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Purpose <p>Young women with breast cancer (YWBC) face long-term challenges during career building, partnership formation, and childrearing. Most survivorship research has been conducted in high-income countries, with limited longitudinal evidence from low- and middle-income countries (LMICs). We aimed to characterize 5-year longitudinal changes across sociodemographic and financial, relational, fertility, family and caregiving, psychosocial, and health-related domains among YWBC in Mexico.</p> Methods <p>We analyzed 526 participants in the Joven and Fuerte prospective cohort (stage I–III breast cancer, age ≤ 40&#xa0;years) in Mexico. Surveys were completed at baseline, 6&#xa0;months, as well as 1, 2–3, and 4–5 years post-diagnosis. GEE assessed changes in binary and multinomial outcomes. Global chi-squared or Fisher’s exact tests were used descriptively.</p> Results <p>Participants experienced sustained occupational disruption and economic strain; 75.8% reported a change in occupation and nearly 50% decreased income at 4–5&#xa0;years. Partnership status was stable; 67.9% remained with the same partner, yet unmet partner support needs persisted. Desire for future children declined from 38.5 to 20.2% at 4–5&#xa0;years. New comorbidities increased, particularly psychological disorders. While the need for psychological support declined from 66.6 to 42.4%, interest in support groups remained substantial. Health behaviors showed partial recovery; participants meeting recommended exercise levels (≥ 150&#xa0;min/week) increased from 25.9 to 32.7%.</p> Conclusions <p>Mexican YWBC experiences dynamic survivorship trajectories characterized by partial recovery alongside persistent financial, caregiving, and supportive care needs.</p> Implications for Cancer Survivors <p>Survivorship care in LMICs should integrate financial and occupational support, family-centered psychosocial services, and long-term health monitoring for young survivors.</p>

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Five-year longitudinal changes in social, economic, and psychosocial wellbeing among young women with breast cancer in Mexico

  • 期刊论文

  • 发表日期：

    2026年4月23日

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  • Cynthia Villarreal-Garza,
  • Fernanda P. Pons-Faudoa,
  • Alejandra Platas,
  • Bryan F. Vaca-Cartagena,
  • Ana S. Ferrigno,
  • Alan Fonseca,
  • Melina Miaja,
  • Marlid Cruz-Ramos,
  • Juan E. Bargallo-Rocha,
  • Paula Cabrera-Galeana,
  • Alejandro Mohar,
  • Fernanda Mesa-Chavez

摘要

Purpose

Young women with breast cancer (YWBC) face long-term challenges during career building, partnership formation, and childrearing. Most survivorship research has been conducted in high-income countries, with limited longitudinal evidence from low- and middle-income countries (LMICs). We aimed to characterize 5-year longitudinal changes across sociodemographic and financial, relational, fertility, family and caregiving, psychosocial, and health-related domains among YWBC in Mexico.

Methods

We analyzed 526 participants in the Joven and Fuerte prospective cohort (stage I–III breast cancer, age ≤ 40 years) in Mexico. Surveys were completed at baseline, 6 months, as well as 1, 2–3, and 4–5 years post-diagnosis. GEE assessed changes in binary and multinomial outcomes. Global chi-squared or Fisher’s exact tests were used descriptively.

Results

Participants experienced sustained occupational disruption and economic strain; 75.8% reported a change in occupation and nearly 50% decreased income at 4–5 years. Partnership status was stable; 67.9% remained with the same partner, yet unmet partner support needs persisted. Desire for future children declined from 38.5 to 20.2% at 4–5 years. New comorbidities increased, particularly psychological disorders. While the need for psychological support declined from 66.6 to 42.4%, interest in support groups remained substantial. Health behaviors showed partial recovery; participants meeting recommended exercise levels (≥ 150 min/week) increased from 25.9 to 32.7%.

Conclusions

Mexican YWBC experiences dynamic survivorship trajectories characterized by partial recovery alongside persistent financial, caregiving, and supportive care needs.

Implications for Cancer Survivors

Survivorship care in LMICs should integrate financial and occupational support, family-centered psychosocial services, and long-term health monitoring for young survivors.