Latent profile analysis of uncertainty in illness and eating self-efficacy in patients with gastric cancer and its associated factors
A cross-sectional study
Bibliographic Data
| ID | 22088779 |
|---|---|
| Authors | Minyi Shi (0000-0003-1616-8353, Wenzhou Medical University), Chengxi Xia (Zhejiang Chinese Medical University), Yuxin Ye (0009-0002-2967-1142, Wenzhou Medical University, corresponding author) |
| Year | 2026 |
| Volume | 14 |
| Pages | 1805637-1805637 |
| Publication date | 2026-04-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2026.1805637 |
| PMID | 41994534 |
| OpenAlex | W7147066935 |
| Language | EN |
| References cited | 65 |
Background: Patients with gastric cancer frequently experience substantial psychological burden throughout diagnosis and treatment. Uncertainty in illness and eating self-efficacy are two key determinants of psychological adjustment and rehabilitation. However, prior research has predominantly relied on variable-centered approaches, with limited attention to within-population heterogeneity and its correlates among patients with gastric cancer. Objective: This study aimed to identify latent profiles of uncertainty in illness and eating self-efficacy among patients with gastric cancer and to examine factors associated with profile membership. Methods: We conducted a cross-sectional survey and recruited 426 patients with gastric cancer via convenience sampling from two tertiary hospitals in Zhejiang Province, China, between September and December 2025. Results: Two latent profiles were identified: a Low Uncertainty in Illness-High Eating Self-efficacy profile and a High Uncertainty in Illness-Low Eating Self-efficacy profile. Multivariable logistic regression showed that, using the high uncertainty in illness-low eating self-efficacy class as the reference, health information avoidance, interoceptive sensitivity, male sex, retirement status, lower income, and urban residence were significantly associated with a greater likelihood of belonging to the High Uncertainty in Illness-Low Eating Self-efficacy profile, whereas a history of alcohol consumption was associated with a greater likelihood of belonging to the Low Uncertainty in Illness-High Eating Self-efficacy profile. Conclusion: These findings suggest that clinicians should deliver stratified, individualized psychological support and nutrition counseling to facilitate patients' psychological adjustment and rehabilitation
Cancer · Experience sampling method · Health and Retirement Study · Latent class model · Logistic regression · Residence · Cancer survivorship and care · Cardiac Health and Mental Health · Optimism, Hope, and Well-being
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| Highly cited | No |
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