Covariates of risky health behaviors in pediatric cancer survivors during adolescence.
Covariates of risky health behaviors in pediatric cancer survivors during adolescence.
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DOI：
10.1080/07347332.2020.1795779
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发表时间：
2021
影响因子：
2.1
通讯作者：
Ford JS
中科院分区：
文献类型：
--
作者：
Werk RS;Ford JS
儿童癌症的青少年幸存者可能会使用酒精和烟草（分别为73-90%和10- 29%），尽管这些物质对健康有不良影响，但其使用率与健康同龄人相似。这是令人担忧的，因为这些行为可能会增加该人群中不良迟发效应的风险。本研究探讨了青少年癌症幸存者与酒精和烟草使用相关的信念和行为。采用电话评估问卷的横断面研究曾在纪念斯隆-凯特琳癌症中心就诊的青少年癌症幸存者（n=128），问卷涉及参与者的病史、当前健康行为、对健康行为的态度、对癌症复发的恐惧、癌症担忧、风险知识和对未来健康问题的感知风险。单变量和多元逻辑回归分析确定了心理协变量与曾经饮酒和吸烟之间的关联。多因素Logistic回归分析显示，对饮酒的积极态度（OR= 3.65; p<0.001）和对酗酒风险的认识（OR= 0.38; p<0.05）与饮酒显著相关。年龄较大（OR= 1.55; p< 0.01）、对吸烟危害的认识较低（0.41; p<0.05）和认为吸烟是他人所希望的主观规范（OR= 1.90; p< 0.05）与吸烟显著相关。了解青少年幸存者对危险健康行为的吸收以及与烟草和酒精使用相关的因素，对于促进终身健康行为和潜在减少未来不良健康影响至关重要。尽管开展了广泛宣传的公共服务运动，而且我国癌症专家提供了前瞻性指导，让青年了解酒精和烟草使用的不利影响，但青少年癌症幸存者对这些风险的了解仍然存在差距。需要采取更有效的干预措施，增加对饮酒和吸烟风险的了解，以弥补这一差距。
Adolescent survivors of pediatric cancers may use alcohol and tobacco (73–90% and 10–29%, respectively) at similar rates as their healthy peers despite known adverse health effects of these substances. This is concerning given that these behaviors can increase the risk for adverse late effects among this population. This study explores the beliefs and behaviors associated with alcohol and tobacco use among adolescent survivors of pediatric cancer. Cross- sectional study using assessment questionnaires by telephone Adolescent cancer survivors who had been seen at Memorial Sloan Kettering Cancer Center (n=128) Questionnaires concerned participants’ medical history, current health behaviors, attitudes about health behaviors, fear of cancer recurrence, cancer worry, knowledge of risk, and perceived risk of future health problems. Univariate and multiple logistic regression analyses determined the association between psychological covariates with having ever used alcohol and cigarettes. In multiple logistic regression, higher positive attitude (OR= 3.65; p<0.001) towards alcohol use and lower knowledge of the risk of binge drinking (OR= 0.38; p<0.05) were significantly related to alcohol use. Older age (OR= 1.55; p< 0.01), lower knowledge of the risks of smoking (0.41; p<0.05), and the subjective norm that smoking is desirable to others (OR= 1.90; p< 0.05) were significantly related to cigarette use. Understanding the uptake of risky health behaviors and factors related to tobacco and alcohol use for adolescent survivors is imperative to promoting lifelong healthy behaviors and potentially reducing future adverse health effects. Despite broadly disseminated public service campaigns and anticipatory guidance of our cancer specialists to inform youth about the adverse effects of alcohol and tobacco use, there remains a gap in adolescent cancer survivors’ knowledge of these risks. More effective interventions to increase knowledge of the risks of drinking and smoking are needed to bridge this gap.
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DOI：
10.1016/0749-5978(91)90020-t
发表时间：
1991-12-01
影响因子：
4.6
作者：
AJZEN, I
通讯作者：
AJZEN, I
影响因子：
3.8
作者：
de Moor, Janet S.;Puleo, Elaine;Emmons, Karen M.
通讯作者：
Emmons, Karen M.
影响因子：
4.3
作者：
Jackson KM;Janssen T;Gabrielli J
通讯作者：
Gabrielli J
影响因子：
4.9
作者：
Alberts, Amy;Elkind, David;Ginsberg, Stephen
通讯作者：
Ginsberg, Stephen
影响因子：
1.9
作者：
Cox, CL;McLaughlin, RA;Hudson, MM
通讯作者：
Hudson, MM