Social influence on 5-year survival in a longitudinal chemotherapy ward co-presence network

Abstract

Chemotherapy is often administered in openly designed hospital wards, where the possibility of patient–patient social influence on health exists. Previous research found that social relationships influence cancer patient’s health; however, we have yet to understand social influence among patients receiving chemotherapy in the hospital. We investigate the influence of co-presence in a chemotherapy ward. We use data on 4,691 cancer patients undergoing chemotherapy in Oxfordshire, United Kingdom who average 59.8 years of age, and 44% are Male. We construct a network of patients where edges exist when patients are co-present in the ward, weighted by both patients’ time in the ward. Social influence is based on total weighted co-presence with focal patients’ immediate neighbors, considering neighbors’ 5-year mortality. Generalized estimating equations evaluated the effect of neighbors’ 5-year mortality on focal patient’s 5-year mortality. Each 1,000-unit increase in weighted co-presence with a patient who dies within 5 years increases a patient’s mortality odds by 42% (β = 0.357, CI:0.204,0.510). Each 1,000-unit increase in co-presence with a patient surviving 5 years reduces a patient’s odds of dying by 30% (β = −0.344, CI:−0.538,0.149). Our results suggest that social influence occurs in chemotherapy wards, and thus may need to be considered in chemotherapy delivery.

Self-concept of cervical cancer patients after chemotheraphy in Yogyakarta

“…Apart from the coping efforts that must be done is to control the emotional pressure of children by providing understanding. Social relations have a very strong role in the optimism of cancer patients in undergoing treatment, after undergoing chemotherapy, social life will experience changes, whether it is caused by decreased body function or emotional changes in cancer patients (Banoycinova & Baskova, 2014)This is in accordance with research conducted by (Lienert et al, 2018) which states that the social changes that arise in cancer patients after chemotherapy are due to disruption of body functions which causes the participants' social activities to be limited and the participants themselves limit their social activities because they feel inadequate (Pakenham, 2012). Social support from the community is needed to foster enthusiasm and feelings of respect in the community (Wang et al, 2017).…”

“…Social support from the community is needed to foster enthusiasm and feelings of respect in the community (Wang et al, 2017). Support can come from friends, neighbors, medical personnel who handle it, which can improve the quality of life of cancer patients undergoing chemotherapy (Barthakur et al, 2017) Social support from the community shows a good quality of life for cancer sufferers (Lienert et al, 2018).…”

Analysis of Red Betel Leaf Tests As A Natural Anti-Infection In Post Partum Mothers

“…Several previous studies have carried out clinical trial tests on the effect of red betel on the healing of incisions in rats, it was found that red betel leaf extract had the highest effect to help speed up the healing time of incisions performed on rats, both excision and burn wounds (Lien et al, 2015;Lienert et al, 2018).…”

Evaluating spillover of HIV knowledge from study participants to their network members in a stepped-wedge behavioural intervention in Tanzania

“…16 17 Social networks are of particular import because new knowledge can lead to cascades of behaviour change, where people subsequently educate those in their social network, in what is known as social influence. [18][19][20] This has been examined in participant-driven interventions, where initially-recruited participants educate members of their social network one-on-one. 21 Characteristics such as knowing the HIV status of network members has been shown to be the most important predictor of engaging in prevention advocacy.…”