National estimates of racial disparities in health status and behavioral risk factors among long-term cancer survivors and non-cancer controls.

National estimates of racial disparities in health status and behavioral risk factors among long-term cancer survivors and non-cancer controls.
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DOI:
10.1007/s10552-010-9566-x
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发表时间:
2010-09
影响因子:
2.3
通讯作者:
Jeffe, Donna B.
Jeffe, Donna B.
中科院分区:
医学4区
文献类型:
--
作者:
Schootman, Mario;Deshpande, Anjali D.;Pruitt, Sandi L.;Aft, Rebecca;Jeffe, Donna B.

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我们检查了与非癌症对照组相比,长期癌症幸存者(≥5年)在健康状况(自评健康、下半身功能限制、心理困扰和体重指数[BMI])和行为(吸烟、饮酒和体力活动)方面的种族差异(白色、非洲裔美国人和其他种族)。使用2005-2007年全国健康访谈调查数据,我们计算了所有六个群体的健康状况和行为的调整后患病率估计值,控制了社会人口因素,医疗保健获取或其他慢性病的存在。样本包括2,762名(3.6%)幸存者和73,059名对照。在健康状况较差、限制≥1、心理困扰和BMI较高方面,长期幸存者的每个种族调整后患病率估计值均高于对照组,但幸存者和对照组在身体活动、吸烟方面相似。和酒精使用。非裔美国人幸存者自我评估健康状况较差的校正患病率估计值高于白色幸存者,心理困扰、体力活动和饮酒的校正患病率估计值较低,吸烟和BMI的校正患病率估计值相似。除吸烟和限制外,幸存者的所有健康状况和行为指标都存在种族差异。临床医生可能在帮助减少差距方面发挥关键作用。
We examined racial disparities (White, African American, and other race) in health status (self-rated health, lower-body functional limitations, psychological distress, and body mass index [BMI]) and behaviors (smoking, alcohol use, and physical activity) of long-term cancer survivors (≥5 years) when compared to non-cancer controls. Using 2005–2007 National Health Interview Survey data, we computed adjusted prevalence estimates of health status and behaviors for all six groups, controlling for sociodemographic factors, medical-care access, or presence of other chronic conditions. The sample included 2,762 (3.6%) survivors and 73,059 controls. Adjusted prevalence estimates for each race were higher for long-term survivors than controls in terms of having fair-poor self-rated health, ≥1 limitation, psychological distress, and higher BMI but were similar between survivors and controls in terms of physical activity, smoking, and alcohol use. Adjusted prevalence estimates for having fair-poor self-rated health were higher for African American survivors than white survivors, lower for psychological distress, physical activity and alcohol use, and similar for smoking and BMI. With the exception of smoking and limitations, racial differences existed among survivors for all health-status and behavioral measures. Clinicians may play a key role in helping to reduce disparities.
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