Characterization of children and adolescents with cancer and their families staying in temporary lodgings in Colombia
DOI:
https://doi.org/10.17533/udea.rfnsp.e355724Keywords:
social support, socioeconomic factor, family, children, neoplasmsAbstract
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.
Downloads
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
How to Cite
Issue
Section
Categories
License
Copyright (c) 2024 Universidad de Antioquia
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The contents of the articles are the responsibility of the authors
The editorial committee has editorial independence from the National School of Public Health "Héctor Abad Gómez" of the University of Antioquia.
The editorial committee is not responsible for aspects related to copying, plagiarism or fraud that may appear in the articles published in it.
When you are going to reproduce and disclose photographs or personal data in printed or digital format, informed consent is required. Therefore, this requirement is required of the author at the time of receipt of the manuscript.
Authors are responsible for obtaining the necessary permissions to reproduce any material protected by reproduction rights.
The authors preserve the moral rights and assign the economic rights that will correspond to the University of Antioquia, to publish it, distribute electronic copies, include them in indexing services, directories or national and international databases in Open Access, under the Creative Commons Attribution license -Not Commercial-Share Equal 4.0 International Commercial (CC BY-NC-SA) which allows others to distribute, remix, retouch, and create from the work in a non-commercial way, as long as the respective credit and license are granted. new creations under the same conditions.
The authors will sign the declaration of transfer of economic rights to the University of Antioquia, after the acceptance of the manuscript.
The editorial committee reserves the right to reject the articles whose authors do not offer satisfactory explanations about the contribution of each author, to meet the criteria of authorship in the submission letter. All authors must meet the four criteria of authorship according to ICMJE: "a) .- That there is a substantial contribution to the conception or design of the article or to the acquisition, analysis or interpretation of the data. b) That they have participated in the design of the research work or in the critical review of its intellectual content. c) .- That has been intervened in the approval of the final version that will be published.d). That they have the capacity to respond to all aspects of the article in order to ensure that issues related to the accuracy or integrity of any part of the work are adequately investigated and resolved. "