Characterization of children and adolescents with cancer and their families staying in temporary lodgings in Colombia

Authors

  • Eliana Marcela Murcia Monroy Instituto Nacional de Cancerología https://orcid.org/0000-0002-5831-9597
  • María Camila Garzón Herrera Instituto Nacional de Cancerología
  • Luz Amparo Arias López Instituto Nacional de Cancerología
  • Amaranto Suárez Matos Instituto Nacional de Cancerología

DOI:

https://doi.org/10.17533/udea.rfnsp.e355724

Keywords:

social support, socioeconomic factor, family, children, neoplasms

Abstract

Objective: To characterize the sociodemographic, economic, educational, healthcare, and social support services factors of children and adolescents with cancer and their families staying in temporary lodgings in eight cities in Colombia.

Methodology: This study employed a descriptive cross-sectional survey-type approach. Forty-two surveys were administered to caregivers (all family members) of children under 18 years of age with a presumptive or confirmed cancer diagnosis. The survey consisted of 55 questions validated by a pilot test. Data collection was carried out between June and August 2023.

Results: Thirteen temporary lodgings were identified. All families belonged to socioeconomic strata 1 and 2, and most of them spent over three hours traveling to the temporary lodging from their place of origin (97.6%); 85% reported incomes below the minimum wage, and 62% of the families received some form of government subsidy. A high percentage of the children (93%) were enrolled in the state-subsidized healthcare system; 71.4% received care in only one health institution, and most were referred to the temporary lodgings by the hospital (83.3%). The main reason for using these lodgings was a lack of accommodation in the city of treatment. Only one family discontinued treatment, and 71.4 % of the children were not attending school.

Conclusion: The sociodemographic conditions of the families of children and adolescents with cancer who require temporary lodging services are characterized by limited financial resources and distant residences from cancer treatment centers. This situation poses challenges to treatment continuity and evidences the importance of the social support provided by temporary lodgings.

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Author Biographies

Eliana Marcela Murcia Monroy, Instituto Nacional de Cancerología

Magíster en Salud Pública. Instituto Nacional de Cancerología. Colombia. emmurcia@cancer.gov.co

María Camila Garzón Herrera, Instituto Nacional de Cancerología

Enfermera. Instituto Nacional de Cancerología. Colombia. mcgarzon@cancer.gov.co

Luz Amparo Arias López, Instituto Nacional de Cancerología

Médico. Instituto Nacional de Cancerología. Colombia. laarias@cancer.gov.co

Amaranto Suárez Matos, Instituto Nacional de Cancerología

Especialista en Epidemiología Clínica Instituto Nacional de Cancerología Colombia. asuarez@cancer.gov.co

References

1. Organización Mundial de la Salud. El cáncer infantil [internet]; 2021 [citado 2023 nov. 14]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/cancer-in-children

2. International Agency for Research on Cancer, World Health Organization, Global Cancer Observatory: Cancer Today. Data visualization tools for exploring the global cancer burden in 2022 [internet]; 2022 [citado 2023 nov. 14]. Disponible en: https://gco.iarc.fr/today/home

3. Colombia, Ministerio de Salud y Protección Social. Tasa de sobrevida de niños con cáncer aumenta del 40 al 61 % [internet]; 2022 feb. 15 [citado 2023 nov. 15]. Disponible en: https://www.minsalud.gov.co/Paginas/Tasa-de-sobrevida-de-ninos-con-cancer-aumenta-del-40-al-61.aspx

4. Suárez A, Guzmán C, et al. Abandono del tratamiento: una causa de muerte evitable en el niño con cáncer. Rev Colomb Cancerol. 2011;15(1):22-29. DOI: https://doi.org/10.1016/S0123-9015(11)70077-4

5. Fundación POHEMA. Vigicáncer [internet]. 2017 [citado 2024 abr. 30]. Disponible en: https://pohema.org/vigicancer/

6. Ospina-Romero M, Portilla CA, et al. Caregivers’ self-reported absence of social support networks is related to treatment abandonment in children with cancer. Pediatr Blood Cancer. 2016;63(5):825-31. DOI: https://doi.org/10.1002/pbc.25919

