照顾儿童癌症幸存者的健康行为：一项横断面研究。
Health behaviors of caregivers of childhood cancer survivors: a cross-sectional study.
机构信息
Department of Family Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
出版信息
BMC Cancer. 2020 Apr 7;20(1):296. doi: 10.1186/s12885-020-06765-w.
BACKGROUND
Caregiving for childhood cancer survivors may be burdensome for caregivers and affect their physical health and health behaviors. However, studies examining health behaviors in caregivers of childhood cancer survivors are scarce. This study aimed to examine health behaviors of caregivers of childhood cancer survivors by comparing them with those of the general population, and analyze associated factors.
METHODS
This study included 326 caregivers of childhood cancer survivors recruited from 3 major hospitals in South Korea and 1304 controls from the Korean National Health and Nutritional Examination Survey matched for age, sex, and education level. We compared health behaviors between the two groups by using conditional logistic regression analyses, and investigated factors associated with unhealthy behaviors in caregivers by using multiple logistic regression analyses.
RESULTS
Caregivers were less likely to be physically inactive (aOR: 0.69, 95% CI: 0.51, 0.92) compared to controls, and this was more evident in women (aOR: 0.65, 95% CI: 0.45, 0.94). However, caregivers were more likely to be binge drinkers (aOR: 2.26, 95% CI: 1.73, 2.97), especially if they were men (aOR: 13.59, 95% CI: 8.09, 22.82). Factors associated with unhealthy behaviors in caregivers differed by the type of behavior. Current smoking risk was lower in female caregivers and in those with more comorbidities. Increasing age, female sex, higher education level, and lower household income were associated with lower risk of binge drinking. Higher household income and anxiety were associated with lower risk of physical inactivity, while depression was associated with higher risk of physical inactivity.
CONCLUSIONS
Caregivers of childhood cancer survivors were more likely to engage in binge drinking, but less likely to be physically inactive. Strategies to promote adherence to desirable health behaviors in caregivers are needed with consideration of their socioeconomic and clinical factors, such as number of comorbidities.
背景
照顾儿童癌症幸存者可能会给照顾者带来负担，并影响他们的身体健康和健康行为。然而，研究儿童癌症幸存者照顾者健康行为的研究很少。本研究旨在通过比较照顾者与普通人群的健康行为来研究照顾者的健康行为，并分析相关因素。
方法
本研究纳入了 326 名来自韩国 3 家主要医院的儿童癌症幸存者的照顾者，以及 1304 名来自韩国国家健康和营养检查调查的匹配年龄、性别和教育水平的对照者。我们通过条件逻辑回归分析比较了两组之间的健康行为，并通过多因素逻辑回归分析调查了照顾者不健康行为的相关因素。
结果
与对照组相比，照顾者不太可能不积极运动（调整后的比值比[aOR]：0.69，95%置信区间[CI]：0.51，0.92），这在女性中更为明显（aOR：0.65，95%CI：0.45，0.94）。然而，照顾者更有可能成为狂饮者（aOR：2.26，95%CI：1.73，2.97），尤其是男性（aOR：13.59，95%CI：8.09，22.82）。照顾者不健康行为的相关因素因行为类型而异。女性照顾者和患有更多合并症的照顾者发生当前吸烟的风险较低。年龄增长、女性、较高的教育水平和较低的家庭收入与狂饮风险降低相关。较高的家庭收入和焦虑与不积极运动的风险降低相关，而抑郁与不积极运动的风险增加相关。
结论
儿童癌症幸存者的照顾者更有可能狂饮，但不太可能不积极运动。需要考虑照顾者的社会经济和临床因素（如合并症数量），制定促进其养成健康行为的策略。
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