Exploring the relationship between physical well-being and healthy lifestyle changes among European- and Latina-American breast and cervical cancer survivors
Exploring the relationship between physical well-being and healthy lifestyle changes among European- and Latina-American breast and cervical cancer survivors
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DOI：
10.1002/pon.1687
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发表时间：
2010-11-01
期刊：
影响因子：
3.6
通讯作者：
Gonzalez, Patricia
中科院分区：
文献类型：
--
作者：
Ashing-Giwa, Kimlin T.;Lim, Jung-Won;Gonzalez, Patricia
背景：癌症及其治疗对幸存者的身体健康有着挥之不去的，往往是负面的影响。身体后遗症影响日常功能和整体HRQOL，并可能影响癌症后生活方式的改变。本研究旨在审查：（1）与整体健康相关生活质量低相关的身体健康项目;（2）身体健康结果与癌症类型的健康生活方式变化之间的关系：本研究采用混合抽样方法的横断面设计。从加州癌症监测项目和洛杉矶地区医院登记处共招募了922名欧洲人（n=452）和拉丁美洲人（n=470）乳腺癌（BCS）或宫颈癌幸存者（CCS）。项目反应从幸存者在最低的四分位数的总生活质量评分和百分比反映低的身体健康level.Results：一个统计方法，个别项目提供了独特的和有价值的测量和临床信息以上和超越身体健康的总评分。身体健康项目的反应根据种族，收入和教育程度而有所不同。BCS和CCS在身体健康项目和生活方式变化之间的关系中显示出不同的模式。具体而言，运动是显着相关的身体健康项目BCS，而饮食的变化显着相关的身体健康的CCS.Conclusions：结果显示独特的相关性的身体健康项目的癌症类型，种族和生活方式的变化。在临床上，这项研究强调了在制定文化敏感和患者响应的干预措施，以促进健康的生活方式和改善生存结果时，需要更多地考虑个人和医疗特征。版权所有（C）2010约翰威利父子有限公司
Background: Cancer and its treatments have a lingering and often negative impact on survivors' physical well-being. The physical sequelae impinge on daily functioning and overall HRQOL, and perhaps influence lifestyle changes post-cancer. This study aims to examine: (1) physical well-being items that are associated with low overall health-related quality of life; and (2) the relationship between physical well-being outcomes and healthy lifestyle changes by cancer type.Methods: This study employed a cross-sectional design with mixed sampling methods. In total 922 European-(n=452) and Latina-American (n=470) breast (BCS) or cervical cancer survivors (CCS) were recruited from the California Cancer Surveillance Program and Los Angeles area hospital registries. Item responses from survivors in the lowest quartile of total quality of life scores and percentages reflecting low physical well-being levels were calculated.Results: A statistical approach to individual items provides unique and valuable measurement and clinical information above and beyond physical well-being total scores. Physical well-being item responses varied according to ethnicity, income, and education. BCS and CCS showed different patterns in the relationship between physical well-being items and lifestyle changes. Specifically, exercise was significantly related to physical well-being items for BCS, while diet changes were significantly associated with physical well-being for CCS.Conclusions: Results reveal unique correlates of physical well-being items by cancer type, ethnicity, and lifestyle changes. Clinically, this study highlights the need for greater consideration of individual and medical characteristics in developing culturally sensitive and patient responsive interventions to promote healthy lifestyles and improve survivorship outcomes. Copyright (C) 2010 John Wiley & Sons, Ltd.