Health behaviors of cancer survivors: Examining opportunities for cancer control intervention
Health behaviors of cancer survivors: Examining opportunities for cancer control intervention
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DOI：
10.1200/jco.2005.02.2343
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发表时间：
2005-12-01
影响因子：
45.3
通讯作者：
McNeel, T
中科院分区：
文献类型：
--
作者：
Bellizzi, KM;Rowland, JH;McNeel, T
研究目的：本研究以人群为基础，按年龄、确诊时间和癌症部位对癌症幸存者的健康行为（吸烟、饮酒、体力活动和癌症筛查）进行调查。了解幸存者的健康行为是必要的，因为许多幸存者的寿命更长，并且有癌症复发、第二次癌症和治疗并发症的风险。（n = 7，384）与非癌症对照组相比，符合当前的体力活动和癌症筛查建议结果在调整组间差异后，癌症幸存者在吸烟和饮酒方面与对照组相似。然而，年轻的幸存者（18至40岁）比对照组继续吸烟的风险更大。与对照组相比，幸存者达到体力活动建议的可能性高9%。卡方检验表明，自诊断以来，吸烟、饮酒和体力活动在时间上没有显著差异，但在癌症部位上存在差异。与对照组相比，女性癌症幸存者分别有34%和36%的可能性符合乳房X光检查和巴氏涂片筛查建议。发现前列腺特异性抗原筛查在MEMBE.CONCLUSION类似的筛查模式提供了基准近似的时间，因为诊断和癌症部位的幸存者的危险健康行为的患病率。作为减少癌症治疗晚期效应的集体努力的一部分，肿瘤学家可能处于最佳位置，为促进癌症幸存者的健康生活方式行为提供初步指导。
Purpose A population-based investigation was conducted to examine the prevalence of health behaviors (smoking, alcohol use, physical activity, and cancer screening) of cancer survivors by age, time since diagnosis, and cancer site. Understanding health behaviors of survivors is imperative, as many survivors are living longer and are at risk for cancer recurrence, second cancers, and complications from treatment.Methods Using the National Health Interview Survey, this study examined the prevalence of smoking and alcohol use as well as whether cancer survivors (n = 7,384) are meeting current recommendations for physical activity and cancer screening compared with noncancer controls (n = 121,347).Results Cancer survivors are similar to controls with respect to smoking status and alcohol consumption after adjusting for group differences. However, younger survivors (18 to 40 years) are at greater risk for continued smoking than controls. Survivors are 9% more likely to meet physical activity recommendations compared with controls. chi(2) tests indicate no significant differences in smoking, alcohol consumption, and physical activity by time since diagnosis, but differences by cancer site exist. Female cancer survivors are 34% and 36% more likely to meet mammogram and Papanicolaou smear screening recommendations, respectively, compared with controls. Similar screening patterns were found for prostate-specific antigen screening in men.Conclusion This study provides benchmark approximations of the prevalence of risky health behaviors of survivors by time since diagnosis and cancer site. As part of the collective effort to reduce late effects of cancer treatment, oncologists may be in the best position to offer initial guidance for promoting healthy lifestyle behaviors among cancer survivors.