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. 2020 May;42(5):905-912.
doi: 10.1002/hed.26062. Epub 2019 Dec 30.

Social participation in head and neck cancer survivors with swallowing disorder: World Health Organization Disability Assessment Schedule 2.0 study

Yu-Hao Lee  1 , Shari Goo-Yoshino  2 , Henry L Lew  2   3 , Wen-Chou Chi  4 , Chia-Feng Yen  5 , Hua-Fang Liao  6   7 , Shih-Ching Chen  8   9 , Tsan-Hon Liou  1   8
Affiliations

Social participation in head and neck cancer survivors with swallowing disorder: World Health Organization Disability Assessment Schedule 2.0 study

Yu-Hao Lee et al. Head Neck. 2020 May.

Abstract

Background: Social function and quality of life were negatively impacted by the sequelae of treatment for the disease in the head and neck cancer survivor with swallowing disorder.

Method: Data from a total of 1023 survivors between July 2012 and November 2017 were collected from the Taiwan Data Bank of Persons with Disability. Nonparametric rank F test was used to analyze the influence of different variables on social participation.

Results: (a) All WHODAS (World Health Organization Disability Assessment Schedule) 2.0 scores revealed significantly increased difficulty when swallowing impairment increased (P < .001). (b) Unemployment, institutionalization, severity of swallowing impairment, cancer sites, and WHODAS 2.0 score of domains 1 to 4 were negatively related to social participation, while living in rural area is related to increased social participation.

Conclusions: Social participation was negatively affected by many variables in this population. Among these variables, cancer sites and WHODAS 2.0 score of domains 1 to 4 were the strongest factors.

Keywords: ICF; WHODAS 2.0; head and neck cancer; social participation; swallowing disorder.

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References

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