Humpel Nancy, Magee Christopher, Jones Sandra C
Centre for Health Behaviour and Communication Research, Faculty of Health and Behavioural Sciences, University of Wollongong, Wollongong, New South Wales, 2522, Australia.
School of Psychology, Faculty of Health and Behavioural Sciences, University of Wollongong, Wollongong, New South Wales, Australia.
Support Care Cancer. 2007 Jun;15(6):621-630. doi: 10.1007/s00520-006-0207-6. Epub 2007 Jan 5.
The aim of this study was to examine the effect of a cancer diagnosis on the health behaviors of cancer survivors and their family and friends, and to determine whether a cancer diagnosis could be a teachable moment for intervention.
This was a cross-sectional study of the health behaviors of individuals taking part in a cancer fundraising event. The questionnaire was completed by 657 participants.
Participants were 81.4% women, had a mean age of 46 years, and comprised of 17.2% cancer survivors. For cancer survivors, 31.3% reported an increase in physical activity, 50% of smokers quit, and 59 to 72% reported dietary improvements within 1 month of diagnosis. Significant differences in behavior change were found by age, but not by gender or education. For individuals without cancer, 24.3% reported improved physical activity and the majority reported some dietary changes. A greater proportion of family and friends who perceived they were at greater risk of developing cancer increased physical activity and sun-smart behavior but did not improve dietary habits.
The results indicate that the cancer survivors made significantly more positive health behavior changes compared to the non-cancer group. For this sample, a personal diagnosis of cancer, or a diagnosis in a family member or friend, may have acted as a 'cue to action' to improve lifestyle health behaviors. This field of research is still at an early stage, and further studies are needed to confirm if this situation could be useful as a 'teachable moment' for intervention purposes.
本研究的目的是考察癌症诊断对癌症幸存者及其家人和朋友健康行为的影响，并确定癌症诊断是否可以成为一个进行干预的契机。
这是一项针对参加癌症筹款活动的个人健康行为的横断面研究。657名参与者完成了问卷调查。
参与者中81.4%为女性，平均年龄46岁，其中17.2%为癌症幸存者。对于癌症幸存者，31.3%报告身体活动增加，50%的吸烟者戒烟，59%至72%报告在诊断后1个月内饮食有所改善。行为改变在年龄上存在显著差异，但在性别或教育程度上无显著差异。对于没有患癌症的个体，24.3%报告身体活动有所改善，大多数人报告有一些饮食变化。更多认为自己患癌风险更高的家人和朋友增加了身体活动和防晒行为，但饮食习惯没有改善。
结果表明，与非癌症组相比，癌症幸存者做出了显著更多积极的健康行为改变。对于这个样本，个人被诊断为癌症，或家庭成员或朋友被诊断为癌症，可能起到了改善生活方式健康行为的“行动提示”作用。该研究领域仍处于早期阶段，需要进一步研究以确认这种情况是否可作为干预目的的“可教时刻”。
