Adaptation and quality of life among long-term cervical cancer survivors in the military health care system

Mil Med. 2008 Oct;173(10):1035-41. doi: 10.7205/milmed.173.10.1035.


Objective: This study assessed quality of life in long-term cervical cancer survivors eligible for health care in the military health system.

Methods: TRICARE beneficiaries who were diagnosed as having cervical cancer in 1980 to 2000 completed self-administered questionnaires including standardized measures of quality of life, distress, and sexuality.

Results: Forty-one women (72% of those who received questionnaire packets) provided questionnaire data. More than 2,500 questionnaires were undeliverable, with no forwarding address. Data indicated that quality of life, cervical cancer-related stress, and intimacy concerns were comparable to population normative values. Survivors received more cancer screenings than the general population. Nearly one-half of respondents reported no effect of cancer on their sexual relationships, whereas approximately one-half said that cancer had a negative impact.

Conclusions: Although cervical cancer survivors overall reported a high quality of life, many experienced significant decrements in sexual functioning. The Automated Central Tumor Registry presents challenges and potential for conducting this kind of research.

MeSH terms

  • Adaptation, Psychological*
  • Female
  • Health Behavior
  • Humans
  • Mass Screening*
  • Middle Aged
  • Psychological Tests
  • Psychometrics
  • Quality of Life / psychology*
  • Registries
  • Sexuality
  • Surveys and Questionnaires
  • Survivors / psychology
  • Time Factors
  • United States / epidemiology
  • Uterine Cervical Neoplasms / epidemiology
  • Uterine Cervical Neoplasms / mortality
  • Uterine Cervical Neoplasms / psychology*