癌症幸存者接受筛查性乳房 X 光检查的健康行为。
Health behaviors among cancer survivors receiving screening mammography.
机构信息
H. Lee Moffitt Cancer Center, Tampa, FL 33612, USA.
出版信息
Am J Clin Oncol. 2012 Feb;35(1):22-31. doi: 10.1097/COC.0b013e318200598e.
OBJECTIVES
The purpose of this study was to evaluate the prevalence of cancer-related behavioral risk factors among female cancer survivors, relative to women without a previous diagnosis of cancer.
METHODS
In a large cohort of 19,948 women presenting for screening mammography, questionnaires on health behaviors were administered.
RESULTS
A total of 18,510 had detailed history on health behaviors and previous cancer history. Overall 2713 (14.7%) reported a previous cancer history. We found statistically significant results indicating that cancer survivors were less likely than those with no cancer history to: report their overall health as "excellent" (13.6% vs. 21.5%), to engage in moderate or strenuous exercise (56.5% vs. 63.3%), and to use complementary and alternative medicine (57.4% vs. 60.2%). Conversely, cancer survivors were more likely to be current smokers (6.3% vs. 5.5%), rate their overall health as "poor" (15.8% vs. 9.1%), and to report more weight gain over time. Among cancer survivors, differences also emerged by the type of primary cancer. For example, cervical cancer survivors (n = 370) were most likely to report being current smokers (15.7%) and regular alcohol users (71.7%) compared with other survivors. Ovarian (n = 185) and uterine (n = 262) cancer survivors most frequently reported being obese (41% and 34.4%, respectively). Cervical cancer survivors reported the largest weight gain (4.9 lbs at 5 y and 13.4 lbs at 10 y).
CONCLUSIONS
These results suggest opportunities for tailored behavioral health risk factor interventions for specific populations of cancer survivors.
目的
本研究旨在评估女性癌症幸存者中与癌症相关的行为风险因素的流行率，与既往无癌症诊断的女性相比。
方法
在一个由 19948 名女性参加的大型筛查乳房 X 线摄影队列中，进行了健康行为问卷。
结果
共有 18510 人详细记录了健康行为和既往癌症史。共有 2713 人（14.7%）报告了既往癌症史。我们发现了统计学上显著的结果，表明癌症幸存者与无癌症史的女性相比，不太可能：报告总体健康状况为“优秀”（13.6% vs. 21.5%），进行中度或剧烈运动（56.5% vs. 63.3%），以及使用补充和替代医学（57.4% vs. 60.2%）。相反，癌症幸存者更有可能是当前吸烟者（6.3% vs. 5.5%），自评总体健康状况为“差”（15.8% vs. 9.1%），并且随着时间的推移体重增加更多。在癌症幸存者中，不同类型的原发性癌症也存在差异。例如，宫颈癌幸存者（n=370）最有可能报告目前吸烟（15.7%）和定期饮酒（71.7%），与其他幸存者相比。卵巢癌（n=185）和子宫癌（n=262）幸存者最常报告肥胖（分别为 41%和 34.4%）。宫颈癌幸存者报告的体重增加最多（5 年时增加 4.9 磅，10 年时增加 13.4 磅）。
结论
这些结果表明，针对特定癌症幸存者群体，有机会进行针对特定行为健康风险因素的干预。
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