Health Behaviors in Adolescent Cancer Survivors

青少年癌症幸存者的健康行为

• 批准号: 6742851
• 负责人: Jennifer S Ford
• 金额: $ 8.41万
• 依托单位: SLOAN-KETTERING INST CAN RESEARCH
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-27 至 2005-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6742851
• 关键词: adolescence (12-20); behavioral /social science research tag; body physical activity; cancer risk; clinical research; exercise; health behavior; human subject; long term survivor; neoplasm /cancer; neoplasm /cancer relapse /recurrence; nutrition; obesity; questionnaires; smoking; tobacco abuse

DESCRIPTION (provided by applicant): Healthy People 2010 (USDHHS, 2000), highlights critical health objectives for adolescents, including the importance of reducing tobacco use, reducing the proportion who are overweight or obese, increasing the proportion who engage in regular physical activity, and increasing the proportion who engage in sun protection. Given adolescent cancer survivors' increased risk for physical late-effects and their increased vulnerability to additional chronic conditions, these health behaviors are even more critical. Advances in pediatric cancer care have resulted in a growing population of childhood cancer survivors. However, little research to date has investigated the mechanisms that promote or hinder a healthy lifestyle among adolescent cancer survivors. Guided by the Theory of Planned Behavior, and empirically supported cancer-related variables, this study will identify the patterns and covariates of health-protective and health-damaging behavioral intentions and behaviors among adolescent cancer survivors. Specifically, we will investigate survivors' tobacco use, regular exercise, nutritional habits, and sun protection intentions. We will assess 200 adolescents (14-19 years of age), who were diagnosed with cancer during late childhood to early adolescence (8-14 years of age), have no evidence of disease (NED) and are at least 1 year post-treatment. No studies to date have examined theoretically-driven covariates of adolescent survivors' health behavior intentions that may influence their future risk of disease. There is evidence to suggest that life-threatening illness may increase health behavior change among adults, however, the study of health risk behaviors among pediatric cancer survivors is an area that has received little attention. The proposed study will fill a research gap in a high priority area and the findings are likely to have both clinical and theoretical implications. The study findings will address a national priority and advance behavioral science by identifying theory-driven covariates that impact the health-protective and health-damaging behaviors of adolescent cancer survivors.

描述(由申请人提供)： 2010年健康人群报告(USDHHS，2000)强调了青少年的关键健康目标，包括减少烟草使用的重要性，减少超重或肥胖的比例，增加经常参加体育活动的比例，以及增加从事防晒的比例。鉴于青少年癌症幸存者身体后遗症的风险增加，以及他们对更多慢性病的易感性增加，这些健康行为甚至更加关键。儿科癌症护理的进步导致儿童癌症幸存者的人数不断增加。然而，到目前为止，很少有研究调查青少年癌症幸存者中促进或阻碍健康生活方式的机制。在计划行为理论的指导下，本研究将确定青少年癌症幸存者保护健康和损害健康的行为意向和行为的模式和协变量，并提供经验支持的癌症相关变量。具体地说，我们将调查幸存者的烟草使用、定期锻炼、营养习惯和防晒意图。我们将评估200名青少年(14-19岁)，他们在儿童后期到青春期早期(8-14岁)被诊断患有癌症，没有疾病证据(NED)，并且在治疗后至少一年。到目前为止，还没有研究检验青少年幸存者健康行为意向的理论驱动的协变量，这些协变量可能会影响他们未来的疾病风险。有证据表明，危及生命的疾病可能会增加成年人的健康行为变化，然而，对儿童癌症幸存者的健康危险行为的研究是一个很少受到关注的领域。这项拟议的研究将填补一个高度优先领域的研究空白，其发现可能具有临床和理论意义。这项研究结果将解决国家的优先事项，并通过确定影响青少年癌症幸存者的健康保护和破坏健康行为的理论驱动的协变量来推动行为科学的发展。