Barriers to procreational intentions among cancer survivors 2 years after diagnosis: a French national cross-sectional survey.

Abstract:

OBJECTIVES:To determine the procreational intention rates among cancer survivors whose fertility was unimpaired and to identify the factors associated with their procreational intentions. METHODS:Six thousand nine hundred and fifty-seven adult cancer patients treated between September and October 2002 were randomly selected from the French National Health Insurance Fund's Chronic Disease File. Of the 6957, 4270 responded to a cross-sectional questionnaire 2 years after diagnosis, of whom 959 reported being fertile and responded to a question about their procreational intentions. RESULTS:Among the 257 male and female survivors aged 20-44, 86 (33.5%) had procreational intentions. After adjusting for age, gender, and already having children, only a high educational level (adjusted odds ratio: 3.1, 95% confidence interval 1.3-7.8) and stable or increasing financial resources (2.4, 1.0-5.7) were independently associated with the respondents' procreational intentions. Neither cancer stage at diagnosis nor the present stage significantly affected their plans in this respect. CONCLUSIONS:Two years after cancer diagnosis, the reasons why some survivors who are still fertile have no parenthood projects were similar to those earlier given by members of the general population.

journal_name

Psychooncology

journal_title

Psycho-oncology

authors

Mancini J,Rey D,Préau M,Le Corroller-Soriano AG,Moatti JP

doi

10.1002/pon.1714

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

12-8

issue

1

eissn

1057-9249

issn

1099-1611

journal_volume

20

pub_type

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