Physical and mental health status and health behaviors of childhood cancer survivors: findings from the 2009 BRFSS survey.

Physical and mental health status and health behaviors of childhood cancer survivors: findings from the 2009 BRFSS survey.
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DOI:
10.1002/pbc.23359
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发表时间:
2012-06
影响因子:
3.2
通讯作者:
Andrykowski, Michael A.
Andrykowski, Michael A.
中科院分区:
医学3区
文献类型:
--
作者:
Phillips-Salimi, Celeste R.;Lommel, Karen;Andrykowski, Michael A.

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儿童癌症幸存者的数量不断增加,这使得检查他们目前的身心健康状况和健康行为成为一个重要的问题。关于儿童癌症幸存者的长期结果的大部分信息来自儿童癌症队列研究(CCSS),该研究使用兄弟姐妹对照。使用2009年行为风险因素监测系统调查的数据,确定了651名儿童癌症幸存者和142,932名非癌症同龄对照。采用ANCOVA和二元Logistic回归分析比较两组患者的各种身心健康状况和健康行为变量。在控制年龄,性别和少数民族地位差异的同时,幸存者显着(p ≤0.001)具有更差的社会经济结果,更多的共病状况,生活满意度更低,社会和情感支持更少,总体健康状况更差,每月报告的身体和精神健康状况不佳的天数比非癌症个体更多。幸存者更有可能报告目前吸烟者(比值比[OR] = 2.33; 95%置信区间[CI],1.98至2.73; p<0.001);检测人类免疫缺陷病毒(HIV)(OR = 1.79; 95%CI,1.52至2.11; p<0.001);并且至少一种HIV情况适用于他们(OR = 2.06; 95%CI,1.55至2.74; p<0.001)。两组在饮酒和饮食方面没有显着差异。结果支持和扩展先前的调查结果报告的CCSS。关于幸存者参与危险行为的可能性增加的新发现为未来的研究提出了新的方向。
The growing number of childhood cancer survivors makes examination of their current physical and mental health status and health behaviors an important concern. Much of what is known about the long-term outcomes of childhood cancer survivors comes from the Childhood Cancer Cohort Study (CCSS) which uses sibling controls. Using data from the 2009 Behavioral Risk Factor Surveillance System survey, 651 childhood cancer survivors and 142,932 non-cancer peer controls were identified. The two groups were compared on a variety of physical and mental health status and health behavior variables using ANCOVA and binary logistic regression. While controlling for differences in age, sex, and minority status, survivors significantly (p ≤0.001) had poorer socioeconomic outcomes, more comorbid conditions, lower life satisfaction, less social and emotional support, poorer general health, and reported more days per month of poor physical and mental health than non-cancer individuals. Survivors were more likely to report being a current smoker (odds ratio [OR] = 2.33; 95% confidence interval [CI], 1.98 to 2.73; p<0.001); tested for human immunodeficiency virus (HIV) (OR = 1.79; 95% CI, 1.52 to 2.11; p<0.001); and that at least one HIV situation applied to them (OR = 2.06; 95% CI, 1.55 to 2.74; p<0.001). No significant differences were found between groups in regards alcohol use and diet. Results support and extend previous findings reported by the CCSS. New findings regarding survivors’ increased likelihood to engage in risky behaviors proposes new directions for future research.
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