Characterizing risky alcohol use, cigarette smoking, e-cigarette use, and physical inactivity among cancer survivors in the USA-a cross-sectional study.
Characterizing risky alcohol use, cigarette smoking, e-cigarette use, and physical inactivity among cancer survivors in the USA-a cross-sectional study.
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DOI：
10.1007/s11764-022-01245-5
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发表时间：
2023-12
影响因子：
3.7
通讯作者：
Keegan, Theresa H.
中科院分区：
文献类型：
--
作者：
Kim, Jiyeong;Keegan, Theresa H.
关键词：
不健康的生活方式行为与癌症幸存者较差的健康结果有关，包括死亡率增加。识别弱势群体至关重要，但调查却很有限。因此，本研究旨在检查癌症幸存者中与危险健康行为相关的社会人口统计学和临床特征。我们使用了 2579 名癌症幸存者的全国横断面调查数据（健康信息国家趋势调查，HINTS 2017-2020）。我们计算了危险饮酒、当前吸烟、电子烟使用以及不符合身体活动指南的患病率。我们进行加权逻辑回归以获得每种不健康行为与社会人口学和临床特征之间的关联的多变量调整优势比（OR）。总体而言，25% 的人存在饮酒风险，12% 的人当前吸烟，3% 的人当前电子烟使用者，68% 的人不符合身体活动指南。男性、非西班牙裔白人或非裔美国人、未受过大学教育、未婚且患有合并症或心理困扰的癌症幸存者更有可能出现不健康行为。患有肺部疾病或抑郁症的人吸烟或电子烟的可能性是普通人的 2 倍，而患有心理困扰的人缺乏身体活动的可能性是普通人的 1.6 倍。此外，高风险饮酒者（OR = 1.75，95% CI= 1.22–2.52）和电子烟吸烟者（OR = 16.40，95% CI 3.29–81.89）更有可能是当前吸烟者。我们确定了具有多种不健康生活方式行为的癌症幸存者的弱势亚群。我们的研究结果为临床医生、癌症幸存者亚组的项目和政策制定者提供了指导，以针对多种健康行为干预措施。在线版本包含可在 10.1007/s11764-022-01245-5 获取的补充材料。
Unhealthy lifestyle behaviors are associated with inferior health outcomes among cancer survivors, including increased mortality. It is crucial to identify vulnerable subgroups, yet investigations have been limited. Thus, this study aimed to examine sociodemographic and clinical characteristics associated with risky health behaviors among cancer survivors. We used national, cross-sectional survey data (Health Information National Trends Survey, HINTS 2017–2020) for 2579 cancer survivors. We calculated the prevalence of risky alcohol use, current cigarette smoking, e-cigarette use, and not meeting physical activity guidelines. We performed weighted logistic regression to obtain multivariable-adjusted odds ratios (OR) for the association between each unhealthy behavior with sociodemographic and clinical characteristics. Overall, 25% showed risky alcohol use, 12% were current cigarette smokers, 3% were current e-cigarette users, and 68% did not meet physical activity guidelines. Cancer survivors who were males, non-Hispanic Whites or African Americans, without a college education, not married and with comorbidities or psychological distress were more likely to have unhealthy behaviors. Those with lung disease or depression were 2 times as likely to smoke cigarette or e-cigarettes and those with psychological distress were 1.6 times as likely to be physically inactive. Moreover, risky drinkers (OR = 1.75, 95% CI = 1.22–2.52) and e-cigarette smokers (OR = 16.40, 95% CI 3.29–81.89) were more likely to be current cigarette smokers. We identified vulnerable subpopulations of cancer survivors with multiple unhealthy lifestyle behaviors. Our findings inform clinicians and program and policy makers of the subgroups of cancer survivors to target for multiple health behavior interventions. The online version contains supplementary material available at 10.1007/s11764-022-01245-5.
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影响因子：
3.7
作者：
Antwi, Godfred O.;Rhodes, Darson L.
通讯作者：
Rhodes, Darson L.
