Yoon Junghyun, Park Boyoung
Departments of Health Sciences, Hanyang University, Seoul, Korea.
Departments of Medicine, College of Medicine, Hanyang University, Seoul, Korea.
J Cancer Prev. 2020 Sep 30;25(3):173-180. doi: 10.15430/JCP.2020.25.3.173.
In this study, we compared health behaviors, including current smoking, drinking, and physical inactivity, in thyroid cancer survivors and non-cancer controls and investigated the factors associated with unhealthy behaviors among survivors. Baseline data from the Health Examinees study, collected from 2004 to 2013, were used. Thyroid cancer survivors (n = 942), defined as those who had received a clinical diagnosis of thyroid cancer, and 9,420 matched non-cancer controls without past history of any cancer were included in the analysis. The prevalence of smoking, alcohol consumption, and physical inactivity in thyroid cancer survivors were 2.3%, 26.6%, and 52.0%, respectively, with adjusted OR (aOR) and 95% CI between survivors and non-cancer controls of 0.35 (95% CI = 0.08-1.56), 0.46 (95% CI = 0.29-0.74), and 0.65 (95% CI = 0.44-0.96). The prevalence of unhealthy behaviors was higher among male thyroid cancer survivors than female thyroid cancer survivors. In thyroid cancer survivors, those who smoked were more likely to drink (aOR = 4.55 [95% CI = 1.61-12.85]) and those who were physically inactive were less likely to drink (aOR = 0.58 [95% CI = 0.42-0.82]). Current drinking and physical inactivity contributed to a higher likelihood of smoking (aOR = 4.31 [95% CI = 1.35-13.73] and 6.34 [95% CI = 1.65-24.34]). Thyroid cancer survivors had better health behaviors than the non-cancer controls. However, some survivors still had unhealthy lifestyles, especially displaying a clustering of unhealthy behaviors. Thus, health behavior promotion through medical intervention is important for thyroid cancer survivors.
在本研究中，我们比较了甲状腺癌幸存者与非癌症对照者的健康行为，包括当前吸烟、饮酒和缺乏身体活动情况，并调查了幸存者中与不健康行为相关的因素。我们使用了2004年至2013年收集的健康体检者研究的基线数据。分析纳入了甲状腺癌幸存者（n = 942），定义为那些已接受甲状腺癌临床诊断的人，以及9420名匹配的无任何癌症既往史的非癌症对照者。甲状腺癌幸存者中吸烟、饮酒和缺乏身体活动的患病率分别为2.3%、26.6%和52.0%，幸存者与非癌症对照者之间经调整的比值比（aOR）及95%置信区间分别为0.35（95% CI = 0.08 - 1.56）、0.46（95% CI = 0.29 - 0.74）和0.65（95% CI = 0.44 - 0.96）。男性甲状腺癌幸存者中不健康行为的患病率高于女性甲状腺癌幸存者。在甲状腺癌幸存者中，吸烟者更有可能饮酒（aOR = 4.55 [95% CI = 1.61 - 12.85]），而缺乏身体活动者饮酒的可能性较小（aOR = 0.58 [95% CI = 0.42 - 0.82]）。当前饮酒和缺乏身体活动会增加吸烟的可能性（aOR = 4.31 [95% CI = 1.35 - 13.73] 和6.34 [95% CI = 1.65 - 24.34]）。甲状腺癌幸存者的健康行为优于非癌症对照者。然而，一些幸存者仍有不健康的生活方式，尤其是表现出不健康行为的聚集。因此，通过医学干预促进健康行为对甲状腺癌幸存者很重要。
