Fertility anxiety partially mediates depression and recurrence fear in reproductive-age cervical cancer patients: A cross-sectional study

Table 1 Sociodemographic and clinical characteristics of 208 cervical cancer patients

Variable		Items	Percentage (%)
Ethnicity	Han	198	95.19
	Others	10	4.81
Residence	Urban	123	59.13
	Rural	85	40.87
Marital status	Single	15	7.21
	Married	188	90.38
	Divorced	5	2.40
No. of children	0	29	13.94
	1	110	52.88
	≥ 2	69	33.17
Education level	Primary/middle	75	36.06
	High school	42	20.19
	College and above	91	43.75
Household income per capita (RMB)	≤ 3000	34	16.35
	3000-5000	67	32.21
	5000-10000	69	33.17
	≥ 10000	38	18.27
Occupation	Employed	136	65.38
	Unemployed/retired	72	34.62
Medical payment method	Medical insurance	152	73.08
	New rural Cooperative Medical Scheme	48	23.08
	Self-pay	8	3.85
Tumor type	Squamous-cell carcinoma	146	70.19
	Adenocarcinoma	35	16.83
	Other types	27	12.98
Clinical stage	I	65	31.25
	II	76	36.54
	III	50	24.04
	IV	17	8.17

Table 2 Fertility worries, depression, and fear of recurrence scores in 208 cervical cancer patients of childbearing age

Variable	Items	Score	mean ± SD
Total reproductive concerns	18	18-90	53.95 ± 7.71
FP	3	3-15	10.97 ± 2.51
PP	3	3-15	7.05 ± 2.23
PA	3	3-15	7.87 ± 2.06
PH	3	3-15	10.11 ± 2.59
CH	3	3-15	9.79 ± 2.48
DA	3	3-15	8.16 ± 2.65
Total depression score	9	0-27	15.84 ± 3.91
Total FOR score	7	7-40	21.38 ± 4.53

FOR: Fear of recurrence; FP: Fertility potential; PP: Pregnancy planning; PA: Partner awareness; PH: Personal health; CH: Child health; DA: Disease acceptance.

Table 3 Correlation analysis of reproductive concern, depression, and fear of recurrence in cervical cancer patients of childbearing age

Variable	Relevance	Reproductive concerns							FOR total score
		Total score	FP	PP	PA	PH	CH	DA
Depression score	r	0.477a	0.427a	0.331a	0.526a	0.408a	0.383a	0.492a	0.372
	P value	< 0.001	< 0.001	< 0.001	< 0.001	< 0.001	< 0.001	< 0.001	< 0.001
FOR total score	r	0.426a	0.439a	0.320a	0.452a	0.374a	0.346a	0.417a	-
	P value	< 0.001	< 0.001	< 0.001	< 0.001	< 0.001	< 0.001	< 0.001	-

^aP < 0.001.

All correlations are Pearson's r.

FOR: Fear of recurrence; FP: Fertility potential; PP: Pregnancy planning; PA: Partner awareness; PH: Personal health; CH: Child health; DA: Disease acceptance.