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美国前列腺癌幸存者的健康状况、慢性疾病和行为风险因素的种族和民族差异,2015 年。

Racial and Ethnic Disparities in Health Status, Chronic Conditions, and Behavioral Risk Factors Among Prostate Cancer Survivors, United States, 2015.

机构信息

Epidemiology and Applied Research Branch, Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.

Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina.

出版信息

Prev Chronic Dis. 2021 Apr 22;18:E39. doi: 10.5888/pcd18.200523.

DOI:10.5888/pcd18.200523
PMID:33890569
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8091944/
Abstract

INTRODUCTION

Little is known about perceived health status and behavioral risk factors among prostate cancer survivors. The objective of this study was to describe racial and ethnic differences in self-reported health status, chronic conditions, and selected behavioral risk factors among prostate cancer survivors in the US.

METHODS

We used data from the 2015 National Health Interview Survey to calculate the prevalence of various levels of health status, chronic conditions, behavioral risk factors, and sociodemographic characteristics among prostate cancer survivors aged 50 years or older. We stratified results by race and ethnicity.

RESULTS

Of the 317 prostate cancer survivors in our sample, 33.1% reported no physical activity, 64.2% reported being current drinkers, 26.1% characterized their drinking as moderate/heavy, 42.3% reported being former smokers, and 8.7% were current smokers. Nearly one-third (29.1%) of survivors were obese (body mass index ≥30), and 15.1% had 3 to 6 chronic conditions. A greater percentage of White (29.7%) than Black (14.2%) or Hispanic (16.3%) survivors were moderate/heavy drinkers. A greater percentage of Black (16.2%) than White (7.5%) or Hispanic (7.3%) survivors were current smokers. A greater percentage of Black (25.1%) or Hispanic (27.7%) than White (11.4%) survivors had 3 to 6 chronic conditions.

CONCLUSION

As the population of older men increases, prostate cancer diagnoses and those surviving the disease will also increase. Significant racial and ethnic group differences in behavioral risk factors and chronic conditions exist among prostate cancer survivors. Public health could prioritize efforts to improve health behaviors among prostate cancer survivors and use targeted interventions to address disparities.

摘要

简介

对于前列腺癌幸存者的感知健康状况和行为风险因素知之甚少。本研究的目的是描述美国前列腺癌幸存者自我报告的健康状况、慢性疾病和某些行为风险因素方面的种族和民族差异。

方法

我们使用 2015 年国家健康访谈调查的数据,计算了年龄在 50 岁及以上的前列腺癌幸存者中各种健康状况、慢性疾病、行为风险因素和社会人口特征的流行率。我们按种族和民族对结果进行分层。

结果

在我们的样本中,有 317 名前列腺癌幸存者,其中 33.1%的人没有进行任何体育活动,64.2%的人报告目前饮酒,26.1%的人认为自己饮酒量适度/大量,42.3%的人报告曾经吸烟,8.7%的人目前吸烟。近三分之一(29.1%)的幸存者肥胖(体重指数≥30),15.1%有 3 至 6 种慢性疾病。与黑人(14.2%)或西班牙裔(16.3%)幸存者相比,更多的白人(29.7%)是中度/大量饮酒者。与白人(7.5%)或西班牙裔(7.3%)幸存者相比,更多的黑人(16.2%)是目前吸烟者。与白人(11.4%)幸存者相比,更多的黑人(25.1%)或西班牙裔(27.7%)有 3 至 6 种慢性疾病。

结论

随着老年男性人口的增加,前列腺癌的诊断和存活人数也将增加。前列腺癌幸存者的行为风险因素和慢性疾病存在显著的种族和民族差异。公共卫生可以优先努力改善前列腺癌幸存者的健康行为,并使用针对性的干预措施来解决差异。

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