Objective:To explore the potential categories and influencing factors of self-advocacy in young and middle-aged patients with breast cancer and to provide a theoretical basis for personalized intervention.Methods:From...Objective:To explore the potential categories and influencing factors of self-advocacy in young and middle-aged patients with breast cancer and to provide a theoretical basis for personalized intervention.Methods:From September 2023 to March 2024,314 young and middle-aged breast cancer patients were studied.Female cancer patients were surveyed using the self-advocacy scale,social support rating scale,and chronic health literacy scale.Latent profile analysis was used to investigate the heterogeneity and influencing factors of self-advocacy.Results:Self-advocacy among young and middle-aged breast cancer patients were classified into two potential categories:low advocacy-lack of support(51.7%)and high advocacy-effective communication(48.3%).Binary logistic regression analysis indicated that educational level,per capita monthly income,social support,and health literacy were significant influencing factors of these categories(P<0.05).Conclusion:Self-advocacy in young and middle-aged breast cancer patients demonstrates categorical heterogeneity.Identifying self-advocacy characteristics and implementing targeted intervention strategies—focused on self-efficacy and improving health literacy—can enhance self-advocacy in these patients.展开更多
文摘Objective:To explore the potential categories and influencing factors of self-advocacy in young and middle-aged patients with breast cancer and to provide a theoretical basis for personalized intervention.Methods:From September 2023 to March 2024,314 young and middle-aged breast cancer patients were studied.Female cancer patients were surveyed using the self-advocacy scale,social support rating scale,and chronic health literacy scale.Latent profile analysis was used to investigate the heterogeneity and influencing factors of self-advocacy.Results:Self-advocacy among young and middle-aged breast cancer patients were classified into two potential categories:low advocacy-lack of support(51.7%)and high advocacy-effective communication(48.3%).Binary logistic regression analysis indicated that educational level,per capita monthly income,social support,and health literacy were significant influencing factors of these categories(P<0.05).Conclusion:Self-advocacy in young and middle-aged breast cancer patients demonstrates categorical heterogeneity.Identifying self-advocacy characteristics and implementing targeted intervention strategies—focused on self-efficacy and improving health literacy—can enhance self-advocacy in these patients.