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》（USDHHS，2000年）强调了青少年的关键健康目标，包括减少烟草使用、降低超重或肥胖比例、增加经常参加体育活动的比例以及增加防晒比例的重要性。考虑到青少年癌症幸存者身体晚期效应的风险增加，以及他们对其他慢性疾病的脆弱性增加，这些健康行为更加重要。儿科癌症护理的进步导致儿童癌症幸存者人数不断增加。然而，迄今为止，很少有研究调查促进或阻碍青少年癌症幸存者健康生活方式的机制。本研究以计划行为理论为指导，以实证研究为基础，探讨青少年癌症幸存者的健康保护与健康损害行为意向与行为的模式与协变量。具体来说，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），他们在儿童晚期至青春期早期（8-14岁）被诊断患有癌症，没有疾病证据（NED）并且治疗后至少1年。到目前为止，还没有任何研究对青少年幸存者健康行为意图的理论驱动协变量进行了研究，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，儿童癌症幸存者的健康风险行为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，研究结果可能具有临床和理论意义。研究结果将解决国家优先事项，并通过确定影响青少年癌症幸存者健康保护和健康损害行为的理论驱动的协变量来推进行为科学。