7. Ministerio de Salud y Protección Social. [internet]. Resolución 1440, por la cual se reglamentan parcialmente los artículos 14 de la Ley 1384 de 2010 y 13 de la Ley 1388 del mismo año [internet] 2013 may. 6 [citado 2023 nov. 15]. Disponible en: https://www.minsalud.gov.co/Paginas/Norm_Resoluciones.aspx

8. Vivas MA. Reglamentarán el funcionamiento de las Instituciones Prestadoras de Servicios Sociales y Sociosanitarios. Consultorsalud [internet]; 2022 jun. 22 [citado 2024 abr. 30]. Disponible en: https://consultorsalud.com/instituciones-prestadoras-de-servicios-sociales/

9. Asociación Médica Mundial. Declaración de Helsinki de la AMM - Principios éticos para las investigaciones médicas en seres humanos [internet]; 2024 [citado 2024 jun. 19]. Disponible en: https://www.wma.net/es/policies-post/declaracion-de-helsinki-de-la-amm-principios-eticos-para-las-investigaciones-medicas-en-seres-humanos/

10. Consejo de Organizaciones Internacionales de las Ciencias Médicas. Pautas éticas internacionales para la investigación relacionada con la salud con seres humanos [internet]; 2016 [citado 2024 jun. 19]. Disponible en: https://cioms.ch/wp-content/uploads/2018/01/CIOMS-EthicalGuideline_SP_WEB.pdf

11. Colombia, Ministerio de Salud y Protección Social. [internet]. Resolución 8430, por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud [internet] 1993 oct. 4 [citado 2024 jun. 19]. Disponible en: https://minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/RESOLUCION-8430-DE-1993.pdf

12. Gage-Bouchard EA, Devine KA, Heckler CE. The relationship between socio-demographic characteristics, family environment, and caregiver coping in families of children with cancer. J Clin Psychol Med Settings. [internet]. 2013;20(4):478-87. DOI: https://doi.org/10.1007/s10880-013-9362-3

13. Mogensen H, Modig K, Tettamanti G, et al. Survival after childhood cancer-social inequalities in high-income countries. Front Oncol. 2018;8:485. DOI: https://doi.org/10.3389/fonc.2018.00485

14. Piñeros M, Gamboa O, Suárez A. Mortalidad por cáncer infantil en Colombia durante 1985 a 2008. Rev Panam Salud Publica [internet]. 2011 [citado 2023 nov. 16] 30(1):15-21. http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892011000700003

15. Friedrich P, Lam CG, Kaur G, et al. Determinants of treatment abandonment in childhood cancer: Results from a global survey. PLoS One. 2016;11(10):e0163090. DOI: https://doi.org/10.1371/journal.pone.0163090

16. Cai J, Yu J, Zhu X, et al. Treatment abandonment in childhood acute lymphoblastic leukaemia in China: A retrospective cohort study of the Chinese Children’s Cancer Group. Arch Dis Child. 2019;104(6):522-9. DOI: https://doi.org/10.1136/archdischild-2018-316181

17. Lan BN, Castor A, Wiebe T, et al. Adherence to childhood cancer treatment: A prospective cohort study from Northern Vietnam. BMJ. 2019;9(8):e026863. DOI: https://doi.org/10.1136/bmjopen-2018-026863

18. Farrag A, Ghazaly MH, Mohammed K, et al. Comparing presentations and outcomes of children with cancer: A study between a lower-middle-income country and a high-income country. BMC Pediatric. 2023;23:443. DOI: https://doi.org/10.1186%2Fs12887-023-04214-8

19. Colombia, Ministerio de Salud y Protección Social, Instituto Nacional de Cancerología. Boletín Servicios Oncológicos en Colombia [internet]; 2016 [citado 2024 jun. 19]. Disponible en:. https://www.cancer.gov.co/?idcategoria=686&filtro_buscar=&filtro_fecha=0&filtro_antetitulo=BOLETINES+ELECTR%C3%93NICOS+-+SERVICIOS+ONCOL%C3%93GICOS&filtro_autor=&btn_filtro=Filtrar

