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In addition, the role of breast cancer-related complaints and medical data as possible influencing factors on levels of patients\u2019 social participation is investigated.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A total of <jats:italic>n<\/jats:italic>\u2009=\u2009454 patients after primary surgery (t0) were recruited for a third follow-up study, and <jats:italic>n<\/jats:italic>\u2009=\u2009372 completed this survey (t3), corresponding to a response rate of 82.2%. For measuring breast cancer-related complaints, participants completed a written questionnaire. Social participation was measured by a questionnaire on different leisure activities that was taken from the Socio-Economic Panel Study. Medical information was extracted from medical reports at t0. A principal component analysis was carried out to identify different dimensions of social participation. Chi<jats:sup>2<\/jats:sup>-tests and logistic regression analyses were applied to analyze social participation as compared to the general population and the role of possible medical and diagnosis-related influencing factors thereby.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Compared to the general population, patients show lower levels of social participation in the domains \u201csocio-cultural participation\u201d and \u201cparticipation in institutions,\u201d while no significant differences for \u201csocial participation in the private sphere\u201d and \u201csocial participation via social media\u201d were found. Psychological symptoms, pain, and a history of mastectomy were most strongly associated with restrictions in social participation.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Our study suggests that social withdrawal may happen due to disease-related symptoms, preventing some breast cancer patients from participating fully in society. Cancer-related follow-ups should address this issue and support patients\u2019 reintegration into society through appropriate therapeutic interventions.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00520-024-08695-w","type":"journal-article","created":{"date-parts":[[2024,8,2]],"date-time":"2024-08-02T04:12:33Z","timestamp":1722571953000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Social participation of women with breast cancer compared to the general population 5\u00a0years after primary surgery\u2014what role do medical data and cancer-related complaints play?"],"prefix":"10.1007","volume":"32","author":[{"given":"Stefanie","family":"Sperlich","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorothee","family":"Noeres","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophia","family":"Holthausen-Markou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tjoung-Won","family":"Park-Simon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eranda","family":"Sahiti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siegfried","family":"Geyer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,8,2]]},"reference":[{"key":"8695_CR1","unstructured":"RKI (2021)\u00a0Cancer in Germany for 2017\/2018. 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