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Latent profile analysis of perceived stress and influencing factors in colorectal cancer patients† Cover

Latent profile analysis of perceived stress and influencing factors in colorectal cancer patients†

Open Access
|Sep 2024

Figures & Tables

Figure 1.

Three potential profile distributions of stress perception characteristics in colorectal cancer patients.

Multinomial logistic regression results of stress perception categories in colorectal cancer patients_

VariablesVariable coefficientStandard errorWald χ2P-valueOR value95% CI
Comparison 1: C3 versus C1
    Monthly family income ≤3000 RMB−1.8950.7117.1020.0080.150.037–0.606
    No stoma1.2580.5555.1370.0233.5171.185–10.437
    Economic toxicity0.3470.08118.498<0.0011.4151.208–1.658
Comparison 1: C3 versus C2
    Gender: Male−1.2740.40210.0590.0020.280.127–0.615
    No stoma1.2370.37810.7240.0013.4441.643–7.219
    Economic toxicity0.2070.0611.7540.0011.231.093–1.385
Comparison 2: C1 versus C2
    Monthly family income ≤3000 RMB1.6970.6846.1480.0135.4571.427–20.869

The assigned values for the independent variables_

VariablesAssigned values
Gender
    Male1
    Female2
Age (years)
    ≤600
    >601
Residence
    Rural0
    Urban1
Education
    Primary school and below0
    Junior high school1
    High school and above2
Occupation
    Farmer0
    Worker1
    Civil servant/public institution employee2
    Other3
Monthly family income (RMB)
    ≤30000
    >30001
Pre-admission employment status
    Unemployed0
    Employed1
    Retired2
Stoma presence
    None0
    Present1

Analysis of different characteristics of the 3 latent categories, N (%)_

VariablesC1 (n = 49)C2 (n = 61)C3 (n = 145)χ2/FP
Gender χ2 = 12.8920.002
    Male35 (71.4%)25 (41%)93 (64.1%)
    Female14 (28.6%)36 (59%)52 (35.9%)
Age (years) χ2 = 8.7540.013
    ≤6010 (20.4%)23 (37.7%)64 (44.1%)
    >6039 (79.6%)38 (62.3%)81 (55.9%)
Residence χ2 = 46.308<0.001
    Rural6 (12.2%)37 (60.7%)98 (67.6%)
    Urban43 (87.8%)24 (39.3%)47 (32.4%)
Education χ2 = 43.577<0.001
    Primary school and below10 (20.4%)43 (70.5%)94 (64.8%)
    Middle school19 (38.8%)10 (16.4%)38 (26.2%)
    High school and above20 (40.8%)8 (13.1%)13 (9%)
Occupation χ2 = 73.210<0.001
    Farmer3 (6.1%)24 (39.3%)83 (57.2%)
    Worker23 (46.9%)24 (39.3%)34 (23.4%)
    Civil servant/public institution employee21 (42.9%)5 (8.2%)8 (5.5%)
    Other2 (4.1%)8 (13.1%)20 (13.8%)
Monthly family income (RMB) χ2 = 72.898<0.001
    ≤300010 (20.4%)47 (77%)122 (84.1%)
    >300039 (79.6%)14 (23%)23 (15.9%)
Pre-admission employment status χ2 = 42.684<0.001
    Employed8 (16.3%)29 (47.5%)85 (58.6%)
    Retired40 (81.6%)29 (47.5%)45 (31.1%)
    Unemployed1 (2.1%)3 (5%)15 (10.3%)
Disease stage χ2 = 1.5360.957
    Stage I7 (14.3%)9 (14.8%)19 (13.1%)
    Stage II21 (42.9%)20 (32.8%)57 (39.3%)
    Stage III15 (30.6%)24 (39.3%)52 (35.9%)
    Stage IV6 (12.2%)8 (13.1%)17 (11.7%)
Treatment method χ2 = 0.2200.896
    Surgery20 (40.8%)24 (39.3%)62 (42.8%)
    Surgery + chemotherapy/radiotherapy29 (59.2%)37 (60.7%)83 (57.2%)
Stoma χ2 = 22.363<0.001
    Present14 (28.6%)17 (27.9%)84 (57.9%)
    Absent35 (71.4%)44 (72.1%)61 (42.1%)
Economic toxicity score (mean + standard deviation)20.12 ± 4.52613.08 ± 4.3799.83 ± 3.832F = 115.559<0.001

General information about colorectal cancer patients (N=225)_

VariablesN%
Gender
    Male15360
    Female10240
Age (years)
    ≤609738
    >6015862
Residence
    Rural14155.3
    Urban11444.7
Education
    Primary school and below14757.6
    Junior high school6726.3
    High school and above4116.1
Occupation
    Farmer11043.1
    Worker8131.8
    Civil servant/public institution employee3413.3
    Other3011.8
Monthly family income (RMB)
    ≤300017970.2
    >30007629.8
Pre-admission employment status
    Employed12247.8
    Retired11444.7
    others197.5
Disease stage
    Stage I3513.7
    Stage II9838.4
    Stage III9135.7
    Stage IV3112.2
Treatment method
    Surgery10641.6
    Surgery + chemotherapy/radiotherapy14958.4
Colostomy
    Present11545.1
    Absent14054.9

Probabilities of membership in 3 latent categories_

VariableCategory 1Category 2Category 3
Category 10.9380.0620.000
Category 20.0520.9480.000
Category 30.0000.0001.000

Fit indices of latent profile models for different categories_

VariableAICBICaBICEntropyPLMRPBLRTCategory probabilities
16626.6046725.7606636.993
26027.0926179.3676043.0460.8790.00010.00000.305/0.65
35725.9345931.3285747.4540.9460.02330.00000.19/0.24/0.57
45589.4715847.9835616.5560.9000.00000.00000.20/0.23/0.20/0.37
55282.3855594.0165315.0350.9160.37510.00000.20/0.37/0.23/0.19/0.01
DOI: https://doi.org/10.2478/fon-2024-0033 | Journal eISSN: 2544-8994 | Journal ISSN: 2097-5368
Language: English
Page range: 303 - 312
Submitted on: Jan 17, 2024
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Accepted on: Apr 14, 2024
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Published on: Sep 16, 2024
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2024 Yu-Yue Tan, Yin-Hong Liu, Zhi-Hui Zhang, Wei-Rong Huang, Man-Lin Yan, Xian-Rong Li, published by Shanxi Medical Periodical Press
This work is licensed under the Creative Commons Attribution 4.0 License.