20. Mirutse MK, Tolla MT, Memirie ST, et al. The magnitude and perceived reasons for childhood cancer treatment abandonment in Ethiopia: From health care providers’ perspective. BMC Health Serv Res. 2022;22:1014. DOI: https://doi.org/10.1186/s12913-022-08188-8

21. Hazarika M, Mishra R, Saikia BJ, et al. Causes of treatment abandonment of pediatric cancer patients – Experience in a regional cancer centre in North East India. Asian Pac J Cancer Prev. [internet]. 2019 [citado 2023 nov. 21]; 20(4):1133-7. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31030486/

22. Palapyi A, Balane C, Shanthosh J, et al. Treatment abandonment in children with cancer: Does a sex difference exist? A systematic review and meta-analysis of evidence from low- and middle-income countries. Int J Cancer. 2020;148(4):895-904. DOI: https://doi.org/10.1002/ijc.33279

23. Ramírez O, Aristizábal P, Zaidi A, et al. Childhood cancer survival disparities in a universalized health system in Cali, Colombia. Pediatr Hematol Oncol J. 2018;3(4):79-87. DOI: https://doi.org/10.1016/j.phoj.2019.01.001

24. Olarte-Sierra MF, Rossell N, et al. Parent engagement and agency in Latin American childhood cancer treatment: A qualitative investigation. JCO Glob Oncol. 2020;6:1729-35. DOI: https://doi.org/10.1200/GO.20.00306

25. Lima NN, Do Nascimento VB, De Carvalho SM, et al. Spirituality in childhood cancer care. Neuropsychiatr Dis Treat. 2013;9:1539-44. DOI: https://doi.org/10.2147/ndt.s42404

26. Rátiva M. Carga financiera familiar asociada al cuidado del niño con cáncer [tesis de maestría]. [Bogotá]: Universidad Nacional de Colombia [internet]; 2017 [citado 2023 nov. 21]. Disponible en: https://repositorio.unal.edu.co/bitstream/handle/unal/59848/52276507%20%202017.pdf?sequence=1&isAllowed=y

27. Luo Y, Li HCW, Xia W, et al. The lived experience of resilience in parents of children with cancer: A phenomenological study. Front. Pediatr. 2022;10:871435. DOI: https://doi.org/10.3389/fped.2022.871435

28. Dąbrowska A, Malicka I. Pediatric cancer as a factor of changes in the family. Int J Environ Res Public Health. 2022;19(9):5002. DOI: https://doi.org/10.3390/ijerph19095002

29. Páez Aguirre F. Reintegración del niño con cáncer en la escuela. GAMO. 2015;14(6):342-5. DOI: https://doi.org/10.1016/j.gamo.2015.11.012

30. Melguizo-Garín A, Martos-Méndez MJ, et al. Relation between social support received and provided by parents of children, adolescents and young adults with cancer and stress levels and life and family satisfaction. Front Psychol. 2022;13:728733. DOI: https://doi.org/10.3389/fpsyg.2022.728733

31. Haunberger S, Rüegger C, Baumgartner E. Experiences with a psychosocial screening instrument (S-FIRST) to identify the psychosocial support needs of parents of children suffering from cancer. Psycho-oncology. 2019;28(5):1025-32. DOI: https://doi.org/10.1002/pon.5045

32. Colombia, Ministerio de Salud y Protección Social. Ley 1388, por el derecho a la vida de los niños con cánc en Colombia [internet]. 2010 may. 26 [citada 2023 nov. 24]. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE

33. Jatia S, Prasad M, Paradkar A, et al. Holistic support coupled with prospective tracking reduces abandonment in childhood cancers: A report from India. Pediatr Blood Cancer. 2019;66(6):e27716. DOI: 10.1002/pbc.27716. https://doi.org/10.1002/pbc.27716

Published

2024-01-10

How to Cite

1.
Murcia Monroy EM, Garzón Herrera MC, Arias López LA, Suárez Matos A. Characterization of children and adolescents with cancer and their families staying in temporary lodgings in Colombia. Rev. Fac. Nac. Salud Pública [Internet]. 2024 Jan. 10 [cited 2025 Jan. 30];42:e355724. Available from: https://revistas.udea.edu.co/index.php/fnsp/article/view/355724

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