Department of Medical Science, Cumming School of Medicine, University of Calgary, Calgary, Canada.
Division of Psychosocial Oncology, Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, Canada.
J Adolesc Young Adult Oncol. 2021 Dec;10(6):675-681. doi: 10.1089/jayao.2020.0224. Epub 2021 Mar 26.
Adolescents and young adults (AYA) experience challenges both during and after their cancer treatment. Health behaviors are important contributors to health, yet little research examines health behaviors in AYA cancer survivors. We examined frequencies of health behaviors and associations between health behaviors, psychosocial, and clinical factors in AYA cancer survivors. Participants were survivors of AYA cancer ( = 60; 38.3% male; mean age = 25.3 years [standard deviation, SD = 4.6]; mean years since therapy completion = 9.0 [SD = 4.2]) from the Alberta Children's Hospital (ACH). Survivors were 13-21 years old at the time of diagnosis. Measures included demographic and clinical data, and the ACH Long-Term Survivor's Questionnaire. Health behaviors were compared with a control group ( = 600) using data from the 2017 Canadian Community Health Survey. Frequencies, conditional logistic regression, and logistic regression analyses were conducted. Compared with controls, survivors reported engaging in physical activity (91.5% vs. 87.5%; odds ratio [OR] = 0.87, 95% confidence interval [CI] = 0.34-2.24; = 0.77), smoking tobacco (15.3% vs. 19.7%; OR = 1.85, 95% CI = 0.89-3.85; = 0.10), and street drug use (27.6% vs. 36.5%; OR = 1.60, 95% CI = 0.88-2.91; = 0.12) at the same rate. Survivors reported binge drinking significantly less (61.0% vs. 76.6%; OR = 0.53, 95% CI = 0.30-0.92; = 0.024) than controls. Logistic regression analyses revealed a significant model predicting binge drinking [χ(5, 58) = 23.17, < 0.001] with greater time off treatment, fear of another health condition, and higher mean body mass index emerging as significant predictors. AYA cancer survivors engage in risky health behaviors at rates similar to their peers. Further research is needed to understand factors mediating survivors' decision to participate in risky health behaviors.
青少年和年轻人 (AYA) 在癌症治疗期间和之后都面临挑战。健康行为是健康的重要贡献因素，但很少有研究调查 AYA 癌症幸存者的健康行为。我们研究了 AYA 癌症幸存者的健康行为频率以及健康行为、心理社会和临床因素之间的关联。参与者是来自艾伯塔省儿童医院 (ACH) 的 AYA 癌症幸存者（ = 60；38.3%为男性；平均年龄为 25.3 岁 [标准差，SD = 4.6]；平均完成治疗年限为 9.0 年 [SD = 4.2]）。幸存者在诊断时年龄在 13 至 21 岁之间。测量包括人口统计学和临床数据以及 ACH 长期幸存者问卷。使用 2017 年加拿大社区健康调查的数据，将健康行为与对照组（ = 600）进行比较。使用频率、条件逻辑回归和逻辑回归分析进行分析。与对照组相比，幸存者报告的体育活动参与率更高（91.5% vs. 87.5%；优势比 [OR] = 0.87，95%置信区间 [CI] = 0.34-2.24； = 0.77），吸烟率更低（15.3% vs. 19.7%；OR = 1.85，95% CI = 0.89-3.85； = 0.10），街头吸毒率更低（27.6% vs. 36.5%；OR = 1.60，95% CI = 0.88-2.91； = 0.12）。幸存者报告暴饮酒精的频率显著降低（61.0% vs. 76.6%；OR = 0.53，95% CI = 0.30-0.92； = 0.024）。逻辑回归分析显示，一个显著的模型预测了暴饮酒精的情况[χ(5, 58) = 23.17， < 0.001]，其中治疗后时间、对另一种健康状况的恐惧以及更高的平均体重指数成为显著的预测因素。AYA 癌症幸存者以与同龄人相似的速度参与危险的健康行为。需要进一步研究以了解影响幸存者参与危险健康行为的因素。
