Coups Elliot J, Ostroff Jamie S
Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10021, USA.
Prev Med. 2005 Jun;40(6):702-11. doi: 10.1016/j.ypmed.2004.09.011.
Behavioral risk factors have significant biomedical and psychosocial effects for cancer survivors. Representative data on the prevalence of a wide range of behavioral risk factors among cancer survivors are lacking.
We used data from the 2000 National Health Interview Survey to examine the prevalence of smoking, physical inactivity, dietary risk factors, being overweight, risky alcohol use, and sun protection behaviors among a sample of 32,346 adults, 1646 of whom were cancer survivors.
With the exception of smoking, there were few differences in age-stratified behavioral risk factor prevalences between cancer survivors and noncancer controls. Among the cancer survivors, there were few differences in behavioral risk factor prevalence rates for survivors of different cancers. Exceptions included a high rate of current smoking for cervical and uterine cancer survivors. The prevalences of physical inactivity, dietary risk factors, and being overweight were relatively high across cancer types, whereas the prevalence of risky drinking was particularly low.
This study provides benchmark estimates of the prevalence of multiple cancer-related behavioral risk factors among U.S. cancer survivors. The results reveal considerable opportunities for behavioral risk factor interventions among cancer survivors. We discuss implications of the results and outline directions for future research.
行为风险因素对癌症幸存者具有重大的生物医学和心理社会影响。目前缺乏关于癌症幸存者中广泛行为风险因素患病率的代表性数据。
我们使用了2000年全国健康访谈调查的数据，来研究32346名成年人样本中吸烟、缺乏身体活动、饮食风险因素、超重、危险饮酒和防晒行为的患病率，其中1646人是癌症幸存者。
除吸烟外，癌症幸存者与非癌症对照在按年龄分层的行为风险因素患病率方面几乎没有差异。在癌症幸存者中，不同癌症幸存者的行为风险因素患病率几乎没有差异。例外情况包括宫颈癌和子宫癌幸存者当前吸烟率较高。缺乏身体活动、饮食风险因素和超重的患病率在各类癌症中相对较高，而危险饮酒的患病率特别低。
本研究提供了美国癌症幸存者中多种癌症相关行为风险因素患病率的基准估计。结果揭示了癌症幸存者行为风险因素干预的大量机会。我们讨论了结果的意义并概述了未来研究的方向。
