Nursing and Health Sciences Journal (NHSJ)
Vol. 6 No. 3 (2026): September 2026

Financial toxicity and quality of life among hospitalized cervical cancer patients in Indonesia: A cross-sectional study

Ida Maryati (Faculty of Nursing, Universitas Padjadjaran)
Wilan Fitriana (Faculty of Nursing Universitas Padjadjaran)
Hesti Platini (Faculty of Nursing, Universitas Padjadjaran)
Yanti Hermayanti (Faculty of Nursing, Universitas Padjadjaran)
Ikeu Nurhidayah (Faculty of Nursing, Universitas Padjadjaran)
Ai Mardhiyah (Faculty of Nursing, Universitas Padjadjaran)
Mira Trisyani Koeryaman (Faculty of Nursing, Universitas Padjadjaran)
Syiffa Salsabila Rausanfikra (Graduate Institute of Nursing, China Medical University)



Article Info

Publish Date
31 Aug 2026

Abstract

Cervical cancer significantly impairs patient well-being, particularly in low- and middle-income countries where financial toxicity exacerbates the disease burden. Evidence regarding income-related quality of life (QoL) disparities among Indonesian cervical cancer patients remains limited. This study examined the association between demographic characteristics, specifically income, and QoL among hospitalized cervical cancer patients. A quantitative cross-sectional study was conducted among 60 consecutive patients recruited at a tertiary referral hospital in Bandung, Indonesia. Researchers assessed QoL using the validated EORTC QLQ-C30 instrument. Data were analyzed using descriptive statistics, bivariable tests, and multiple linear regression to identify independent predictors of QoL. Participants demonstrated a moderately favorable mean global QoL score (68.4 ± 12.5) despite experiencing a moderate symptom burden. Bivariate analyses revealed that age, education level, and marital status were not significantly associated with QoL. Income emerged as the sole significant demographic predictor. Multiple regression analysis confirmed that the higher-income group reported significantly better QoL than the lower-income group, exhibiting a mean difference of 9.3 points (β = 0.38, p = 0.008). The analysis indicated a moderate-to-large effect size (Cohen's d = 0.72). Income substantially and independently influences QoL among cervical cancer patients, highlighting the critical impact of financial vulnerability on survivorship outcomes. Integrating routine socioeconomic assessments, financial navigation services, and targeted supportive oncology nursing interventions into clinical practice is essential for mitigating financial toxicity and improving patient-centered outcomes in resource-limited settings.

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Journal Info

Abbrev

nhs

Publisher

Subject

Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

Description

Nursing and Health Sciences Journal (NHSJ) is peer-reviewed and open access international journal which published by KHD Production, to accommodate researchers and health practitioners publishing their scientific articles. NHSJ accepts original papers, review articles, short communications, case ...