Health behavior changes in white and African American prostate cancer survivors.
Health behavior changes in white and African American prostate cancer survivors.
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DOI：
10.1097/ncc.0b013e3181982d4c
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发表时间：
2009-03
期刊：
影响因子：
2.6
通讯作者：
Pruthi RS
中科院分区：
文献类型：
--
作者：
Satia JA;Walsh JF;Pruthi RS
健康的行为可能会改善前列腺癌的预后；然而，关于前列腺癌幸存者在确诊后是否会改变健康行为，人们知之甚少，也没有关于种族/民族差异的数据。这项研究探索了白人和非裔美国人(n=30)在确诊患有局限性前列腺癌一年后，45-70岁，≅在饮食、体力活动和膳食补充剂使用方面的健康行为变化的模式和影响因素。数据通过电话收集，采用半结构化定性访谈。参与者的平均年龄为59.6岁，77%上过大学，87%已婚，22%退休。大多数人(58%)自确诊以来改善了饮食，定义为多吃水果/蔬菜，少吃脂肪。尽管77%的人报告在确诊前定期使用至少一种膳食补充剂，但有几个人在确诊后停止使用。67%的人在确诊前定期锻炼，其中大多数(75%)在确诊后继续锻炼；然而，时间和健康限制是障碍。医生推荐和家庭支持强烈地影响了积极的变化。除了非裔美国人在确诊后饮食方面的更多改善外，行为改变的模式/动机方面的种族差异很小。大多数受访者都有动力在确诊后保持和/或采取健康的行为改变。鼓励护士/医生告知他们的前列腺癌患者健康饮食和定期锻炼的好处，以及缺乏关于大多数补充剂，特别是草药配方的好处/风险的科学证据。
Prostate cancer prognosis may be improved by healthy behaviors; however, little is known regarding whether prostate cancer survivors make health behavior changes post-diagnosis, and there is no data on racial/ethnic differences. This study explored patterns of, and factors that influence healthy behavior changes in diet, physical activity, and dietary supplement use among whites and African Americans (n=30), 45–70 years, ≅1 year after diagnosis with localized prostate cancer. Data were collected by telephone using semi-structured qualitative interviews. The mean participant age was 59.6 years, 77% had attended college, 87% were married, and 22% were retired. The majority (58%) had improved their diet since diagnosis, defined as eating more fruits/vegetables and less fat. Although 77% reported regular use of at least one dietary supplement before diagnosis, several discontinued use post-diagnosis. Sixty-seven percent exercised regularly before diagnosis and most of these (75%) continued post-diagnosis; however, time and health constraints were barriers. Physician recommendation and family support strongly influenced positive changes. Except for more post-diagnosis dietary improvements in African Americans, there were few racial differences in patterns/motives for behavior changes. Most respondents were motivated to maintain and/or adopt healthy behavioral changes post-diagnosis. Nurses/physicians are encouraged to inform their prostate cancer patients about the benefits of healthy eating and regular exercise and the absence of scientific evidence regarding the benefits/risks of most supplements, particularly herbal formulations.