Social capital as a determinant of quality of life in greek cancer patients: a cross-sectional study

IntroductionHealth equity continues to be an obstacle in Greece. The EU Cancer Inequalities Registry indicates that social determinants of health significantly influence the cancer burden in Greece, thus affecting quality of life.MethodsThis was a cross-sectional study; the Social Capital Questionna...

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Main Authors: Athanasios Pitis, Maria Diamantopoulou, Aspasia Panagiotou, Dimitrios Papageorgiou, Foteini Tzavella
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1602804/full
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author Athanasios Pitis
Maria Diamantopoulou
Aspasia Panagiotou
Dimitrios Papageorgiou
Foteini Tzavella
author_facet Athanasios Pitis
Maria Diamantopoulou
Aspasia Panagiotou
Dimitrios Papageorgiou
Foteini Tzavella
author_sort Athanasios Pitis
collection DOAJ
description IntroductionHealth equity continues to be an obstacle in Greece. The EU Cancer Inequalities Registry indicates that social determinants of health significantly influence the cancer burden in Greece, thus affecting quality of life.MethodsThis was a cross-sectional study; the Social Capital Questionnaire Greek version was used for the evaluation of individual social capital, and the EORTC Core Quality of Life questionnaire (EORTC QLQ-C30) was used for the assessment of quality of life. The Kolmogorov–Smirnov test was used for checking the normality distribution of the quantitative variables. Quantitative variables were expressed as mean values (Standard Deviation) and as median (interquartile range), while categorical variables were expressed as absolute and relative frequencies. The association between QoL and Social capital scales was checked via Spearman correlation coefficients (rho).ResultsGreater total score in Social capital scale was significantly associated with greater overall QoL (β = 0.005; p < 0.001), better Emotional functioning (β = 0.004; p = 0.004) and better Social functioning (β = 0.009; p = 0.002),with lower Nausea and vomiting (β = −0.017; p = 0.015), Insomnia (β = −0.014; p = 0.002), Appetite loss (β = −0.010; p = 0.018) and Constipation symptoms (β = −0.009; p = 0.047).ConclusionThere was a strong association between a greater social capital score and the quality of life of Greek cancer patients, indicating that higher levels of social capital are associated with improved quality of life.
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spelling doaj-art-15a14a2eeae64503ad37c4444a47e7b02025-08-20T03:41:44ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-08-011310.3389/fpubh.2025.16028041602804Social capital as a determinant of quality of life in greek cancer patients: a cross-sectional studyAthanasios PitisMaria DiamantopoulouAspasia PanagiotouDimitrios PapageorgiouFoteini TzavellaIntroductionHealth equity continues to be an obstacle in Greece. The EU Cancer Inequalities Registry indicates that social determinants of health significantly influence the cancer burden in Greece, thus affecting quality of life.MethodsThis was a cross-sectional study; the Social Capital Questionnaire Greek version was used for the evaluation of individual social capital, and the EORTC Core Quality of Life questionnaire (EORTC QLQ-C30) was used for the assessment of quality of life. The Kolmogorov–Smirnov test was used for checking the normality distribution of the quantitative variables. Quantitative variables were expressed as mean values (Standard Deviation) and as median (interquartile range), while categorical variables were expressed as absolute and relative frequencies. The association between QoL and Social capital scales was checked via Spearman correlation coefficients (rho).ResultsGreater total score in Social capital scale was significantly associated with greater overall QoL (β = 0.005; p < 0.001), better Emotional functioning (β = 0.004; p = 0.004) and better Social functioning (β = 0.009; p = 0.002),with lower Nausea and vomiting (β = −0.017; p = 0.015), Insomnia (β = −0.014; p = 0.002), Appetite loss (β = −0.010; p = 0.018) and Constipation symptoms (β = −0.009; p = 0.047).ConclusionThere was a strong association between a greater social capital score and the quality of life of Greek cancer patients, indicating that higher levels of social capital are associated with improved quality of life.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1602804/fullsocial capitalquality of lifecancersocial determinants of healthnursing
spellingShingle Athanasios Pitis
Maria Diamantopoulou
Aspasia Panagiotou
Dimitrios Papageorgiou
Foteini Tzavella
Social capital as a determinant of quality of life in greek cancer patients: a cross-sectional study
Frontiers in Public Health
social capital
quality of life
cancer
social determinants of health
nursing
title Social capital as a determinant of quality of life in greek cancer patients: a cross-sectional study
title_full Social capital as a determinant of quality of life in greek cancer patients: a cross-sectional study
title_fullStr Social capital as a determinant of quality of life in greek cancer patients: a cross-sectional study
title_full_unstemmed Social capital as a determinant of quality of life in greek cancer patients: a cross-sectional study
title_short Social capital as a determinant of quality of life in greek cancer patients: a cross-sectional study
title_sort social capital as a determinant of quality of life in greek cancer patients a cross sectional study
topic social capital
quality of life
cancer
social determinants of health
nursing
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1602804/full
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AT mariadiamantopoulou socialcapitalasadeterminantofqualityoflifeingreekcancerpatientsacrosssectionalstudy
AT aspasiapanagiotou socialcapitalasadeterminantofqualityoflifeingreekcancerpatientsacrosssectionalstudy
AT dimitriospapageorgiou socialcapitalasadeterminantofqualityoflifeingreekcancerpatientsacrosssectionalstudy
AT foteinitzavella socialcapitalasadeterminantofqualityoflifeingreekcancerpatientsacrosssectionalstudy