Clarke Sally-Ann, Eiser Christine
Child and Family Research Group, Department of Psychology, University of Sheffield, Western Bank, Sheffield S10 2TP, UK.
Eur J Cancer. 2007 Jun;43(9):1373-84. doi: 10.1016/j.ejca.2007.03.002. Epub 2007 Apr 24.
To review (1) prevalence and predictors of risk behaviours especially smoking and (2) values of interventions to reduce risk behaviours in childhood cancer survivors.
A systematic search of four databases (OVID Medline (1966 to May week 2, 2006), CINAHL, EMBASE, and Pubmed (US Library of Medicine and National Institute of Health)) for articles published between January 1990 and May 2006.
Twenty-three eligible articles. Incidence of risk behaviours are comparable with, or lower than the general population and controls. Socio-demographic (age, socio-economic status, diagnosis, ethnic group) and psychological variables (perceived vulnerability) predict risk behaviour. Improved knowledge and awareness of vulnerability have been found after interventions, but no changes in health behaviours.
This review illustrates an optimistic picture of low participation in substance use amongst survivors, although based mainly on smoking. However, smoking might not be the major problem for survivors and attention must also be directed to other health behaviours including exercise and healthy diet.
回顾（1）风险行为尤其是吸烟的患病率及预测因素，以及（2）减少儿童癌症幸存者风险行为的干预措施的价值。
系统检索四个数据库（OVID Medline（1966年至2006年5月第2周）、CINAHL、EMBASE和Pubmed（美国国立医学图书馆和美国国立卫生研究院）），查找1990年1月至2006年5月发表的文章。
23篇符合条件的文章。风险行为的发生率与普通人群及对照组相当或更低。社会人口统计学因素（年龄、社会经济地位、诊断、种族）和心理变量（感知到的易感性）可预测风险行为。干预后发现对易感性的认知和意识有所提高，但健康行为没有改变。
本综述呈现了幸存者中物质使用参与度较低的乐观情况，不过主要基于吸烟。然而，吸烟可能并非幸存者的主要问题，还必须关注包括运动和健康饮食在内的其他健康行为。
