“…Six generalised risk factors compromised women’s mental health: age, in some research being younger [ 60 , 61 , 63 , 67 ], in other studies older [ 21 , 63 , 66 ]; occupation [ 49 ]; education level [ 49 , 62 ]; access to health insurance [ 49 , 73 ]; and financial situation [ 34 , 44 , 49 , 59 , 60 , 62 , 66 ]. Risk factors for poor mental health directly related to cancer included: advanced stage of disease at diagnosis [ 59 , 61 , 62 , 64 ]; treatment side effects—including pain, poor sleep quality, disability, infertility and physical changes [ 36 , 37 , 47 , 48 , 51 , 54 , 59 , 73 ]; negative health care experiences [ 51 , 54 ]; sexuality and body image issues [ 37 , 60 , 68 ]; recurrence [ 49 ]; and treatment modalities. In one Hong Kong study, women undergoing brachytherapy reported feelings of anxiety and helplessness [ 48 ].…”