Rohan Elizabeth A, Townsend Julie S, Fairley Temeika L, Stewart Sherri L
From the Centers for Disease Control and Prevention, Division of Cancer Prevention and Control, Chamblee, Georgia.
J Natl Compr Canc Netw. 2015 Mar;13(3):297-302. doi: 10.6004/jnccn.2015.0041.
To examine, at the population level, health behaviors, comorbidities, and health-related quality of life among colorectal cancer (CRC) survivors compared with other cancer survivors and persons without cancer.
We used data from the 2009 and 2010 Behavioral Risk Factor Surveillance System cancer survivor modules. We calculated descriptive statistics, conducted chi-square tests for comparisons, and used multivariable logistic regression analysis to compare CRC survivors with other cancer survivors and persons without cancer.
Of the 52,788 cancer survivors included in this analysis, 4001 reported being CRC survivors. When compared with other cancer survivors, CRC survivors reported higher percentages of obesity and lack of physical activity; however, they had lower levels of current smoking. Adjusted results show that CRC survivors were significantly more likely to report lack of physical activity, fair/poor health, and other chronic health conditions compared with persons without a cancer diagnosis. Conversely, CRC survivors reported lower levels of current smoking than persons without cancer.
CRC survivors have a higher proportion of heath conditions and behaviors that may significantly increase their risks for recurrence or development of a second cancer. Targeted interventions to address these health issues should be considered.
在人群层面,比较结直肠癌(CRC)幸存者与其他癌症幸存者及无癌症者的健康行为、合并症和健康相关生活质量。
我们使用了2009年和2010年行为危险因素监测系统癌症幸存者模块的数据。我们计算了描述性统计量,进行卡方检验以作比较,并使用多变量逻辑回归分析来比较CRC幸存者与其他癌症幸存者及无癌症者。
在本次分析纳入的52788名癌症幸存者中,4001人报告为CRC幸存者。与其他癌症幸存者相比,CRC幸存者报告的肥胖和缺乏身体活动的比例更高;然而,他们目前的吸烟水平较低。调整后的结果显示,与未患癌症者相比,CRC幸存者报告缺乏身体活动、健康状况一般/较差以及其他慢性健康状况的可能性显著更高。相反,CRC幸存者报告的目前吸烟水平低于未患癌症者。
CRC幸存者中健康状况和行为的比例较高,这可能会显著增加他们复发或患第二种癌症的风险。应考虑针对这些健康问题的针对性干预措施。