Doctoral Student, University of Rochester School of Nursing, 601 Elmwood Avenue, Rochester, NY 14624, United States.
Professor, University of Texas at Austin School of Nursing, 1710 Red River St., Austin, TX 78712, United States.
J Pediatr Nurs. 2022 Sep-Oct;66:e100-e115. doi: 10.1016/j.pedn.2022.05.002. Epub 2022 May 31.
Adolescent survivors of cancer face an increased risk of chronic health conditions that can be improved by healthy behaviors. The purpose of this review is to synthesize the extent/prevalence of health behaviors (physical activity [PA], diet, human papillomavirus [HPV] vaccination, alcohol use, smoking, marijuana use, and unprotected sex) compared to age-matched peers and factors associated with those behaviors.
Four databases (PubMed, EMBASE, PsycINFO, and CINAHL) were searched for peer-reviewed primary studies published since 2000 including adolescents aged 11-20 years-old, who had completed cancer treatments. Studies reporting at least one behavior were included.
Of 1979 articles reviewed, 27 studies reporting any of the following health behaviors were included: PA, diet, HPV vaccination, alcohol use, smoking, marijuana use, or unprotected sex.
Adolescent survivors of cancer engaged less in health risk behaviors (alcohol use, smoking, marijuana use, and unprotected sex) or health-promoting behaviors (PA, healthy diet, and HPV vaccination) compared to age-matched peers. Their health behaviors were associated with psychosocial factors including emotional discomfort (e.g., feeling depressed or nervous) and influence of others (family, friends, and healthcare providers).
Although health risk behaviors in adolescent survivors of cancer are not as prevalent as in their peers, the survivors' low engagement in health-promoting behaviors including PA, diet, and HPV vaccination is concerning.
More research is needed to develop and evaluate interventions to improve health-promoting behaviors in adolescent survivors of cancer by strengthening or facilitating psychosocial resources.
癌症青少年幸存者面临着慢性健康问题的风险增加，这些问题可以通过健康行为得到改善。本综述的目的是综合比较癌症青少年幸存者与年龄匹配的同龄人在健康行为（体力活动[PA]、饮食、人乳头瘤病毒[HPV]疫苗接种、饮酒、吸烟、使用大麻和无保护性行为）的程度/流行率，以及与这些行为相关的因素。
检索了四个数据库（PubMed、EMBASE、PsycINFO 和 CINAHL），以获取自 2000 年以来发表的针对 11-20 岁完成癌症治疗的青少年的同行评审原始研究。纳入了报告至少一种行为的研究。
在审查的 1979 篇文章中，纳入了 27 项研究，这些研究报告了以下任何一种健康行为：PA、饮食、HPV 疫苗接种、饮酒、吸烟、使用大麻或无保护性行为。
与年龄匹配的同龄人相比，癌症青少年幸存者较少从事健康风险行为（饮酒、吸烟、使用大麻和无保护性行为）或促进健康的行为（PA、健康饮食和 HPV 疫苗接种）。他们的健康行为与心理社会因素有关，包括情绪不适（如感到沮丧或紧张）和他人的影响（家人、朋友和医疗保健提供者）。
尽管癌症青少年幸存者的健康风险行为不如同龄人普遍，但幸存者在促进健康的行为（包括 PA、饮食和 HPV 疫苗接种）方面的低参与率令人担忧。
需要进一步研究制定和评估干预措施，通过加强或促进心理社会资源来改善癌症青少年幸存者的健康促进行为。
