luísa Lopes-Conceição (0000-0002-5064-9911, Grupo de Investigação em Epidemiologia, Resultados, Economia e Gestão em Oncologia-Centro de Investigação (CI-IPOP) & Porto Comprehensive Cancer Center (Porto.CCC) & RISE@CI-IPOP (Rede de Investigação em Saúde), Instituto Português de Oncologia do Porto FG, EPE (IPO-Porto)), Ana Rute Costa (0000-0003-2745-518X, EPIUnit ITR, Instituto de Saúde Pública da Universidade do Porto, Universidade do Porto)
Year2026
Volume32
IssueSupplement_3
Pages1-19
Publication date2026-06-01
Open AccessYes
TypeARTICLE
VenuePsychology & Health (JOURNAL)
Journal identifiersISSN: 0887-0446 • E-ISSN: 1476-8321
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/08870446.2026.2670733
PMID42223023
OpenAlexW3111427436
LanguageEN
References cited63

Background Cancer survivors (CS) often experience physical, psychological and socioeconomic problems, which may have a negative effect on their quality of life (QoL). Additionally, cancer may also have a significant impact on patientś families, particularly their partners (PCS), who are typically the main informal caregiver. Objective To estimate the association between a cancer diagnosis and a poor QoL among both members of the couples, according to sociodemographic, health-related and cancer characteristics. Methods This cross-sectional study was based on data from the Sixth Wave of the Survey of Health, Ageing and Retirement in Europe - SHARE, conducted in 2015, in 18 countries. All cancer survivors (n = 2,040) who lived with a partner in the same household, as well as PCS (n = 2,040) were selected, and were country-, sex-, age- and education-matched (1:1) to non-cancer individuals (NC) and their partners (PNC), respectively. QoL was assessed using the Control, Autonomy, Self-Realization and Pleasure scale (CASP-12). The association between a cancer diagnosis and a poor QoL among both members of the couple was estimated through odds ratios (ORs) and 95% confidence intervals (95%CIs). Results In nearly one-fifth of couples, both members reported a poor QoL (17.0%); this outcome was more frequently observed among CS than NC (OR = 1.31, 95%CI: 1.10-1.56). A tendency towards stronger odds of poor QoL among both couples’ members was observed among CS who lived in urban areas (OR = 1.91, 95%CI: 1.30-2.80), with no multimorbidity (OR = 2.07, 95%CI: 1.14-3.76), as well as among those diagnosed <5 years (OR = 1.65, 95%CI: 1.21-2.24) and with cancers with a usually poor prognosis (OR = 1.82, 95%CI: 1.04-3.18), when compared with respective NC. Conclusions A poor QoL among both couples’ members was more frequent among couples dealing with cancer than those without cancer, which highlights the importance of closely monitoring CS and their partners, throughout the cancer survivorship course. Key messages • Couples dealing with cancer more frequently reported a worse quality of life among both members, when compared with couples without cancer. • The findings of this study highlights the importance of family-focused care from an early phase after the cancer diagnosis and throughout the cancer survivorship trajectory

Cancer · Confidence interval · Cross-sectional study · Environmental health · Logistic regression · Odds · Odds ratio · Population · Socioeconomic status · Cancer survivorship and care · Childhood Cancer Survivors' Quality of Life · Demography · Family Support in Illness · Medicine · Gerontology · Internal Medicine

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