影响因子：
8.8
作者：
Beral, V;Hamajima, N;Hirose, K;Rohan, T;Calle, EE;Heath, CW;Coates, RJ;Liff, JM;Talamini, R;Chantarakul, N;Koetsawang, S;Rachawat, D;Morabia, A;Schuman, L;Stewart, W;Szklo, M;Bain, C;Schofield, F;Siskind, V;Band, P;Coldman, AJ;Gallagher, RP;Hislop, TG;Yang, P;Kolonel, LM;Nomura, AMY;Hu, J;Johnson, KC;Mao, Y;De Sanjose, S;Lee, N;Marchbanks, P;Ory, HW;Peterson, HB;Wilson, HG;Wingo, PA;Ebeling, K;Kunde, D;Nishan, P;Hopper, JL;Colditz, G;Gajalakshmi, V;Martin, N;Pardthaisong, T;Solpisornkosol, S;Theetranont, C;Boosiri, B;Chutivongse, S;Jimakorn, P;Virutamasen, P;Wongsrichanalai, C;Ewertz, M;Adami, HO;Bergkvist, L;Magnusson, C;Persson, I;Chang-Claude, J;Paul, C;Skegg, DCG;Spears, GFS;Boyle, P;Evstifeeva, T;Daling, JR;Hutchinson, WB;Malone, K;Noonan, EA;Stanford, JL;Thomas, DB;Weiss, NS;White, E;Andrieu, N;Brêmond, A;Clavel, F;Gairard, B;Lansac, J;Piana, L;Renaud, R;Izquierdo, A;Viladiu, P;Cuevas, HR;Ontiveros, P;Palet, A;Salazar, SB;Arsitizabal, N;Cuadros, A;Tryggvadottir, L;Tulinius, H;Bachelot, A;Lê, MG;Peto, J;Franceschi, S;Lubin, F;Modan, B;Ron, E;Wax, Y;Friedman, GD;Hiatt, RA;Levi, F;Bishop, T;Kosmelj, K;Primic-Zakelj, M;Ravnihar, B;Stare, J;Beeson, WL;Fraser, G;Bulbrook, RD;Cuzick, J;Duffy, SW;Fentiman, IS;Hayward, JL;Wang, DY;McMichael, AJ;McPherson, K;Hanson, RL;Leske, MC;Mahoney, MC;Nasca, PC;Varma, AO;Weinstein, AL;Moller, TR;Olsson, H;Ranstam, J;Goldbohm, RA;van den Brandt, PA;Apelo, RA;Baens, J;de la Cruz, JR;Javier, B;Lacaya, LB;Ngelangel, CA;La Vecchia, C;Negri, E;Marubini, E;Ferraroni, M;Gerber, M;Richardson, S;Segala, C;Gatei, D;Kenya, P;Kungu, A;Mati, JG;Brinton, LA;Hoover, R;Schairer, C;Spirtas, R;Lee, HP;Rookus, MA;van Leeuwen, FE;Schoenberg, JA;McCredie, M;Gammon, MD;Clarke, EA;Jones, L;Neil, A;Vessey, M;Yeates, D;Appleby, P;Banks, E;Bull, D;Crossley, B;Goodill, A;Green, J;Hermon, C;Key, T;Langston, N;Lewis, C;Reeves, G;Collins, R;Doll, R;Peto, R;Mabuchi, K;Preston, D;Hannaford, P;Kay, C;Rosero-Bixby, L;Gao, YT;Jin, F;Yuan, JM;Wei, HY;Yun, T;Zhiheng, C;Berry, G;Cooper Booth, J;Jelihovsky, T;MacLennan, R;Shearman, R;Wang, QS;Baines, CJ;Miller, AB;Wall, C;Lund, E;Stalsberg, H;Shu, XO;Zheng, W;Katsouyanni, K;Trichopoulou, A;Trichopoulos, D;Dabancens, A;Martinez, L;Molina, R;Salas, O;Alexander, XE;Anderson, K;Folsom, AR;Hulka, BS;Bernstein, L;Enger, S;Haile, RW;Paganini-Hill, A;Pike, MC;Ross, RK;Ursin, G;Yu, MC;Longnecker, MP;Newcomb, P;Bergkvist, L;Kalache, A;Farley, TMM;Holck, S;Meirik, O
通讯作者：
Meirik, O
DOI：
10.1136/bmj.h4238
发表时间：
2015-08-18
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Cao Y;Willett WC;Rimm EB;Stampfer MJ;Giovannucci EL
通讯作者：
Giovannucci EL
影响因子：
6.4
作者：
Dal Maso, Luigino;Zucchetto, Antonella;Franceschi, Silvia
通讯作者：
Franceschi, Silvia
影响因子：
4.8
作者：
Allison, PJ
通讯作者：
Allison, PJ