Health behaviors of minority childhood cancer survivors.

Health behaviors of minority childhood cancer survivors.
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DOI:
10.1002/cncr.29202
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发表时间:
2015-05-15
期刊:
影响因子:
6.2
通讯作者:
Seligman, Katya
Seligman, Katya
中科院分区:
医学1区
文献类型:
--
作者:
Stolley, Melinda R.;Sharp, Lisa K.;Tangney, Christy C.;Schiffer, Linda A.;Arroyo, Claudia;Kim, Yoonsang;Campbell, Richard T.;Schmidt, Mary Lou;Breen, Kathleen;Kinahan, Karen E.;Dilley, Kim J.;Henderson, Tara O.;Korenblit, Allen D.;Seligman, Katya

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现有数据表明,儿童癌症幸存者(CCS)在许多生活方式参数上与普通人群相当。然而,人们对少数群体CCSS知之甚少。这项横断面研究描述并比较了非裔美国人、西班牙裔和白人幸存者彼此之间以及与非癌症对照组的体重指数(BMI)和健康行为。参与者包括从四个儿童癌症治疗机构招募的452名成年CCS(150名非洲裔美国人,152名西班牙裔,150名白人)和通过目标数字拨号招募的375名种族匹配的非癌症对照组(每个种族/民族125人)。所有参与者都完成了两个小时的面谈。幸存者和非癌症对照组报告了类似的健康行为。在幸存者中,不同种族/民族的吸烟和体力活动相似。非裔和西班牙裔幸存者报告称,他们每天的饮酒量低于白人,但饮食不健康,更有可能肥胖。这项独特的研究强调,许多少数CCS表现出导致慢性病风险增加和迟发效应的生活方式特征。改变行为的建议必须考虑少数族裔幸存者可能生活的社会和文化背景。
Available data suggest that childhood cancer survivors (CCSs) are comparable to the general population on many lifestyle parameters. However, little is known about minority CCSs. This cross-sectional study describes and compares the body mass index (BMI) and health behaviors of African-American, Hispanic and White survivors to each other and to non-cancer controls. Participants included 452 adult CCS (150 African-American, 152 Hispanic, 150 white) recruited through four childhood cancer treating institutions and 375 ethnically-matched non-cancer controls (125 in each racial/ethnic group) recruited via targeted digit dial. All participants completed a 2-hour in-person interview. Survivors and non-cancer controls reported similar health behaviors. Within survivors, smoking and physical activity were similar across racial/ethnic groups. African-American and Hispanic survivors reported lower daily alcohol use than whites, but consumed unhealthy diets and were more likely to be obese. This unique study highlights that many minority CCSs exhibit lifestyle profiles that contribute to increased risk for chronic diseases and late effects. Recommendations for behavior changes must consider the social and cultural context in which minority survivors may live.
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