Mama Scherezade K, Heredia Natalia I, Johnston Hannah, Conroy David E
Department of Health Disparities Research, Division of Cancer Prevention and Population Sciences, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Department of Health Promotion and Behavioral Sciences, School of Public Health, The University of Texas Health Science Center at Houston, Houston, TX, United States.
Front Oncol. 2022 Jun 7;12:871192. doi: 10.3389/fonc.2022.871192. eCollection 2022.
Rural adults and cancer survivors are more likely to be physically inactive and exceed recommendations for alcohol use. Physical activity and alcohol use are positively associated in adults and cancer survivors but associations between physical activity and alcohol use in rural cancer survivors is unknown. This cross-sectional study explored associations between physical activity, sitting time, and alcohol use in rural cancer survivors.
Cancer survivors residing in central Pennsylvania were recruited to the Partnering to Prevent and Control Cancer (PPCC) study and completed mailed questionnaires assessing physical activity (low, moderate, high), sitting time (<6 or ≥6 hours/day), and alcohol use (0 or ≥1 drinks/week). Binary logistic regression models tested associations between physical activity, sitting time, and alcohol use, adjusting for age, gender, and education.
Participants (N=219) were in their mid-60s (M age=64.5 ± 12.2 years, 60.7% female), overweight (M BMI=29.6 ± 6.9 kg/m2), and 50.5% were college graduates. Nearly half of participants were breast (22.8%) or prostate (20.5%) cancer survivors and 90.4% were >12 weeks but <5 years post-treatment. Participants self-reported meeting physical activity recommendations (79.5%), sitting <6 hours/day (53.3%), and consuming ≥1 alcoholic drinks/week (54.1%). Participants who reported being moderately (OR=5.0, 95% CI: 1.9-12.9) or highly (OR=4.5, 95% CI: 1.9-10.9) active had higher odds of reporting alcohol use, after adjusting for covariates.
Results mirror positive associations seen in adults and other subgroups (e.g., racial/ethnic minority adults). Cancer control efforts should stress being physically active while emphasizing messaging to curtail increases in alcohol use among rural cancer survivors.
农村成年人和癌症幸存者身体活动不足的可能性更大，且饮酒量超过建议水平。身体活动与饮酒在成年人和癌症幸存者中呈正相关，但农村癌症幸存者的身体活动与饮酒之间的关联尚不清楚。这项横断面研究探讨了农村癌症幸存者的身体活动、久坐时间和饮酒之间的关联。
招募居住在宾夕法尼亚州中部的癌症幸存者参与预防和控制癌症合作研究（PPCC），并完成邮寄问卷，评估身体活动情况（低、中、高）、久坐时间（<6或≥6小时/天）和饮酒情况（0或≥1杯/周）。二元逻辑回归模型检验身体活动、久坐时间和饮酒之间的关联，并对年龄、性别和教育程度进行调整。
参与者（N = 219）年龄在60多岁（平均年龄 = 64.5 ± 12.2岁，60.7%为女性），超重（平均BMI = 29.6 ± 6.9 kg/m²），50.5%为大学毕业生。近一半参与者是乳腺癌（22.8%）或前列腺癌（20.5%）幸存者，90.4%处于治疗后12周以上但不到5年。参与者自我报告达到身体活动建议水平（79.5%）、每天久坐时间<6小时（53.3%）以及每周饮用≥1杯酒精饮料（54.1%）。在调整协变量后，报告中度（OR = 5.0，95%CI：1.9 - 12.9）或高度（OR = 4.5，95%CI：1.9 - 10.9）身体活动的参与者报告饮酒的几率更高。
结果反映了在成年人和其他亚组（如少数族裔成年人）中观察到的正相关。癌症控制工作应强调身体活动，同时强调减少农村癌症幸存者饮酒量增加的信息传递。
