Butterfield Rita M, Park Elyse R, Puleo Elaine, Mertens Ann, Gritz Ellen R, Li Frederick P, Emmons Karen
Dana-Farber Cancer Institute/Harvard School of Public Health, USA.
Psychooncology. 2004 Sep;13(9):619-29. doi: 10.1002/pon.764.
The literature on health behaviors of young adult cancer survivors is very limited, and thus little is known about preventable risk factors in this population. This paper describes the prevalence of five behavioral risk factors among 541 young adult survivors of childhood cancers from the CCSS cohort who were identified as smokers and enrolled in a randomized controlled trial of a smoking cessation intervention. The relationship between presence of multiple risk factors and a number of smoking-related factors was examined. About 31% of the sample engaged in zero or one health-risk behavior in addition to smoking; 63% engaged in 2 or 3, and 6% engaged in 4 or 5. There were positive linear relationships between number of risk factors and smoking rate and nicotine dependence. Number of risk factors was not associated with self-efficacy for quitting, but was related to readiness to quit. This study demonstrated that childhood cancer survivors who smoke have a number of other risk factors for the development of preventable disease and the presence of these risks was associated with factors that decrease the likelihood of quitting smoking. Attention to other health behaviors may be an important strategy for helping smokers quit. In particular, helping childhood cancer survivors who smoke to reduce other risk behaviors might also encourage them to quit smoking.
关于年轻成年癌症幸存者健康行为的文献非常有限，因此对于该人群中可预防的风险因素知之甚少。本文描述了来自CCSS队列的541名儿童癌症年轻成年幸存者中五种行为风险因素的流行情况，这些幸存者被确定为吸烟者，并参加了一项戒烟干预的随机对照试验。研究了多种风险因素的存在与一些吸烟相关因素之间的关系。约31%的样本除吸烟外还存在零种或一种健康风险行为；63%存在2种或3种，6%存在4种或5种。风险因素数量与吸烟率和尼古丁依赖之间存在正线性关系。风险因素数量与戒烟自我效能无关，但与戒烟意愿有关。这项研究表明，吸烟的儿童癌症幸存者存在许多其他可预防疾病发展的风险因素，这些风险的存在与降低戒烟可能性的因素有关。关注其他健康行为可能是帮助吸烟者戒烟的重要策略。特别是，帮助吸烟的儿童癌症幸存者减少其他风险行为也可能鼓励他们戒烟。
