Betty Irene Moore School of Nursing, University of California, Davis, Betty Irene Moore Hall, 2570 48th Street, Sacramento, CA, 95817, USA.
Division of Biostatistics, Department of Public Health Sciences, School of Medicine, University of California, Davis, Medical Science 1C, Suite 145, Davis, CA, 95616, USA.
J Cancer Educ. 2020 Aug;35(4):669-677. doi: 10.1007/s13187-019-01509-2.
We examine the relationships between fear of cancer recurrence (FCR), physical activity, smoking status, and engagement in healthier habits in a US population-based sample of post-treatment cancer survivors. We used data from the 2011 Medical Expenditure Panel Survey (MEPS) Experience with Cancer Survivorship Supplement. Multivariable logistic regression was used to test the relationship of FCR to physical activity, smoking status, and engagement in healthier habits. In all analyses, MEPS survey weights were applied to account for the survey design. Compared with those reporting no FCR, survivors reporting high FCR had significantly lower odds of reporting that they were not currently smokers (odds ratio [OR] = 0.46; 95% CI 0.24, 0.91) and those with any level of FCR had significantly higher odds of reporting healthier habits since diagnosis relative to those with no FCR (low FCR OR = 1.97; 95% CI 1.36, 2.85; high FCR OR = 2.40; 95% CI 1.33, 4.32). FCR was not associated with the odds of reporting physical activity. Findings from this large population-based survey suggest that some of survivors' lifestyle factors may be related to their level of FCR. Understanding the effects of FCR on lifestyle factors may help survivors, survivorship care providers, and policy makers better understand important differences among cancer survivors and personalize interventions in clinical care.
我们在美国基于人群的癌症治疗后幸存者样本中，检查了对癌症复发的恐惧 (FCR)、身体活动、吸烟状况以及参与更健康习惯之间的关系。我们使用了来自 2011 年医疗支出面板调查 (MEPS) 癌症生存者经验补充调查的数据。多变量逻辑回归用于检验 FCR 与身体活动、吸烟状况和参与更健康习惯之间的关系。在所有分析中，均应用 MEPS 调查权重以考虑调查设计。与那些报告没有 FCR 的幸存者相比，报告有高 FCR 的幸存者报告没有目前吸烟的可能性显著降低（比值比 [OR] = 0.46；95%置信区间 0.24，0.91），而所有程度的 FCR 幸存者报告与没有 FCR 的幸存者相比，自诊断以来有更高的更健康习惯的可能性（低 FCR OR = 1.97；95%置信区间 1.36，2.85；高 FCR OR = 2.40；95%置信区间 1.33，4.32）。FCR 与报告身体活动的几率无关。这项基于大型人群的调查结果表明，一些幸存者的生活方式因素可能与其 FCR 水平有关。了解 FCR 对生活方式因素的影响可能有助于幸存者、生存护理提供者和政策制定者更好地了解癌症幸存者之间的重要差异，并在临床护理中个性化干预措施。
