School of Social Work, 242612Rutgers The State University of New Jersey, New Brunswick, NJ, USA.
Department of Dental Practice and Rural Health, School of Dentistry, 5631West Virginia University, Morgantown, WV, USA.
Cancer Control. 2021 Jan-Dec;28:10732748211059106. doi: 10.1177/10732748211059106.
The objective of this research was to determine if the engagement/participation in health promotion activities of cancer survivors in the United States (US) changed between 2006 and 2015. We pooled two independent cross-sectional data of cancer survivors using Medical Expenditure Panel Surveys from 2006 (N = 791; weighted N = 9,532,674) and 2015 (N = 1067; weighted N = 15,744,959). Health promoting activities consisted of past year influenza immunization, routine physical examination, and dental visit. Self-care included maintaining normal weight, not smoking, and engagement in recommended vigorous physical activity. We conducted unadjusted and adjusted logistic regression analyses to examine the change in engagement in health promoting activities over time. We found rates of annual influenza immunization (66.8% vs 70.3%), dental visit (71.8% vs 70.3%), and normal weight (33.9% vs 33.5%) did not change from 2006 to 2015. The percent with physical examination (90.8% vs 93.8%; P = .03) and non-smokers increased (87.9% vs 91.2; P = .04). Between 2006 and 2015, despite guidelines and recommendations for personalized cancer survivorship health plans, health promoting activities among cancer survivors did not change significantly.
本研究旨在确定美国癌症幸存者参与健康促进活动的情况是否在 2006 年至 2015 年间发生了变化。我们合并了两项独立的癌症幸存者横断面数据，使用 2006 年（N=791；加权 N=9532674）和 2015 年（N=1067；加权 N=15744959）医疗保险支出调查的数据。健康促进活动包括过去一年的流感疫苗接种、常规体检和牙科就诊。自我保健包括保持正常体重、不吸烟和进行推荐的剧烈身体活动。我们进行了未经调整和调整后的逻辑回归分析，以检查随时间推移健康促进活动参与率的变化。我们发现，年度流感疫苗接种率（66.8%对 70.3%）、牙科就诊率（71.8%对 70.3%）和正常体重率（33.9%对 33.5%）自 2006 年以来没有变化。体检率（90.8%对 93.8%；P=0.03）和不吸烟者的比例有所增加（87.9%对 91.2%；P=0.04）。尽管有个性化癌症生存者健康计划的指南和建议，但在 2006 年至 2015 年间，癌症幸存者的健康促进活动并没有显著变化。
