Sociodemographic and Health Correlates of Multiple Health Behavior Adherence among Cancer Survivors: A Latent Class Analysis.
Sociodemographic and Health Correlates of Multiple Health Behavior Adherence among Cancer Survivors: A Latent Class Analysis.
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DOI：
10.3390/nu15102354
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发表时间：
2023-05-17
期刊：
影响因子：
5.9
通讯作者：
Manne SL
中科院分区：
文献类型：
--
作者：
Fong AJ;Llanos AAM;Ashrafi A;Zeinomar N;Chokshi S;Bandera EV;Devine KA;Hudson SV;Qin B;O'Malley D;Paddock LE;Stroup AM;Evens AM;Manne SL
该研究旨在（a）评估当前对国家综合癌症网络多种健康行为指南的遵守程度，以及（b）确定与不同遵守水平相关的癌症幸存者的特征。癌症幸存者 (N = 661) 通过国家登记处进行识别并填写问卷。潜在类别分析（LCA）用于识别依从模式。预测因子与潜在类别之间的关联被报告为风险比。 LCA 确定了三类：低风险（39.6%）、中风险（52.0%）和高风险生活方式（8.3%）。与高风险生活方式类别的参与者相比，低风险生活方式类别的参与者满足大多数多种健康行为指南的可能性最高。与中等风险生活方式类别成员相关的特征包括自我认同为亚裔/亚裔美国人以外的种族、从未结婚、接受过一些大学教育以及被诊断患有晚期结直肠癌或肺癌。高风险生活方式类别的人更有可能是男性、从未结婚、拥有高中或以下学历、被诊断患有结直肠癌或肺癌以及被诊断患有肺部合并症。研究结果可用于指导未来干预措施的制定，以促进高风险癌症幸存者遵守多种健康行为。
The study aimed to (a) assess current levels of adherence to the National Comprehensive Cancer Network’s multiple health behavior guidelines and (b) identify characteristics of cancer survivors associated with different adherence levels. Cancer survivors (N = 661) were identified through the state registry and completed questionnaires. Latent class analysis (LCA) was used to identify patterns of adherence. Associations between predictors with the latent classes were reported as risk ratios. LCA identified three classes: lower- (39.6%), moderate- (52.0%), and high-risk lifestyle (8.3%). Participants in the lower-risk lifestyle class had the highest probability of meeting most of the multiple health behavior guidelines compared to participants in the high-risk lifestyle class. Characteristics associated with membership in the moderate-risk lifestyle class included self-identifying as a race other than Asian/Asian American, being never married, having some college education, and having been diagnosed with later stage colorectal or lung cancer. Those in the high-risk lifestyle class were more likely to be male, never married, have a high school diploma or less, diagnosed with colorectal or lung cancer, and diagnosed with pulmonary comorbidities. Study findings can be used to inform development of future interventions to promote multiple health behavior adherence among higher risk cancer survivors.
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